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Published VersionCC BY V4.0, Open Access
Journal article
The effectiveness of telemedicine in the prevention of type 2 diabetes mellitus: a systematic review and meta-analysis of interventions
Diabetes & Metabolic Syndrome, Vol.19(5), pp.1-14
2025
PMID: 40527161
Abstract
Objective
To evaluate the effectiveness of telemedicine-delivered diet and/or exercise interventions to prevent type 2 diabetes (T2D) in people at risk.
Methods
Embase (via Ovid), Medline (via Ovid), Web of Science, CINAHL, Scopus and SciELO were searched from January 2010–December 2020 for intervention studies using a diet and/or exercise intervention delivered through telemedicine for T2D prevention in people at risk. Parallel randomised controlled trials were meta-analysed, and other intervention designs narratively synthesized.
Results
We identified 11,645 studies via database searches, of which 226 were full-text screened, and 52 interventions included; 32 were included in the meta-analysis and 20 in the narrative synthesis. Telemedicine interventions reduced body weight (mean difference (MD): −1.66 kg, 95 % confidence interval (CI) −2.48,-0.90, I2 = 81 %, nstudies = 17), body mass index (MD -0.71 kg/m2, 95 % CI -1.06,-0.37, I2 = 70 %, nstudies = 11), waist circumference (MD -2.82 cm, 95 % CI -5.16,-2.35, I2 = 84 %, nstudies = 8) and HbA1c (MD -0.07 %, 95 % CI -0.14,0.00, I2 = 71 %, nstudies = 11). No significant effects were found for other clinical outcomes. The narrative synthesis supported the results. The longest follow-up time was up to 24 months.
Conclusions
Our study demonstrates effectiveness for telemedicine-delivered interventions in preventing T2D in people at risk, specifically in people with overweight/obesity.
Details
- Title
- The effectiveness of telemedicine in the prevention of type 2 diabetes mellitus: a systematic review and meta-analysis of interventions
- Authors
- Laura Suhlrie - Technical University of MunichRaga Ayyagari - Mathematica Policy ResearchCamille Mba - University of CambridgeKjell Olsson - Lund UniversityHarold Torres-Aparcana - Universidad Peruana Cayetano HerediaSteven James - University of the Sunshine Coast, Queensland, School of Health - NursingElpida Vounzoulaki - University of LeicesterDaniel B. Ibsen (Corresponding Author) - MRC Epidemiology Unit
- Publication details
- Diabetes & Metabolic Syndrome, Vol.19(5), pp.1-14
- Publisher
- Elsevier Inc.
- Date published
- 2025
- DOI
- 10.1016/j.dsx.2025.103252
- ISSN
- 1878-0334; 1871-4021
- PMID
- 40527161
- Copyright note
- © 2025 Research Trust of Diabetes India (Diabetes India) and National Diabetes Obesity and Cholesterol Foundation (N-DOC). Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Data Availability
- The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991144502602621
- Output Type
- Journal article
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