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移动健康是管理青少年肥胖的经济有效策略:一项随机对照试验
Frantz Foissac1, Géraldine Lepage2, Nelly Briand1
1Clinical Research Unit, GHU Paris Centre, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
Acta paediatrica (Oslo, Norway : 1992)
|July 24, 2025
概括
远程监测显示,肥胖青少年的体重减少与传统方法相似. 这种方法减少了去诊所的次数,为长期体重管理提供了可行的替代方案.
科学领域:
- 儿科 儿科 儿科
- 肥胖问题研究研究
- 数字健康数字健康
背景情况:
- 青少年肥胖是一个日益严重的公共卫生问题,需要有效的长期管理策略.
- 传统的监测方法可能是资源密集型的,对家庭来说是负担.
研究的目的:
- 为了比较远程监测与传统监测在减轻肥胖青少年的体重指数 (BMI) Z-score方面的有效性.
- 评估二次结果,包括消耗率,生活质量和生活方式因素.
主要方法:
- 一个随机试验,涉及到参加尼克尔儿童医院的肥胖青少年.
- 参与者被随机分配到远程或传统的监测组进行维护阶段.
- 主要结局:15个月后BMI Z-score降低>0.5 SD.
主要成果:
- 远程 (31.6%) 和传统 (25.0%) 监测组之间的成功率没有显著差异 (p=0.69).
- 远程监控显著减少了随访次数 (p < 0.0001).
- 失败与年龄较小 (<14岁) 和生活质量较低的得分有关.
结论:
- 移动健康干预是肥胖青少年体重管理的潜在有效替代方案.
- 远程监控可以减少家庭在维护阶段对诊所访问的负担.
- 进一步的研究可能会探索优化特定子组的远程干预.
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