Cheah Khang Jin, Manaf Zahara Abdul, Mat Ludin Arimi Fitri, Razalli Nurul Huda
Dietetic Program, Center for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Biomedical Science Program and Center for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Digit Health. 2024 Aug 21;10:20552076241258366. doi: 10.1177/20552076241258366. eCollection 2024 Jan-Dec.
Digital health has been widely used in delivering healthcare, presenting emerging opportunities to overcome barriers to effective obesity care. One strategy suggested for addressing obesity involves a hybrid weight management intervention that incorporates digital health. This scoping review aimed to map existing evidence regarding hybrid weight management intervention.
PubMed, Scopus, Cochrane Library, and the Web of Science electronic databases were searched for studies published between January 1, 2012 and May 16, 2023, with language restricted to English. The focus was on controlled trials in which a hybrid weight management intervention was used in the intervention among overweight or obese adults. The scoping review framework followed Arksey and O'Malley's guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISM-P).
Full-text article review in the screening stage resulted in a total of 10 articles being included for narrative synthesis. Almost two-third of the articles originated from the United States (60%), followed by Europe and Australia, each accounting for 20%. The most common hybrid weight management intervention type was the combination of face-to-face and telehealth (i.e. phone call/text messaging) (40%), closely followed by a combination email intervention (30%) and mHealth apps intervention (30%). Most of the face-to-face dietary interventions were delivered as a group counseling (80%), while some were conducted as individual counseling (20%). Most studies observed a positive effect of the hybrid weight management intervention on body weight (weight lost 3.9-8.2 kg), body mass index (decreased 0.58 kg/m), waist circumference (decreased 2.25 cm), and physical activity level compared to standard care. Findings suggest a direct association between hybrid weight management interventions and weight loss. The weight loss ranged from 3.9 to 8.2 kg, with some evidence indicating a significant weight loss of 5% from baseline. There is a need to explore stakeholders' telehealth perspective to optimize the delivery of hybrid weight management interventions, thereby maximizing greatest benefits for weight management.
数字健康已广泛应用于医疗保健领域，为克服有效肥胖症护理的障碍带来了新机遇。一种针对肥胖症的策略建议采用结合数字健康的混合体重管理干预措施。本综述旨在梳理有关混合体重管理干预措施的现有证据。
检索了PubMed、Scopus、Cochrane图书馆和科学网电子数据库中2012年1月1日至2023年5月16日发表的研究，语言限制为英语。重点关注在超重或肥胖成年人干预中使用混合体重管理干预措施的对照试验。综述框架遵循阿克西和奥马利的指南以及系统评价和Meta分析方案的首选报告项目（PRISM-P）。
筛选阶段的全文文章评审共纳入10篇文章进行叙述性综合分析。几乎三分之二的文章来自美国（60%），其次是欧洲和澳大利亚，各占20%。最常见的混合体重管理干预类型是面对面和远程医疗（即电话/短信）相结合（40%），紧随其后的是电子邮件干预相结合（30%）和移动健康应用程序干预（30%）。大多数面对面饮食干预是以团体咨询的形式进行的（80%），而有些则是个别咨询（20%）。与标准护理相比，大多数研究观察到混合体重管理干预对体重（体重减轻3.9 - 8.2千克）、体重指数（降低0.58千克/米）、腰围（降低2.25厘米）和身体活动水平有积极影响。研究结果表明混合体重管理干预与体重减轻之间存在直接关联。体重减轻范围为3.9至8.2千克，一些证据表明从基线体重显著减轻了5%。有必要探索利益相关者对远程医疗的看法，以优化混合体重管理干预措施的实施，从而最大限度地实现体重管理的最大益处。
