Centre for Global Child Health, The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada.
Department of Nutritional Sciences, University of Toronto, Toronto, Ontario,Canada.
Pediatrics. 2022 May 1;149(Suppl 5). doi: 10.1542/peds.2021-053852H.
Digital media has been used mostly to deliver clinical treatments and therapies; however limited evidence evaluates digital interventions for health promotion. The objective of this review is to identify digital interventions for universal health promotion in school-aged children and adolescents globally.
Eligible articles were searched in PubMed, Embase, Medline, Ovid SP, The Cochrane Library, Cochrane Central Register of Controlled Trials, WHO regional databases, Google Scholar, and reference lists from 2000 to March 2021. Randomized controlled trials and quasi-experimental studies evaluating interventions that promote health in school-aged children and adolescents (5-19.9 years) were included. Methods were conducted in duplicate. Where possible, data were pooled with a random-effects model.
Seventy-four studies were included (46 998 participants), of which 37 were meta-analyzed (19 312 participants). Interventions increased fruit and vegetable consumption (servings per day) (mean difference [MD] 0.63, 95% confidence interval [CI] 0.21 to 1.04; studies = 6; P = .003; high quality of evidence), and probably reduced sedentary behavior (MD -19.62, 95% CI -36.60 to -2.65; studies = 6; P = .02; moderate quality of evidence), and body fat percentage (MD -0.35%, 95% CI -0.63 to -0.06; studies = 5; P = .02; low quality of evidence). The majority of studies were conducted in high-income countries and significant heterogeneity in design and methodology limit generalizability of results.
There is great potential in digital platforms for universal health promotion; however, more robust methods and study designs are necessitated. Continued research should assess factors that limit research and program implementation in low- to middle-income countries.
数字媒体主要用于提供临床治疗和疗法；然而，有限的证据评估了数字干预措施对促进健康的作用。本研究的目的是确定全球范围内针对学龄儿童和青少年的普遍健康促进的数字干预措施。
从 2000 年至 2021 年 3 月，在 PubMed、Embase、Medline、Ovid SP、The Cochrane Library、Cochrane 中央对照试验注册库、世界卫生组织区域数据库、Google Scholar 和参考文献中搜索符合条件的文章。纳入评估促进学龄儿童和青少年（5-19.9 岁）健康的干预措施的随机对照试验和准实验研究。方法由两人独立进行。在可能的情况下，使用随机效应模型进行数据合并。
共纳入 74 项研究（46998 名参与者），其中 37 项进行了荟萃分析（19312 名参与者）。干预措施增加了水果和蔬菜的摄入量（份/天）（平均差异[MD]0.63，95%置信区间[CI]0.21-1.04；研究=6；P=0.003；高质量证据），并可能减少了久坐行为（MD-19.62，95%CI-36.60 至-2.65；研究=6；P=0.02；中等质量证据）和体脂肪百分比（MD-0.35%，95%CI-0.63 至-0.06；研究=5；P=0.02；低质量证据）。大多数研究在高收入国家进行，设计和方法学的显著异质性限制了结果的普遍性。
数字平台在普遍健康促进方面具有巨大潜力；然而，需要更稳健的方法和研究设计。应继续研究评估限制低收入和中等收入国家研究和项目实施的因素。
