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移动应用程序在儿童和青少年体重管理中的应用:更新的系统评价。

Mobile apps for weight management in children and adolescents; An updated systematic review.

机构信息

Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

Patient Educ Couns. 2021 Sep;104(9):2181-2188. doi: 10.1016/j.pec.2021.01.035. Epub 2021 Feb 2.

Abstract

OBJECTIVE

Considering inconclusive data regarding the possible effects of mobile applications on anthropometric measures (e.g. body mass index (BMI), body weight, waist circumference, fat mass) and physical activity (e.g. steps or METS) in paediatric subjects, the present systematic review was conducted to clarify this issue.

METHODS

Online databases including PubMed, Scopus, ISI Web of Science, Embase, and Ovid were searched, and also a hand search through Google Scholar, PsycINFO, and grey literature was done up to December 2020 to find all relevant studies.

RESULTS

Nine studies were included in this review (n = 978 participants). Five of the studies utilized a mobile app as an independent intervention. Using mobile applications resulted in a lower body mass index in two studies, while only one study reported a decrease in body weight. Besides, significant improvement in physical activity as evidenced by higher step count was reported by only one study.

CONCLUSION

Nevertheless, the findings from these primary studies, although slightly mixed, provide support for further research with the implementation of mobile apps as an additional approach for combating childhood obesity.

PRACTICE IMPLICATIONS

We recommend to raise attention towards and interest in the mobile app for childhood obesity prevention and treatment.

摘要

目的

考虑到移动应用程序对儿童人体测量指标(如体重指数(BMI)、体重、腰围、体脂肪量)和身体活动(如步数或代谢当量(METs))的可能影响的数据尚无定论,因此进行了本次系统评价以阐明这一问题。

方法

检索了在线数据库,包括 PubMed、Scopus、ISI Web of Science、Embase 和 Ovid,并通过 Google Scholar、PsycINFO 和灰色文献进行了手工搜索,截至 2020 年 12 月,以查找所有相关研究。

结果

本综述纳入了 9 项研究(n = 978 名参与者)。其中 5 项研究将移动应用程序作为独立干预措施。使用移动应用程序在两项研究中导致体重指数降低,而只有一项研究报告体重减轻。此外,仅有一项研究报告称,身体活动显著改善,表现为步数增加。

结论

尽管这些初步研究的结果略有混杂,但仍为进一步研究提供了支持,即将移动应用程序作为防治儿童肥胖的附加方法加以实施。

实践意义

我们建议提高对移动应用程序在儿童肥胖预防和治疗中的关注和兴趣。

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