Zhu Xuejuan, Gu Shuneng, Li Jian
Department of Endocrinology, Tongji Hospital Affiliated to Tongji University, School of Medicine, Tongji University, Shanghai 200092, China.
BOKE Digital Health Research Institute, BOKE Medical Technology (Shanghai) Co., Ltd., Shanghai 200333, China.
Metabol Open. 2024 Sep 3;23:100314. doi: 10.1016/j.metop.2024.100314. eCollection 2024 Sep.
Obesity management can effectively reduce the risks and complications associated with obesity and improve the quality of life of patients. After assessing the advantages and limitations of various obesity management approaches, self-management has been strongly recommended due to the advantages of minimal side effects and lower costs compared to treatment via drugs and surgery. However, successfully implementing lifestyle intervention strategies requires scientific guidance and strong determination. With the development of electronic and information technology, lifestyle intervention has transformed considerably. A new concept, called Gamified Digital Therapeutics (GDTx), represents a gaming format with Digital Therapeutics (DTx). It can effectively enhance patient compliance and accessibility to chronic disease management. Here, we review recent studies on the application of GDTx for the self-management of obesity and discuss three aspects surrounding its completion rates, satisfaction levels, and effectiveness. In contrast to traditional approaches to obesity self-management, implementing GDTx effectively corrects unhealthy dietary and lifestyle habits, markedly enhancing the dissemination of nutritional and exercise-related health knowledge. Of particular significance is the evident improvement in the adherence of obese patients to weight loss programs. Despite numerous studies indicating that GDTx may offer an effective solution for obesity self-management, there are still several limitations in the medicalization of GDTx for self-management of obesity. This review aimed to provide a reference for subsequent studies and promote the widespread application of GDTx in obesity self-management to help reduce the obesity rate and alleviate the burden on obese patients.
肥胖管理可以有效降低与肥胖相关的风险和并发症，并提高患者的生活质量。在评估了各种肥胖管理方法的优缺点后，由于与药物和手术治疗相比，自我管理具有副作用最小和成本较低的优点，因此被强烈推荐。然而，成功实施生活方式干预策略需要科学的指导和坚定的决心。随着电子和信息技术的发展，生活方式干预发生了很大的变化。一个名为“游戏化数字疗法（GDTx）”的新概念，代表了一种结合数字疗法（DTx）的游戏形式。它可以有效地提高患者对慢性病管理的依从性和可及性。在此，我们回顾了最近关于GDTx在肥胖自我管理中的应用研究，并从完成率、满意度和有效性三个方面进行了讨论。与传统的肥胖自我管理方法相比，实施GDTx有效地纠正了不健康的饮食和生活习惯，显著增强了营养和运动相关健康知识的传播。特别值得注意的是，肥胖患者对减肥计划的依从性有了明显提高。尽管大量研究表明GDTx可能为肥胖自我管理提供有效的解决方案，但GDTx在肥胖自我管理的医学应用方面仍存在一些局限性。本综述旨在为后续研究提供参考，并促进GDTx在肥胖自我管理中的广泛应用，以帮助降低肥胖率，减轻肥胖患者的负担。
