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基于技术的肥胖或超重儿童及青少年体重与生活方式管理咨询:一项描述性系统文献综述

Technology-based counseling in the management of weight and lifestyles of obese or overweight children and adolescents: A descriptive systematic literature review.

作者信息

Kaakinen Pirjo, Kyngäs Helvi, Kääriäinen Maria

机构信息

a Faculty of Medicine , Research unit of Nursing Science and Health management , Oulu , Finland.

b Medical Research Center Oulu , Oulu University Hospital , Oulu , Finland.

出版信息

Inform Health Soc Care. 2018 Mar;43(2):126-141. doi: 10.1080/17538157.2017.1353997. Epub 2017 Aug 22.

Abstract

BACKGROUND

The number of overweight and obese children and adolescents has increased worldwide. Obese children and adolescents need counseling interventions, including technology-based methods, to help them manage their weight by changing their lifestyles.

OBJECTIVE

To describe technology-based counseling interventions in supporting obese or overweight children and adolescents to change their weight/lifestyle.

DESIGN

Descriptive systematic literature review.

METHODS

A literature search was conducted using Cinahl, Medline, PsycINFO, and Medic databases in September 2010 and updated in January 2015. Predefined inclusion criteria were used for the search. After a quality assessment, 28 studies were included in the data extraction.

RESULTS

No statistically significant difference in BMI was detected between the intervention and control groups. However, in some studies, it was found that BMI decreases and there were statistically significant differences in fruit and vegetable consumption. In two studies, differences in physical activity were detected between the intervention and control groups, but in eight studies, the difference was not significant. Goal setting and feedback on progress support physical activity and changes in diet.

CONCLUSIONS

This study identifies available technology interventions for obese or overweight children and adolescents. It seems that using technology-based counseling intervention may encourage obese and overweight children and adolescents to pursue a healthier lifestyle.

摘要

背景

全球超重和肥胖儿童及青少年的数量有所增加。肥胖儿童和青少年需要咨询干预措施,包括基于技术的方法,以帮助他们通过改变生活方式来控制体重。

目的

描述基于技术的咨询干预措施在支持肥胖或超重儿童及青少年改变体重/生活方式方面的作用。

设计

描述性系统文献综述。

方法

2010年9月使用CINAHL、Medline、PsycINFO和Medic数据库进行文献检索,并于2015年1月更新。检索采用预定义的纳入标准。经过质量评估后,28项研究被纳入数据提取。

结果

干预组和对照组之间未检测到BMI有统计学显著差异。然而,在一些研究中发现BMI有所下降,并且在水果和蔬菜摄入量方面存在统计学显著差异。在两项研究中,干预组和对照组之间检测到身体活动存在差异,但在八项研究中,差异不显著。目标设定和进展反馈有助于身体活动和饮食改变。

结论

本研究确定了适用于肥胖或超重儿童及青少年的现有技术干预措施。使用基于技术的咨询干预似乎可能会鼓励肥胖和超重儿童及青少年追求更健康的生活方式。

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