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Updated: Jan 9, 2026

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远程干预对儿科体重控制的影响:随机对照试验的系统审查和元分析
Cheng-Tai Wu1, Jue-Chuan Ng1, Yu-Tai Cheng1
1Department of Pediatrics, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 289 Jianguo Rd, Xindian, Taipei, 231, Taiwan, 886 2-66289779.
Journal of medical Internet research
|December 8, 2025
概括
远程干预显著改善了超重或肥胖儿童的体重控制. 这些数字健康解决方案,特别是与家庭的参与,为管理儿童肥胖提供短期到中期的好处.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 儿童超重和肥胖是关键的全球健康问题.
- 远程干预提供了一个可扩展的方法来提供体重管理策略.
- 这些干预措施利用各种数字平台,如应用程序,网站和电话.
研究的目的:
- 系统地评估远程干预与非远程干预在超重或肥胖儿童的人类测量结果的有效性.
- 综合来自儿童群体体重管理随机对照试验的证据.
主要方法:
- 26项随机对照试验 (2866名儿童) 的系统审查和元分析.
- 搜索了主要的数据库 (科克兰图书馆,Embase,PubMed,科学网).
- 使用随机效应模型分析了BMI,BMIz-score,身体脂肪和腰围的变化.
主要成果:
- 在4-6个月和7-12个月,电话干预显著降低了BMI z-score.
- 在4-6个月后观察到BMI和腰围的显著减少.
- 涉及家庭或职业互动的干预措施显示出更大的益处.
- 没有发现身体脂肪显著减少.
结论:
- 电话干预,尤其是家庭参与,为超重或肥胖儿童提供了显著的短期到中期体重控制益处.
- 远程医疗为解决儿童肥胖症提供了一个有希望的战略.
- 进一步的研究可能会探索长期影响和具体的干预组件.
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