基于短信的移动健康干预对身体活动和减肥的影响:系统性审查和元分析
Aminah Emeran1,2, Robyn Burrows1,2, Josh Loyson3
1UCT Research Centre for Health Through Physical Activity Lifestyle and Sport (HPALS), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa (AE, EL, RB, MRB, LW).
American journal of lifestyle medicine
|November 18, 2024
概括
移动健康 (mHealth) 短信对身体活动的影响最小,对减肥无影响. 未来的干预措施应该探索双向消息传递或整合移动应用程序,以获得更好的促进健康生活方式的结果.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 行为科学 行为科学
背景情况:
- 身体不活动和肥胖是全球重大健康挑战,增加非传染性疾病的风险.
- 改变生活方式的行为对于管理身体不活动和肥胖至关重要.
- 移动健康 (mHealth) 干预提供了改善健康的远程支持方法.
研究的目的:
- 评估mHealth干预措施的有效性,使用单向文本或即时通讯来评估成年人身体活动和体重的结果.
- 综合现有研究的证据,以分析简单的消息策略对健康行为的影响.
主要方法:
- 在PubMed,Scopus和Web of Science进行了电子文献搜索.
- 包括的研究集中在使用单向消息来进行体力活动或减肥的前后干预.
- 对43篇选定的文章的数据进行了元分析.
主要成果:
- 分析表明,对体力活动的积极影响很小 (d+: .14,95% CI: .05到 .23).
- 没有观察到体重减轻结果的显著影响 (d+: .04,95% CI: -.02至 .10).
- 大多数研究涉及非定制信息,随机对照试验 (RCT) 和来自高收入国家的人口.
结论:
- 单向的mHealth消息本身似乎不足以促进实质性的体力活动和减肥.
- 未来的研究应该研究更有吸引力的策略,例如双向消息传递或与移动应用程序结合干预.
- 优化移动健康干预可能需要增强个性化和互动性,以改善健康行为变化.
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