Metabolic Disorders

Chronic-Illness-and-Long-term-Care-Level-2-3

Treating, managing, and preventing complications of metabolic disorders is complex.

It requires comprehensive biobehavioral research into the underlying mechanisms between biological and behavioral contributors of health. Given that culture and behavior are inextricably linked, and that Singapore is home to multi-ethnic communities, a key focus of the Chronic Illness and Long-term Care research in NUS Nursing lies in understanding the biobehavioral links behind metabolic disorders. This is crucial if efforts to advance nursing practice in engendering lifestyle modifications at the primary and secondary prevention levels are successful.

Core Members: Dr Jocelyn CHEW, Dr Wilson TAM, Prof Wenru WANG

Publications

  • Chew HSJ, Chew NW, Loong SSE, Lim SL, Tam WSW, Chin YH, Chao AM, Dimitriadish GK, Gao Y, So JBY, Shabbir A, Ngiam KY. Effectiveness of an Artificial Intelligence-Assisted App for Improving Eating Behaviors: Mixed Methods Evaluation. J Med Internet Res. 2024 May 7;26:e46036. doi: 10.2196/46036. 10.2196/46036

  • Chew HSJ, Achananuparp P, Dalakoti M, Chew NWS, Chin YH, Gao Y, So BYJ, Shabbir A, Peng LE, Ngiam KY.. Public acceptance of using artificial intelligence-assisted weight management apps in high-income southeast Asian adults with overweight and obesity: a cross-sectional study. Front Nutr. 2024 Feb 7;11:1287156. doi: 10.3389/fnut.2024.1287156. eCollection 2024.. 10.3389/fnut.2024.1287156

  • Park J, Ten Hoor G, Won S, Hwang G, Hwang S, Lau ST.. Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses. J Sch Nurs. 2024 Feb 19:10598405241228448. doi: 10.1177/10598405241228448. Online ahead of print.. 10.1177/10598405241228448

  • Lau Y, Wong SH, Chee DGH, Ng BSP, Ang WW, Han CY, Cheng LJ.. Technology-delivered personalized nutrition intervention on dietary outcomes among adults with overweight and obesity: A systematic review, meta-analysis, and meta-regression. Obes Rev. 2024 May;25(5):e13699. doi: 10.1111/obr.13699. Epub 2024 Jan 31.. 10.1111/obr.13699

  • Chan V, Cao L, Wong MMH, Lo K, Tam W.. Diagnostic Accuracy of Waist-to-Height Ratio, Waist Circumference, and Body Mass Index in Identifying Metabolic Syndrome and Its Components in Older Adults: A Systematic Review and Meta-Analysis. Curr Dev Nutr. 2023 Dec 12;8(1):102061. doi: 10.1016/j.cdnut.2023.102061. eCollection 2024 Jan.. 10.1016/j.cdnut.2023.102061

  • Goh LH, Szücs A, Siah CJR, Lazarus MA, Tai ES, Valderas JM, Young DYL.. Patient perspectives of diabetes care in primary care networks in Singapore: a mixed-methods study. BMC Health Serv Res. 2023 Dec 20;23(1):1445. doi: 10.1186/s12913-023-10310-3.. 10.1186/s12913-023-10310-3

  • Sadali UB, Kamal KKBN, Park J, Chew HSJ, Devi MK.. The global prevalence of overweight and obesity among nurses: A systematic review and meta-analyses. J Clin Nurs. 2023 Dec;32(23-24):7934-7955. doi: 10.1111/jocn.16861. Epub 2023 Sep 29.. 10.1111/jocn.16861

  • Sohmaran C, Bte Mohamed Rahim A, Chua JYX, Shorey S.. Perceptions of primiparous women diagnosed with gestational diabetes mellitus: A descriptive qualitative study. Midwifery. 2023 Oct;125:103802. doi: 10.1016/j.midw.2023.103802. Epub 2023 Aug 26.. 10.1016/j.midw.2023.103802

  • Tan B, Pan XH, Chew HSJ, Goh RSJ, Lin C, Anand VV, Lee ECZ, Chan KE, Kong G, Ong CEY, Chung HC, Young DY, Chan MY, Khoo CM, Mehta A, Muthiah MD, Noureddin M, Ng CH, Chew NWS, Chin YH.. Efficacy and safety of tirzepatide for treatment of overweight or obesity. A systematic review and meta-analysis. Int J Obes (Lond). 2023 Aug;47(8):677-685. doi: 10.1038/s41366-023-01321-5. Epub 2023 May 31.. 10.1038/s41366-023-01321-5

  • Chew HSJ, Heng FKX, Tien SA, Thian JY, Chou HS, Loong SSE, Ang WHD, Chew NWS, Lo KK.. Effects of Plant-Based Diets on Anthropometric and Cardiometabolic Markers in Adults: An Umbrella Review. Nutrients. 2023 May 16;15(10):2331. doi: 10.3390/nu15102331.. 10.3390/nu15102331

  • Anand VV, Goh RSJ, Nah B, Koh SWC, Lim J, Neo NWS, Chew J, Lee YY, Chin YH, Chong B, Kong G, Tan B, Low Z, Khoo CM, Goh LH, Loh PH, Chai P, Dalakoti M, Chan M, Foo R, Muthiah M, Chew NWS.. General Public's knowledge, awareness, and perception of Cardiometabolic diseases: data from a Singapore study population. Front Med (Lausanne). 2023 Apr 24;10:1193829. doi: 10.3389/fmed.2023.1193829. eCollection 2023.. 10.3389/fmed.2023.1193829

  • Chew HSJ, Loong SSE, Lim SL, Tam WSW, Chew NWS, Chin YH, Chao AM, Dimitriadis GK, Gao Y, So BYJ, Shabbir A.. Socio-Demographic, Behavioral and Psychological Factors Associated with High BMI among Adults in a Southeast Asian Multi-Ethnic Society: A Structural Equation Model. Nutrients. 2023 Apr 10;15(8):1826. doi: 10.3390/nu15081826.. 10.3390/nu15081826

  • Chew HSJ, Rajasegaran NN, Chin YH, Chew WSN, Kim KM.. Effectiveness of Combined Health Coaching and Self-Monitoring Apps on Weight-Related Outcomes in People With Overweight and Obesity: Systematic Review and Meta-analysis. J Med Internet Res. 2023 Apr 18;25:e42432. doi: 10.2196/42432.. 10.2196/42432

  • Loh YL, Yaw QP, Lau Y.. Social media-based interventions for adults with obesity and overweight: a meta-analysis and meta-regression. Int J Obes (Lond). 2023 Jul;47(7):606-621. doi: 10.1038/s41366-023-01304-6. Epub 2023 Apr 3.. 10.1038/s41366-023-01304-6

  • Teo JYC, Ramachandran HJ, Jiang Y, Seah CWA, Lim ST, Nguyen HD, Wang W.. The characteristics and acceptance of Technology-Enabled diabetes prevention programs (t-DPP) amongst individuals with prediabetes: A scoping review. J Clin Nurs. 2023 Sep;32(17-18):5562-5578. doi: 10.1111/jocn.16649. Epub 2023 Feb 12.. 10.1111/jocn.16649

  • Lim YS, Ho B, Goh YS.. Effectiveness of game-based exercise interventions on modifiable cardiovascular risk factors of individuals with type two diabetes mellitus: A systematic review and meta-analysis. Worldviews Evid Based Nurs. 2023 Aug;20(4):377-400. doi: 10.1111/wvn.12615. Epub 2022 Nov 15.. 10.1111/wvn.12615

  • Chew HSJ, Chng S, Rajasegaran NN, Choy KH, Chong YY.. Effectiveness of acceptance and commitment therapy on weight, eating behaviours and psychological outcomes: a systematic review and meta-analysis. Eat Weight Disord. 2023 Feb 10;28(1):6. doi: 10.1007/s40519-023-01535-6.. 10.1007/s40519-023-01535-6

  • Chong B, Kong G, Shankar K, Chew HSJ, Lin C, Goh R, Chin YH, Tan DJH, Chan KE, Lim WH, Syn N, Chan SP, Wang JW, Khoo CM, Dimitriadis GK, Wijarnpreecha K, Sanyal A, Noureddin M, Siddiqui MS, Foo R, Mehta A, Figtree GA, Hausenloy DJ, Chan MY, Ng CH, Muthiah M, Mamas MA, Chew NWS.. The global syndemic of metabolic diseases in the young adult population: A consortium of trends and projections from the Global Burden of Disease 2000-2019. Metabolism. 2023 Apr;141:155402. doi: 10.1016/j.metabol.2023.155402. Epub 2023 Jan 28.. 10.1016/j.metabol.2023.155402

  • Chew HSJ, Rajasegaran NN, Chng S.. Effectiveness of interactive technology-assisted interventions on promoting healthy food choices: a scoping review and meta-analysis. Br J Nutr. 2023 Oct 14;130(7):1250-1259. doi: 10.1017/S0007114523000193. Epub 2023 Jan 25.. 10.1017/S0007114523000193

  • Chew HSJ, Li J, Chng S.. Improving adult eating behaviours by manipulating time perspective: a systematic review and meta-analysis. Psychol Health. 2023 Jan 24:1-17. doi: 10.1080/08870446.2023.2169320. Online ahead of print.. 10.1080/08870446.2023.2169320

  • Chew HSJ, Lim SL, Kim G, Kayambu G, So BYJ, Shabbir A, Gao Y.. Essential elements of weight loss apps for a multi-ethnic population with high BMI: a qualitative study with practical recommendations. Transl Behav Med. 2023 Apr 3;13(3):140-148. doi: 10.1093/tbm/ibac090.. 10.1093/tbm/ibac090

  • Chew HSJ, Ang WHD, Tan ZYA, Ang WW, Chan KS, Lau Y.. Umbrella review of time-restricted eating on weight loss, fasting blood glucose, and lipid profile. Nutr Rev. 2023 Aug 10;81(9):1180-1199. doi: 10.1093/nutrit/nuac103.. 10.1093/nutrit/nuac103

  • Teo WZ, See JY, Ramazanu S, Chan JCY, Wu XV.. Effect of lactic acid fermented foods on glycemic control in diabetic adults: a systemic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr. 2024;64(10):2863-2878. doi: 10.1080/10408398.2022.2128032. Epub 2022 Sep 30.. 10.1080/10408398.2022.2128032

  • Yap JM, Tantono N, Wu VX, Klainin-Yobas P.. Effectiveness of technology-based psychosocial interventions on diabetes distress and health-relevant outcomes among type 2 diabetes mellitus: A systematic review and meta-analysis. J Telemed Telecare. 2024 Feb;30(2):262-284. doi: 10.1177/1357633X211058329. Epub 2021 Nov 26.. 10.1177/1357633X211058329

  • Chew H. (2022). The Use of Artificial Intelligence-Based Conversational Agents (Chatbots) for Weight Loss: Scoping Review and Practical Recommendations. JMIR medical informatics, 10(4), e32578. https://doi.org/10.2196/32578

  • Chew, H. S. J.c, Koh, W. L., Ng, J. S. H. Y., Tan, K. K. (2022). The sustainability of weight loss through smartphone apps: A systematic review and meta-analysis on anthropometric, metabolic, and dietary outcomes. Journal of Medical Internet Research (in press)

  • Chew, H., Gao, Y., Shabbir, A., Lim, S. L., Geetha, K., Kim, G., Chong, C. S., Lomanto, D., & So, B. (2022). Personal motivation, self-regulation barriers and strategies for weight loss in people with overweight and obesity: a thematic framework analysis. Public health nutrition, 1–10. Advance online publication. https://doi.org/10.1017/S136898002200043X

  • Chew, H., Lau, S. T., & Lau, Y. (2022). Weight-loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta-analysis and meta-regression. European eating disorders review : the journal of the Eating Disorders Association, 30(4), 304–327. https://doi.org/10.1002/erv.2906

  • Jiang, Y., Ramachandran, H. J., Teo, J., Leong, F. L., Lim, S. T., Nguyen, H. D., & Wang, W. (2022). Effectiveness of a nurse-led smartphone-based self-management programme for people with poorly controlled type 2 diabetes: A randomized controlled trial. Journal of Advanced Nursing, 78(4), 1154-1165. https://doi.org/10.1111/jan.15178

  • Ng, S., Tam, W., Lee, R., Chan, T. O., Yiu, K., Yuen, B., Wong, K. T., Woo, J., Ma, R., Chan, K., Ko, F., Cistulli, P. A., & Hui, D. S. (2022). Effect of Weight Loss and Continuous Positive Airway Pressure on Obstructive Sleep Apnea and Metabolic Profile Stratified by Craniofacial Phenotype: A Randomized Clinical Trial. American journal of respiratory and critical care medicine, 205(6), 711–720. https://doi.org/10.1164/rccm.202106-1401OC

  • Yu, M., Shi, Y., Gu, L., & Wang, W. (2022). "Jolly Fat" or "Sad Fat": A systematic review and meta-analysis of the association between obesity and depression among community-dwelling older adults. Aging and Mental Health, 26(1), 13-25. https://doi.org/10.1080/13607863.2020.1857687

  • Aminuddin, H.B., Jiao, N., Jiang, Y., Hong, J., Wang, W. (2021). Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis. International Journal of Nursing Studies, 116; 103286. https://doi.org/ 10.1016/j.ijnurstu.2019.02.003

  • Chew, H. S. J., Ang, W. H. D., Lau, Y.  (2021). The potential of artificial intelligence in enhancing adult weight loss: A scoping review. Public Health Nutrition, 24(8), 1993-2020. doi:10.1017/S1368980021000598

  • Tay, J.H.T., Jiang, Y., Hong, J., He, H.G., & Wang, W. (2021). Effectiveness of lay-led, group-based self-management interventions to improve glycated hemoglobin (HbA1c), self-efficacy, and emergency visit rates among adults with type 2 diabetes: A systematic review and meta-analysis. International Journal of Nursing Studies, 113, 103779.  doi: 10.1016/j.ijnurstu.2020.103779. 

  • Ting, J.T.H., Jiang, Y., Hong, J., He, H.G., & Wang, W. (2021). Effectiveness of lay-led, group-based self-management interventions to improve glycated hemoglobin (HbA1c), self-efficacy, and emergency visit rates among adults with type 2 diabetes: A systematic review and meta-analysis. International Journal of Nursing Studies, 113, 103779. http://doi.org/10.1016/j.ijnurstu.2020.103779

  • Cheng, L.J., Jiang, Y., Wu, X.V., & Wang, W. (2020). Effectiveness of vinegar consumption on glycemic control: A systematic review and meta-analysis. Journal of Advanced Nursing, 76(2); 459-474. doi:10.1111/jan.14255.

  • Wang, W., Cheng, T. M. M., Leong, F.L., Goh, W.L.A., Lim, S.T., & Jiang, Y. (2020). The development and testing of a nurse-led smartphone-based self-management programme for diabetes patients with poor glycaemic control. Journal of Advanced Nursing, 76 (11), 3179-3189. http://doi.org/10.1111/jan.14519

  • Keung, V., Lo, K., Cheung, C., Tam, W., Lee, A. (2019) Changes in dietary habits and prevalence of cardiovascular risk factors among school students in Macao, China, Obesity Research & Clinical Practice, 13, 541-547. https://doi.org/10.1016/j.orcp.2019.10.007.

  • Suen, L.K.P., Wang, W., Cheng, K.K.Y., Chua, M.C.H., Yeung, J.W.F., Koh,W.K., Yeung, S.K.W., & Ho, J.Y.S. (2019). Self-administered auricular acupressure integrated with smartphone application for weight reduction: A randomised feasibility trial. JMIR mHealth and uHealth, 7(5), e14386. http://mhealth.jmir.org/2019/5/e14386

Relevant Categories
Cardiovascular Diseases
Mental Health
Metabolic Disorders
Terminal Illness
Learn more

Related Publications

Grant - Wang, W. W. (PI) 2021-2025. Health Services Research Grant. Preventing Diabetes via Volunteers Engaging Residents using Technology (P-Divert): A sequential mixed-method study, SG$762,549, National Medical Research Council.

Chew H. (2022). The Use of Artificial Intelligence-Based Conversational Agents (Chatbots) for Weight Loss: Scoping Review and Practical Recommendations. JMIR medical informatics, 10(4), e32578. https://doi.org/10.2196/32578

Chew, H. S. J.c, Koh, W. L., Ng, J. S. H. Y., Tan, K. K. (2022). The sustainability of weight loss through smartphone apps: A systematic review and meta-analysis on anthropometric, metabolic, and dietary outcomes. Journal of Medical Internet Research (in press)