在癌症幸存者中基于移动应用程序的饮食干预措施的有效性:系统审查和元分析
Krista Ching Wai Chung1, Naomi Takemura2, Wendy Wing Tak Lam3
1School of Nursing, University of Hong Kong, 5/F, HKUMed Academic Building, 3 Sassoon Road, Pokfulam, Hong Kong, China (Hong Kong), 852 39176645.
JMIR mHealth and uHealth
|August 1, 2025
概括
移动应用程序有望改善癌症幸存者的饮食习惯和体重. 需要进一步的研究来确认跨不同类型癌症的有效性,并优化应用程序功能以获得更好的结果.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 营养科学 营养科学
背景情况:
- 世界卫生组织 (WHO) 的指导方针强调癌症幸存者的饮食和体重控制,以防止癌症复发.
- 移动应用程序越来越多地用于促进健康,但它们对癌症幸存者的饮食行为影响的证据有限.
研究的目的:
- 评估基于移动应用程序的癌症幸存者的饮食干预措施的有效性,可行性和可接受性.
- 为了确定在这个人群中成功进行饮食干预的关键移动应用程序功能.
主要方法:
- 从Embase,Cochrane图书馆,PubMed和Web of Science (开始至2023年9月) 进行的研究的系统审查和元分析.
- 包括的研究使用移动应用程序进行癌症幸存者的饮食干预.
- 使用柯克兰偏差风险工具 (RoB 2,ROBINS-I) 评估方法质量.
- 对体重,BMI,营养结果和生活质量进行了元分析.
主要成果:
- 包括22项涉及1204名癌症 (主要是乳腺和胃肠道) 幸存者的研究.
- 移动应用程序干预显示了能量摄入 (Hedges g=1.00) 和体重变化 (Hedges g=-0.43) 的好处.
- 在胃肠道癌症幸存者的蛋白质摄入量和生活质量方面注意到潜在的改善.
- 应用程序的可用性,质量和满意度是积极的;反和目标设定是促进者,但时间承诺和有限的日志是令人担忧的.
结论:
- 基于移动应用程序的饮食干预措施证明了癌症幸存者的初步有效性,可行性和可接受性.
- 需要进一步的试验来确认不同类型的癌症和干预交付方法的有效性.
- 未来的应用程序应该保留反和目标设定等功能,并考虑人工智能用于食品记录和个性化建议.
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