Use and effectiveness of mobile technology for cardiovascular prevention in children and adolescents. Literature review

Section: Artículos Científicos


Miguel Ángel Rodríguez Morillo1, Amelia Ramos González-Serna2.


  1 Graduado en Enfermería. Enfermero General en St. Lukes Hospital, Kilkenny, Irlanda.   2 Diplomada en Enfermería. Máster en Nuevas Tendencias Asistenciales en Ciencias de la Salud. Enfermera asistencial  Unidad de Gestión Clínica de Cardiología. Hospital de Valme, Sevilla. Profesora Asociada Departamento de Enfermería en la Universidad de Sevilla. 

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Amelia Ramos González-Serna. Estrasburgo, 2 C 2º C. 41012 Sevilla

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Introduction. Cardiovascular diseases are the leading cause of death; they involve big healthcare costs and a growing health issue. Mobile technology could be effective for cardiovascular prevention in children and adolescents. Aim: To review the scientific literature on the prevention of cardiovascular diseases a in children and adolescents and determine the interventions effectiviness for cardiovascular prevention through mobile technology in this population.
Methodology. A bibliographic search was carried out in PubMed, CINAHL, SciELO, LILACS, WOS and Scopus databases. MeSH and common terms were used to formulate search approaches. The search period ranged from July 15 to August 15, 2019.
Results. 16 articles were chosen out of 577 initially found. Experimental studies, randomized trials and narrative or systematic reviews were found that were focused on classical or telemedicine-based cardiovascular prevention. No specific articles on telemedicine-based prevention in children were found, although they were found for adolescents.
Discussion and Conclusions. Mobile technology is a promising tool for cardiovascular prevention interventions in children and adolescents, despite the lack of studies and its limitations. Nurses are health promoters who may be necessary to carry out more effective telemedicine interventions. Future studies focusing on cardiovascular prevention through better eHealth structures and younger populations-centered interventions are needed.


prevention; Cardiovascular diseases; Children; adolescents; telemedicine; nursing

Versión en Español


Utilización y eficacia de la tecnología móvil para la prevención cardiovascular en niños y adolescentes. Revisión bibliográfica

Artículo completo no disponible en este idioma / Full article is not available in this language


1. Organización Mundial de la Salud [sede Web]. Ginebra: OMS, 2017 Prevención y control de las enfermedades cardiovasculares. Disponible en:
2. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al. Guía europea sobre prevención de la enfermedad cardiovascular en la práctica clínica (versión 2012). Rev Esp Cardiol. 2012;65(10): 937.e1–937.e66.
3. Moreno-Alsasua L, Garcia-Zapirain B, Rodrigo-Carbonero J, Ruiz IO, Hamrioui S, de la Torre Díez I. Primary Prevention of Asymptomatic Cardiovascular Disease Using Physiological Sensors Connected to an iOS App. J Med Syst. 2017;41:191.
4. Gilbertson SL, Graves BA. Motivating Parents to Promote Cardiovascular Health in Children. J Cardiovasc Nurs. 2015;30(1): E8–18.
5. Agostinis-Sobrinho C, Santos R, Rosario R, Moreira C, Lopes L, Mota J, et al. Optimal Adherence to a Mediterranean Diet May Not Overcome the Deleterious Effects of Low Physical Fitness on Cardiovascular Disease Risk in Adolescents: A Cross-Sectional Pooled Analysis. Nutrients. 2018 Jun; 10(7).
6. Champion KE, Newton NC, Spring B, Wafford QE, Parmenter BJ, Teesson M. A systematic review of school-based eHealth interventions targeting alcohol use, smoking, physical inactivity, diet, sedentary behaviour and sleep among adolescents: a review protocol. Syst Rev. 2017 Dec; 6(1): 246.
7. Szeszulski J, Lorenzo E, Shaibi GQ, Buman MP, Vega-Lopez S, Hooker SP, et al. Effectiveness of early care and education center-based interventions for improving cardiovascular fitness in early childhood: A systematic review and meta-analysis. Prev Med reports. 2019 Sep; 15: 100915.
8. González-Jiménez E, Cañadas GR, Lastra-Caro A, Cañadas-De la Fuente GA. Efectividad de una intervención educativa sobre nutrición y actividad física en una población de adolescentes: Prevención de factores de riesgos endocrino-metabólicos y cardiovasculares. Aquichan [Internet]. 2014; 14(4): 549–59.
9. Svetkey LP, Batch BC, Lin P-H, Intille SS, Corsino L, Tyson CC, et al. Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology. Obesity (Silver Spring). 2015 Nov; 23(11): 2133–41.
10. Rogers MAM, Lemmen K, Kramer R, Mann J, Chopra V. Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability. J Med Internet Res. 2017 Mar;19(3):1.
11. Organización Mundial de la Salud. Promoción de la Salud Glosario [Internet]. OMS. Ginebra: OMS. 1998 [acceso 7 de noviembre de 2019]. Disponible en:
12. Bayod C, Villarroel MT, Peréz Lorenz JB, Puzo J. Arteriosclerosis. Factores de riesgo cardiovascular. Medicine; 2013;11(40):2283–95.
13. Dahm CC, Chomistek AK, Jakobsen MU, Mukamal KJ, Eliassen AH, Sesso HD, et al. Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle-Aged Women. J Am Heart Assoc. 2016; 5(12).
14. Lee WWM, Choi KC, Yum RWY, Yu DSF, Chair SY. Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review. Int J Nurs Stud. 2016 Jan; 53: 331-341 11p.
15. Garbers S, Hunersen K, Nechitilo M, Fisch M, Bell DL, Byrne MW, et al. Healthy Weight and Cardiovascular Health Promotion Interventions for Adolescent and Young Adult Males of Color: A Systematic Review. Am J Mens Health. 2018 Sep;12(5): 1328–51.
16. Walsh JC, Corbett T, Hogan M, Duggan J, McNamara A. An mHealth Intervention Using a Smartphone App to Increase Walking Behavior in Young Adults: A Pilot Study. JMIR mHealth uHealth. 2016 Sep; 4(3): e109.
17. Raeside R, Partridge SR, Singleton A, Redfern J. Cardiovascular Disease Prevention in Adolescents: eHealth, Co-Creation, and Advocacy. Med Sci (Basel, Switzerland). 2019 Feb; 7(2).
18. Simons D, De Bourdeaudhuij I, Clarys P, De Cocker K, Vandelanotte C, Deforche B. Effect and Process Evaluation of a Smartphone App to Promote an Active Lifestyle in Lower Educated Working Young Adults: Cluster Randomized Controlled Trial. JMIR mHealths uHealth. 2018; 6(8).
19. Gomez SF, Casas Esteve R, Subirana I, Serra-Majem L, Fletas Torrent M, Homs C, et al. Effect of a community-based childhood obesity intervention program on changes in anthropometric variables, incidence of obesity, and lifestyle choices in Spanish children aged 8 to 10 years. Eur J Pediatr. 2018 Oct;177(10):1531–9.
20. Martin SS, Feldman DI, Blumenthal RS, Jones SR, Post WS, McKibben RA, et al. mActive: A Randomized Clinical Trial of an Automated mHealth Intervention for Physical Activity Promotion. J Am Heart Assoc. 2015 Nov; 4(11).
21. Zhou Y, Liao J, Feng F, Ji M, Zhao C, Wang X. Effects of a Nurse-Led Phone Follow-up Education Program Based on the Self-efficacy Among Patients with Cardiovascular Disease. J Cardiovasc Nurs. 2018; 33(1): E15–23.
22. Nour M, Chen J, Allman-Farinelli M. Efficacy and External Validity of Electronic and Mobile Phone-Based Interventions Promoting Vegetable Intake in Young Adults: Systematic Review and Meta-Analysis. J Med Internet Res. 2016;18(4).
23. Rehman H, Kamal AK, Sayani S, Morris PB, Merchant AT, Virani SS. Using Mobile Health (mHealth) Technology in the Management of Diabetes Mellitus, Physical Inactivity, and Smoking. Curr Atheroscler Rep. 2017; 19(4).