Evaluating impact of movement on diabetes via artificial intelligence and smart devices systematic literature review

As diabetes management becomes more complicated, there is an increasing interest in understanding how to manage diabetes with physical activity. Our study aimed to investigate the role of wearable, non-invasive technologies in collecting data related to physical activity to model them via artificial intelligence methods for efficient diabetes management. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (also known as PRISMA) protocol and searched three databases, namely PubMed, Scopus, and Web of Science. Out of 960 titles, we included 32 in the full-text analysis. Results showed two main methods were used for the analysis, i.e., statistical and classification modeling. Results indicate among the employed regression methods, linear regression was used more than other methods, and the most common classification-based method for analyzing data was the Artificial Neural Network method. Assessing the quality of papers that used the classification method was done through Prediction model Risk Of Bias Assessment Tool (also known as PROBAST) and Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (also known as TRIPOD) tools. Based on PROBAST outcomes, although the risk of bias was low in most of the works, explaining the analyzing method specifically, the method of handling missing data needs more attention. Upon evaluating papers using the TRIPOD, it realized that there is a need to place emphasis on improving the quality of the presentation and explanation of the result. According to our review, the conjunction of non-invasive technologies and artificial intelligence is promising in managing diabetic risk factors for real-time monitoring of physical activities, enabling regular clinical intervention and optimized medical treatment.