护士主导的移动健康方法预防青少年肥胖的效果：一项干预研究。
Effectiveness of a nurse-led mHealth approach in preventing obesity in adolescents: an intervention study.
作者信息
Manzano-Felipe María Ángeles, Cruz-Cobo Celia, Bernal-Jiménez María Ángeles, Santi-Cano María José
机构信息
Registered Nurse, Certified and Researcher, Primary Health Care District of Bay of Cádiz-La Janda, Spain; Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, Spain; Researcher, Institute of Biomedical Research and Innovation of Cádiz (INiBICA), Spain.
Lecturer, PhD Candidate, Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, Faculty of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain; Researcher, Institute of Biomedical Research and Innovation of Cádiz (INiBICA), Spain.
出版信息
J Res Nurs. 2024 Aug;29(4-5):348-363. doi: 10.1177/17449871241236393. Epub 2024 Aug 5.
BACKGROUND
Obesity prevention in adolescents is a public health priority given its increasing prevalence and health impact of obesity.
AIM
To evaluate the effectiveness of an educational intervention in overweight and obesity using a mHealth app in improving nutritional and sports knowledge, adherence to the Mediterranean diet, physical activity and anthropometric measurements in adolescents.
METHODS
A randomised controlled trial with parallel groups that included 305 adolescents. The app includes the use of effective behavioural strategies to achieve habit change. Primary outcome variables were nutritional and sports knowledge score (GeSNK), adherence to a Mediterranean diet (KidMed) and level of physical activity (PAQ-A).
RESULTS
The study included 154 participants in the mHealth group and 151 in the control group. The level of nutritional and sports knowledge was significantly higher in the mHealth group, 47 points versus 42 points. Adherence to the Mediterranean diet improved in both groups, 9 points in the mHealth group versus 8 points in the control group. Physical activity was statistically higher in the intervention group, 160 minutes/week versus 120 minutes/week.
CONCLUSIONS
The mHealth intervention showed a significant improvement in the level of nutritional and sports knowledge, adherence to the Mediterranean diet and time spent on physical activity.
背景
鉴于青少年肥胖率不断上升及其对健康的影响，预防青少年肥胖是一项公共卫生重点工作。
目的
评估一款移动健康应用程序（mHealth app）对超重和肥胖青少年进行教育干预，在改善其营养和运动知识、坚持地中海饮食、身体活动及人体测量指标方面的效果。
方法
一项平行组随机对照试验，纳入305名青少年。该应用程序采用有效的行为策略来实现习惯改变。主要结局变量为营养和运动知识得分（GeSNK）、坚持地中海饮食情况（KidMed）以及身体活动水平（PAQ-A）。
结果
该研究中，移动健康组有154名参与者，对照组有151名。移动健康组的营养和运动知识水平显著更高，分别为47分和42分。两组坚持地中海饮食的情况均有所改善，移动健康组提高了9分，对照组提高了8分。干预组的身体活动在统计学上更高，为每周160分钟，而对照组为每周120分钟。
结论
移动健康干预在营养和运动知识水平、坚持地中海饮食以及身体活动时间方面均有显著改善。
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