Beck Silva Karine Brito, Miranda Pereira Emile, Santana Mônica Leila Portela de, Costa Priscila Ribas Farias, Silva Rita de Cássia Ribeiro
Departamento de Ciências da Nutrição, Escola de Nutrição, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Crit Rev Food Sci Nutr. 2024;64(6):1617-1631. doi: 10.1080/10408398.2022.2118227. Epub 2022 Sep 5.
This review aimed to systematically assess the effects of computer-based interventions for the promotion of healthy eating on anthropometric indicators and food consumption of adolescents at school. Relevant scientific articles were searched in MEDLINE/PubMed, Embase, Scopus, Lilacs, PsycINFO and Cochrane Library/CENTRAL following the recommendations by PRISMA guide in August 2021. The quality and risk of bias in the studies were assessed by two reviewers independently. The search strategy retained 13 studies for qualitative analysis. In total 9.603 adolescents of both sexes, were recruited in a school environment. According to studies with information for the meta-analysis, a reduction in the average consumption of fats in favor of computer-based intervention was identified (SMD: -0.14; 95% CI -0.24;-0.05). Considering the changes in the consumption of fruits and vegetables (SMD: 0.09; 95% CI -0.08; 0.26) and in the BMI (WMD: -0.02; 95% CI -0.18; 0.14), the analyses did not identify the effect of computer-based interventions on these parameters after follow-up. The results of this review demonstrate that there is evidence of the positive effect of using digital technology (website and CD-ROM) in educational programs with a focus on promoting a healthy lifestyle, with evidence on reducing fat consumption.
本综述旨在系统评估基于计算机的干预措施对在校青少年促进健康饮食的人体测量指标和食物消费的影响。按照2021年8月PRISMA指南的建议，在MEDLINE/PubMed、Embase、Scopus、Lilacs、PsycINFO和Cochrane图书馆/CENTRAL中检索了相关科学文章。由两位审稿人独立评估研究的质量和偏倚风险。检索策略保留了13项研究进行定性分析。总共9603名青少年在学校环境中被招募。根据纳入荟萃分析的研究信息，发现基于计算机的干预措施有利于降低脂肪平均消费量（标准化均数差：-0.14；95%可信区间-0.24；-0.05）。考虑到水果和蔬菜消费量的变化（标准化均数差：0.09；95%可信区间-0.08；0.26）以及体重指数的变化（加权均数差：-0.02；95%可信区间-0.18；0.14），分析未发现基于计算机的干预措施在随访后对这些参数有影响。本综述结果表明，有证据表明在以促进健康生活方式为重点的教育项目中使用数字技术（网站和光盘）具有积极效果，有证据表明脂肪消费量有所减少。
