Institute for Health Research, University of Bedfordshire, Luton, UK
Institute for Health Research, University of Bedfordshire, Luton, UK.
Clin Med (Lond). 2023 Jul;23(4):347-352. doi: 10.7861/clinmed.2023-0145.
Obesity in adults is a growing health concern. Although effective, current treatment options have not been able to overcome the various factors that contribute toward rising obesity rates. eHealth might hold the capacity to improve the effectiveness, delivery and flexibility of some of these treatments. Here, we show that eHealth lifestyle change interventions delivered through smartphones (mHealth) can facilitate significant weight loss, making mHealth an attractive adjunct to clinical obesity care. However, evidence is currently limited to short-term effects, and is also lacking with regards to effectiveness based on socioeconomic status and ethnic group. This raises concerns around the potential and inadvertent widening of obesity prevalence disparities between groups as mHealth lifestyle change interventions are increasingly used in obesity care. Thus, we also describe opportunities to address these concerns and gaps in evidence.
成年人肥胖是一个日益严重的健康问题。尽管目前的治疗方法有效,但尚未能够克服导致肥胖率上升的各种因素。电子健康可能有能力提高这些治疗方法的有效性、提供方式和灵活性。在这里,我们表明,通过智能手机提供的电子健康生活方式改变干预措施(移动健康)可以促进显著的体重减轻,使移动健康成为临床肥胖护理的一个有吸引力的辅助手段。然而,目前的证据仅限于短期效果,并且在基于社会经济地位和族裔群体的有效性方面也存在不足。这引起了人们对潜在的担忧,即随着电子健康生活方式改变干预措施在肥胖护理中越来越多地被使用,群体之间的肥胖患病率差距可能会在无意中扩大。因此,我们还描述了一些机会,可以解决这些关注和证据差距。