Coons Michael J, Demott Andrew, Buscemi Joanna, Duncan Jennifer M, Pellegrini Christine A, Steglitz Jeremy, Pictor Alexander, Spring Bonnie
Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Curr Cardiovasc Risk Rep. 2012 Apr;6(2):120-134. doi: 10.1007/s12170-012-0222-8.
Obesity is a public health crisis that has reached epidemic proportions. Although intensive behavioral interventions can produce clinically significant weight loss, their cost to implement, coupled with resource limitations, pose significant barriers to scalability. To overcome these challenges, researchers have made attempts to shift intervention content to the Internet and other mobile devices. This article systematically reviews the recent literature examining technology-supported interventions for weight loss and maintenance among overweight and obese adults. Thirteen studies were identified that satisfied our inclusion criteria (12 weight loss trials, 1 weight maintenance trial). Our findings suggest that technology interventions may be efficacious at producing weight loss. However, several studies are limited by methodologic shortcomings. There are insufficient data to evaluate their efficacy for weight maintenance. Further research is needed that employs state-of-the-art methodology, with careful attention being paid to adherence and fidelity to intervention protocols.
肥胖是一场已达到流行程度的公共卫生危机。尽管强化行为干预能够带来具有临床意义的体重减轻,但实施这些干预的成本,再加上资源限制,对扩大规模构成了重大障碍。为了克服这些挑战,研究人员已尝试将干预内容转移到互联网和其他移动设备上。本文系统回顾了近期有关超重和肥胖成年人减肥及维持体重的技术支持干预措施的文献。共确定了13项符合我们纳入标准的研究(12项减肥试验,1项体重维持试验)。我们的研究结果表明,技术干预措施在减肥方面可能有效。然而,几项研究存在方法学上的缺陷。目前尚无足够数据评估其维持体重的效果。需要开展采用先进方法的进一步研究,并密切关注对干预方案的依从性和保真度。