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Peer-Reviewed Publication
JMIR Cardio2025;9e72074.September 12, 2025Journal Article

Long-Term Feasibility and Outcomes of a Digital Health Program to Improve Liver Fat and Cardiometabolic Markers in Individuals With Nonalcoholic Fatty Liver Disease: Prospective Single-Arm Feasibility Study.

Sigridur Björnsdottir1,2, Hildigunnur Ulfsdottir3, Elias Freyr Gudmundsson3, Bartosz Dobies3,4, Kolbrun Sveinsdottir3, Ari Pall Isberg3, Gudlaug E A Magnusdottir3, Thrudur Gunnarsdottir3, Tekla Karlsdottir3, Gudlaug Bjornsdottir5,6, Sigurdur Sigurdsson5,6, Saemundur Oddsson3, Vilmundur Gudnason5,6
1Department of Molecular Medicine and Surgery, Karolinska University Hospital, Eugeniavägen 3, Solna, Stockholm, 171 77, Sweden, 354 8217107.
2Heilsuklasinn, Reykjavik, Iceland.
3Clinical Office, Sidekick Health, Vallakor 4, Kopavogur, 200, Iceland.
4Doctoral School of Medical and Health Sciences, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
5Icelandic Heart Association, Kopavogur, Iceland.
6School of Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Abstract

BACKGROUND: A 12-week digital health program for nonalcoholic fatty liver disease (NAFLD) previously showed feasibility in engagement, program retention, and clinical outcomes. This study investigates whether improvements in cardiometabolic risk factors achieved during a 12-week active program were sustained over a subsequent 6-month follow-up period. OBJECTIVE: The primary objective of this anal…

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