Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Diabetes and Vascular Medicine Unit, Monash Health, Melbourne, VIC, Australia.
Front Endocrinol (Lausanne). 2020 Jun 24;11:412. doi: 10.3389/fendo.2020.00412. eCollection 2020.
Over the last decade, mobile technology has emerged as a potentially useful platform to facilitate weight management and tackle the current obesity epidemic. Clinicians are being more frequently asked to give advice about the usefulness of mobile apps and many individuals have already integrated apps into their attempts to manage weight. Hence, it is imperative for clinicians involved in weight management to be aware of the latest developments and knowledge about available mobile apps and their usefulness in this field. A number of newly published studies have demonstrated promising results of mobile-based interventions for weight management across different populations, but the extent of their effectiveness remains widely debated. This narrative literature review synthesizes the latest evidence, primarily from randomized controlled trials (RCTs), regarding the clinical use of mobile applications for weight management, as well as highlight key limitations associated with their use and directions for future research and practice. Overall, evidence suggests that mobile applications may be useful as low-intensity approaches or adjuncts to conventional weight management strategies. However, there is insufficient evidence to support their use as stand-alone intensive approaches to weight management. Further research is needed to clarify the extent of utility of these applications, as well as the measures required to maximize their potential both as stand-alone approaches and adjuncts to more intensive programs.
在过去的十年中，移动技术已经成为一个有潜力的平台，可以帮助管理体重，解决当前的肥胖问题。临床医生越来越频繁地被要求提供有关移动应用程序的有用性的建议，许多人已经将应用程序整合到他们的体重管理尝试中。因此，参与体重管理的临床医生必须了解最新的发展和有关可用移动应用程序的知识及其在该领域的用途。一些新发表的研究表明，基于移动的干预措施在不同人群中的体重管理方面取得了有希望的结果，但它们的有效性在很大程度上仍存在争议。本叙事文献综述综合了最新的证据，主要来自随机对照试验 (RCT)，关于移动应用程序在体重管理中的临床应用，以及突出了与使用相关的关键限制以及未来研究和实践的方向。总的来说，有证据表明，移动应用程序可以作为低强度的方法或传统体重管理策略的辅助手段。然而，没有足够的证据支持将其作为独立的密集型方法用于体重管理。需要进一步的研究来阐明这些应用程序的实用性程度，以及为了最大限度地发挥它们的潜力，无论是作为独立的方法还是作为更密集的计划的辅助手段，都需要采取哪些措施。
