title: Mobile Health Initiatives to Improve Outcomes in Primary Prevention of Cardiovascular Disease.
abstract: Cardiovascular disease affects more than a third of American adults and is the leading cause of mortality in the USA. Over the last 40 years, several behavioral and medical risk factors have been recognized as major contributors to cardiovascular disease. Effective management of many of these risk factors, particularly behavioral risk factors, remains challenging. With the growth of mobile health (mHealth) technology, a variety of novel strategies are now available to facilitate the delivery of interventions directed at reducing these risk factors. In this review, we discuss recent clinical studies and technologic innovations leveraging smartphone devices, social media, and wearable health tracking devices to facilitate behavioral interventions directed at three important and highly prevalent behavioral risk factors for cardiovascular disease: smoking, physical inactivity, and sub-optimal nutrition. We believe this technology has significant potential to provide low-cost, scalable, and individualized tools to improve management of these important cardiovascular disease risk factors.
authors.affiliation: Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Carnegie 568, Baltimore, MD, 21287, USA. burrea1@jhmi.edu.
authors.forename: Bruno
authors.initials: B
authors.lastname: Urrea
authors.affiliation: Division of Cardiology, Johns Hopkins University School of Medicine, Carnegie 592, Baltimore, MD, 21287, USA. smisra5@jhmi.edu.
authors.forename: Satish
authors.initials: S
authors.lastname: Misra
authors.affiliation: Division of General Internal Medicine, Johns Hopkins University School of Medicine, 2024 E Monument St, Suite 2-617, Baltimore, MD, 21287, USA. tplante1@jhmi.edu.
authors.forename: Timothy B
authors.initials: TB
authors.lastname: Plante
authors.affiliation: Emory Clinical Cardiovascular Research Institute, Emory University School of Medicine, 1462 Clifton Rd NE, Suite #513, Atlanta, GA, 30329, USA. hkelli@emory.edu.
authors.forename: Heval M
authors.initials: HM
authors.lastname: Kelli
authors.affiliation: Stanford Health Care, 300 Pasteur Dr, Stanford, CA, 94305, USA. sanjit.misra@gmail.com.
authors.forename: Sanjit
authors.initials: S
authors.lastname: Misra
authors.affiliation: Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Blalock 524, Baltimore, MD, 21287, USA. mblaha1@jhmi.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Blaha
authors.affiliation: Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Carnegie 591, Baltimore, MD, 21287, USA. smart100@jhmi.edu.
authors.forename: Seth S
authors.initials: SS
authors.lastname: Martin
keywords: Cardiovascular disease; Mobile health technology; Prevention; Risk factors