Cordella Patricia, Costa-Cordella Stefanella, Lecumberri Maite, Cozzi Amanda, AréValo-Romero Camilo
Departamento de Psiquiatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Facultad de Psicología, Universidad Diego Portales, Santiago, Chile.
Rev Med Chil. 2021 Nov;149(11):1594-1605. doi: 10.4067/S0034-98872021001101594.
Coaching is increasingly used to treat obesity or overweight. We conducted a systematic review to explore the intervention's characteristics, effectivity, and quality of the published studies. The search was carried out on Pubmed, Scielo and Scopus databases. We considered studies published in peer-reviewed journals between 2014 and 2019 in English and Spanish. Following PRISMA guidelines, we selected and analyzed 22 articles, 46% of which were randomized controlled trials. Most of the studies had moderate quality, according to the risk of bias assessment carried out by three independent researchers based on the Study Quality Assessment Tool. Seventy seven percent of interventions targeted adults, and their duration ranged between two and 19 months. They were delivered in both private and public contexts, with face-to-face or remote interventions and combined techniques, mainly from the United States (82%). The interventions showed a 51% effectiveness in reducing weight, increasing physical activity, and changing eating habits. We conclude that coaching might be an effective therapeutic strategy for obesity and overweight.
指导越来越多地被用于治疗肥胖或超重。我们进行了一项系统综述，以探究已发表研究中该干预措施的特点、有效性和质量。检索在PubMed、Scielo和Scopus数据库中进行。我们纳入了2014年至2019年间发表在同行评审期刊上的英文和西班牙文研究。遵循PRISMA指南，我们筛选并分析了22篇文章，其中46%为随机对照试验。根据三位独立研究人员基于研究质量评估工具进行的偏倚风险评估，大多数研究质量中等。77%的干预措施针对成年人，其持续时间在2至19个月之间。干预在私人和公共环境中进行，采用面对面或远程干预以及综合技术，主要来自美国（82%）。这些干预措施在减轻体重、增加身体活动和改变饮食习惯方面显示出51%的有效性。我们得出结论，指导可能是治疗肥胖和超重的一种有效治疗策略。
