低收入和中等收入国家的体育活动促进干预措施的有效性:系统性审查和元分析
Rajan Shrestha1,2, Susan Paudel3,4, Tara Ballav Adhikari5
1Research Unit for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark rajanshrestha011@gmail.com.
British journal of sports medicine
|December 31, 2025
概括
移动应用程序和互动通话干预措施显示,低收入和中等收入国家 (LMICs) 的体力活动强度有了小但显著的改善. 需要进一步的研究来增强影响力并为政策提供信息.
科学领域:
- 公共卫生 公共卫生
- 促进健康 促进健康
- 行为科学 行为科学
背景情况:
- 身体不活动是一个日益严重的全球健康问题,特别是在低收入和中等收入国家 (LMICs).
- 需要有效的干预措施来促进身体活动,并减轻这些人群中相关的健康风险.
研究的目的:
- 系统地审查和元分析旨在促进LMICs体育活动的干预措施的有效性.
- 确定在体育活动中取得最显著改善的干预类型和交付方法.
主要方法:
- 2010年1月至2024年9月期间发表的随机对照试验和准实验研究的系统审查和元分析.
- 搜索了包括PubMed,EMBASE,CINAHL和Cochrane CENTRAL在内的数据库.
- 使用随机效应元分析合成数据,计算体育活动结果的标准化平均差异 (SMD),评估偏差风险.
主要成果:
- 包括23项研究,其中包括来自LMIC的12,689名参与者.
- 观察到对体力活动的小但统计学上显著的整体影响 (SMD=0.29).
- 在代谢相当的任务 (MET) 分钟 (SMD=0.42) 和体力活动得分 (SMD=0.86) 中发现了显著的改善,这表明活动强度有所提高. 通过移动应用程序和互动呼叫进行的干预最有效,尽管证据确定性低至非常低.
结论:
- 干预措施,特别是通过移动应用程序或互动通话提供的干预措施,可以导致LMICs体育活动强度的微小改善.
- 这些干预措施有可能带来重大的公共卫生益处.
- 未来的干预措施需要特定于环境的设计和强有力的试验证据,以最大限度地发挥影响,并为可持续的健康政策提供信息.
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