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体重減少治療を受けている青少年に対するソーシャルネットワークベースの介入の実現可能性と有効性:ランダム化制御試験
Sofia Marques Ramalho1, Pedro F Saint-Maurice2, Diana Silva3,4
1Psychology for Development Research Center (CIPD), Institute of Psychology and Education Sciences, Lusíada University, Rua de Moçambique 21 e 71 (Aldoar), 4100-348 Porto, Portugal.
Nutrients
|August 28, 2025
まとめ
青少年の肥満に対するフェイスブックベースの介入は実行可能で 果物の摂取が改善されました このソーシャルネットワークのアプローチは 肥満や肥満の青少年に対する 補足的な治療法として有望です
科学分野:
- 公衆衛生
- 行動科学
- 小児 肥満
背景:
- デジタル介入は 青少年の健康行動に 有望な結果をもたらします
- Facebookのようなソーシャルネットワークベースの介入が 青少年における肥満の治療に 有効性は不明です
- 公衆衛生の環境で 青少年肥満の通常の治療 (TAU) を最適化することが重要です
研究 の 目的:
- Facebookベースの認知行動療法 (CBT) のAPOLO-Teensの実現可能性,利用可能性,効果を検証する.
- 肥満/肥満の青少年における食事習慣,身体活動,心理的健康を改善するためのTAUのサプリメントとしてAPOLO-Teensを評価する.
- フルーツの摂取量,野菜の摂取量,不健康な食品の摂取量,うつ病の症状,食生活パターン,BMIのzスコアの変化を評価する.
主な方法:
- ランダム化比較試験 (NCT04642222) に135人の青少年 (13歳から18歳) が参加した.
- 参加者は通常の治療 (TAU) またはAPOLO-Teens介入グループ (TAUの補足) にランダムに割り当てられました.
- 結果はベースラインと6ヶ月後に測定された.プロトコル分析には77人の参加者が含まれており,分析には双方向混合ANOVAsが使用された.
主要な成果:
- APOLO-Teensの介入は85.5%の遵守率で実現可能性を示しました.
- 介入グループでは,果物の消費量が著しく増加した (p=0.012).
- 両グループは野菜の摂取量を改善し,不健康な食品 (ペースト/ケーキ) の摂取を減らし,うつ病の症状を減らし,放牧食習慣を減らし,BMIのzスコアを低下させた (p<0.05).
結論:
- APOLO-Teensのソーシャルネットワークベースの介入は,過体重/肥満の青少年にとって実現可能である.
- APOLO-Teensは,通常治療 (TAU) に有益な補足療法である可能性を示唆しています.
- このアプローチは 公共の保健医療センターにおける 青少年肥満の管理に 有望なデジタルツールを提供します
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