Darling Katherine E, Sato Amy F
Department of Psychological Sciences, Kent State University , Kent, OH.
Child Obes. 2017 Oct;13(5):347-355. doi: 10.1089/chi.2017.0038. Epub 2017 May 4.
Pediatric obesity is a public health concern related to multiple negative physical and psychosocial problems. While behavioral weight control (BWC) interventions are generally effective in decreasing pediatric weight status, these interventions are not able to reach the third of U.S. children currently classified as overweight or obese.
This review and meta-analysis examined the overall effectiveness of mobile health (mHealth) technologies employing self-monitoring, a central component of change within BWC, to decrease pediatric weight status.
Overall, a small, but significant overall effect size (d = 0.42) was found with the inclusion of nine eligible studies examining the effect on weight status. However, the quality of studies included within this weight status meta-analysis was weak, therefore limiting the interpretability of results. Analyses were also conducted examining the effect of mHealth technologies employing self-monitoring on secondary behavioral outcomes of physical activity and diet. Results indicated a small to medium, but nonsignificant effect (d = 0.41; four samples) on physical activity and a small, but significant effect on diet (d = 0.10; eight samples).
Overall, the articles included in behavioral outcomes were of generally moderate quality. More work is needed to better identify the utility of mHealth and specific treatment components (such as self-monitoring), for pediatric weight management.
儿童肥胖是一个与多种负面身体和心理社会问题相关的公共卫生问题。虽然行为体重控制（BWC）干预措施通常能有效降低儿童体重状况，但这些干预措施无法惠及目前被归类为超重或肥胖的三分之一美国儿童。
本综述和荟萃分析研究了采用自我监测的移动健康（mHealth）技术对降低儿童体重状况的总体有效性，自我监测是BWC中改变的核心组成部分。
总体而言，纳入的九项研究检验了对体重状况的影响，发现有一个小但显著的总体效应量（d = 0.42）。然而，该体重状况荟萃分析中纳入研究的质量较低，因此限制了结果的可解释性。还进行了分析，检验采用自我监测的mHealth技术对身体活动和饮食等二级行为结果的影响。结果表明，对身体活动有小到中等但不显著的影响（d = 0.41；四个样本），对饮食有小但显著的影响（d = 0.10；八个样本）。
总体而言，纳入的行为结果文章质量一般中等。需要开展更多工作，以更好地确定mHealth和特定治疗组成部分（如自我监测）在儿童体重管理中的效用。
