College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Health Care Management, University of Kang Ning, Tainan City, Taiwan.
Front Public Health. 2021 Jul 15;9:708321. doi: 10.3389/fpubh.2021.708321. eCollection 2021.
Childhood obesity is a crucial public health concern. In recent years, numerous studies have employed mobile health technology applications for weight control in children but obtaining varying effects. We conducted a meta-analysis to discuss the effectiveness of mobile health technology in reducing the body mass index (BMI) of obese children. The standardized mean difference (SMD) in BMI between the intervention and control groups was employed to measure the effect of mobile health technology intervention on weight control. The Comprehensive Meta-Analysis Version 3 software was employed for meta-analysis, and the results are presented in a forest plot. This study included nine randomized control trials, which featured a total of 1,202 participants. The meta-analysis revealed that mobile health technology intervention did not have a significant weight loss effect on subjects with obesity. However, by using ethnicity as a moderating variable for subgroup analysis, we discovered that the BMI of ethnic Chinese groups who received mobile health technology intervention was significantly lower than that of the control group. This effect was not significant in the non-ethnic Chinese subgroup. Therefore, the use of mobile health technology intervention for weight control in ethnic Chinese children resulted in significantly lower BMI in these children; however, the use of mobile health technology intervention for weight control is unsuitable for non-ethnic Chinese children.
儿童肥胖是一个重要的公共卫生问题。近年来,许多研究都采用移动健康技术应用来控制儿童体重,但效果各异。我们进行了一项荟萃分析,以讨论移动健康技术在降低肥胖儿童体重指数(BMI)方面的有效性。干预组和对照组之间 BMI 的标准化均数差(SMD)用于衡量移动健康技术干预对体重控制的效果。使用 Comprehensive Meta-Analysis Version 3 软件进行荟萃分析,并以森林图呈现结果。本研究包括 9 项随机对照试验,共有 1202 名参与者。荟萃分析显示,移动健康技术干预对肥胖受试者的体重减轻没有显著效果。然而,通过将种族作为亚组分析的调节变量,我们发现接受移动健康技术干预的汉族儿童的 BMI 明显低于对照组。在非汉族亚组中,这种效果并不显著。因此,移动健康技术干预用于控制中国儿童的体重,可显著降低这些儿童的 BMI;然而,移动健康技术干预不适合用于控制非华裔儿童的体重。