Department of Community Medicine and Rehabilitation, Unit of Geriatric Medicine, Umeå University, Umeå, Sweden.
Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden.
Int J Public Health. 2020 Jun;65(5):593-605. doi: 10.1007/s00038-020-01385-4. Epub 2020 May 14.
We aimed to systematically review the potential benefits of digital exercise interventions for improving measures of central obesity including visceral adipose tissue (VAT) and anthropometric surrogates for VAT in overweight or centrally obese adults aged 18 or over.
A systematic literature search was conducted in three databases up until March 2020 (PROSPERO registration nr CRD42019126764).
N = 5 studies including 438 participants (age 48-80) with body mass index ≥ 25 kg/m met the eligibility criteria and were included. The duration of the interventions ranged from 8 to 24 weeks. No study measured the primary outcome VAT, although in N = 4 studies, waist circumference (WC) decreased by between 1.3 and 5.6 cm in the intervention groups.
This systematic review shows that there is no evidence for the effects of digital exercise on VAT, although digital exercise may decrease WC. These findings highlight the need for additional randomized controlled trials to confirm the findings with respect to WC, and to further investigate the effects of digital exercise on VAT. Together, this may have important implications for reducing the burden of physical inactivity and obesity.
我们旨在系统地回顾数字运动干预对改善超重或中心性肥胖成年人的中心性肥胖指标的潜在益处，包括内脏脂肪组织（VAT）和 VAT 的人体测量学替代指标。
在三个数据库中进行了系统的文献检索，截止日期为 2020 年 3 月（PROSPERO 注册编号：CRD42019126764）。
符合纳入标准并被纳入的研究共有 5 项，共纳入 438 名参与者（年龄 48-80 岁，BMI≥25kg/m2）。干预的持续时间从 8 周到 24 周不等。没有研究测量 VAT 这一主要结局，但在 4 项研究中，干预组的腰围（WC）减少了 1.3 至 5.6cm。
本系统评价表明，目前没有证据表明数字运动对 VAT 有影响，但数字运动可能会减少 WC。这些发现强调了需要进行更多的随机对照试验，以确认 WC 方面的研究结果，并进一步研究数字运动对 VAT 的影响。这些结果可能对减轻身体活动不足和肥胖的负担具有重要意义。
