移动应用在肥胖管理中的作用:系统审查和元分析
Carmelo Pujia1, Yvelise Ferro2, Elisa Mazza2
1OU Clinical Nutrition, Renato Dulbecco Hospital, Catanzaro, Italy.
Journal of medical Internet research
|May 6, 2025
概括
智能手机应用程序适度减少体重和BMI在超重的成年人多达六个月. 长期有效性有限,突出了需要个性化功能来改善坚持和防止重量恢复.
科学领域:
- 健康科学 卫生科学 卫生科学
- 数字健康数字健康
- 肥胖问题研究研究
背景情况:
- 肥胖是一个全球性的健康危机,与过早死亡和慢性疾病有关.
- 生活方式干预 (饮食,体育活动) 是体重管理的关键.
- 智能手机应用程序越来越多地用于减肥,但它们在非合并性超重/肥胖成年人中的有效性尚不清楚.
研究的目的:
- 评估仅用于智能手机的应用程序在减肥和身体组成变化方面的有效性.
- 评估超重或肥胖但没有并发症的成年人应用程序的疗效.
主要方法:
- 按照PRISMA指南进行随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了PubMed,Scopus,Cochrane图书馆的成年人 (BMI≥25 kg/m2) 仅使用智能手机减肥应用的RCT.
- 排除了使用其他设备或并发症的研究;使用修订后的Cochrane偏差风险工具评估偏差风险.
主要成果:
- 分析了11个带有1717名参与者的RCT.
- 应用干预措施在4-6个月内显著降低了体重 (SMD -0.33) 和BMI (MD -0.76) (P<.001,P=.02).
- 在3个月和4-6个月观察到身体脂肪百分比显著减少 (P=.009,P<.001),但腰围没有显著减少 (P=.07).
结论:
- 智能手机应用程序在4-6个月内为超重/肥胖成年人减肥和BMI降低提供了适度,统计学上显著的好处.
- 超过6个月后,有效性会减弱,体重往往会重新增加.
- 增强的定制对于提高用户的坚持和长期体重管理结果至关重要.
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