Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS).
Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS).
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DOI：
10.2196/jmir.2612
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发表时间：
2013-08-01
影响因子：
7.4
通讯作者：
Updegraff JA
中科院分区：
文献类型：
--
作者：
McCully SN;Don BP;Updegraff JA
互联网为成本效益高和影响广泛的保健干预措施提供了一个可行的平台。然而，很少有人知道使用互联网来帮助饮食，体重和身体活动（DWPA）使用来自美国的全国代表性样本。（1）评估使用互联网帮助DWPA的人群的人口统计学特征，（2）评估使用趋势是否随时间变化，（3）调查使用互联网进行DWPA与健康行为之间的关联。使用多元logistic回归分析了2007年和2011年健康信息全国趋势调查（HINTS）的互联网用户数据，N=4827，以确定使用互联网帮助DWPA的人口统计学相关性。多元线性回归被用来测试互联网使用DWPA和三种健康行为之间的关联：水果摄入量，蔬菜摄入量和体力活动。与2007年（40.43%）相比，2011年（42.83%）互联网用户使用互联网进行《残疾人工作和财产评估》的比例更高。一般来说，年轻的互联网用户（OR 0.98，P<.001），受教育程度较高（OR 1.40，P<.001），已婚（OR 1.06，P=.03），少数民族（非西班牙裔黑人：OR 1.14，P= 0.02;西班牙裔：OR 1.42，P= 0.01）和具有较高身体质量指数（BMI）（OR 1.04，P<0.001）的人更可能使用互联网进行DWPA。在调查年份，性别与使用互联网进行DWPA无关（OR 1.03，P=.12），但调查年份和性别之间存在显著的相互作用（OR 1.95，P=.002）; 2007年，男性更有可能使用互联网进行DWPA，但2011年女性更有可能这样做。使用互联网进行DWPA与更多的蔬菜摄入量（B= 0.22，P= 0.002），更多的水果摄入量（B= 0.19，P= 0.001）和更多的适度运动（B= 0.25，P= 0.001）相关，尽管2011年使用互联网进行DWPA与水果摄入量和运动之间的关联强度比2007年弱。与先前的研究相反，我们的人口水平研究并没有显示在使用互联网进行DWPA方面存在明显的性别差异。我们的研究结果支持互联网作为行为改变干预平台的可行性不断提高，因为越来越多的互联网用户转向互联网寻求DWPA的帮助。此外，使用互联网进行DWPA与更好的DWPA相关健康行为相关。
The Internet offers a viable platform for cost-effective and wide-reaching health interventions. However, little is known about use of the Internet to help with diet, weight, and physical activity (DWPA) using a nationally representative sample from the United States. To (1) assess the demographic characteristics of people who use the Internet to help with DWPA, (2) assess whether usage trends changed over time, and (3) investigate the associations between using the Internet for DWPA and health behaviors. Data on Internet users from the 2007 and 2011 iterations of the Health Information National Trends Survey (HINTS), N=4827 were analyzed using multiple logistic regression to determine the demographic correlates of using the Internet for help with DWPA. Multiple linear regression was used to test the associations between Internet use for DWPA and three health behaviors: fruit intake, vegetable intake, and physical activity. A larger percentage of Internet users used the Internet for DWPA in 2011 (42.83%) than in 2007 (40.43%). In general, Internet users who were younger (OR 0.98, P<.001), more educated (OR 1.40, P<.001), married (OR 1.06, P=.03), of a minority race (non-Hispanic blacks: OR 1.14, P=.02; Hispanics: OR 1.42, P=.01), and who had a higher Body Mass Index (BMI) (OR 1.04, P<.001) were more likely to use the Internet for DWPA. Across survey years, gender was not associated with using the Internet for DWPA (OR 1.03, P=.12), but there was a significant interaction between survey year and gender (OR 1.95, P=.002); in 2007, men were more likely to use the Internet for DWPA, but women were more likely to do so in 2011. Using the Internet for DWPA was associated with more vegetable intake (B=.22, P=.002), more fruit intake (B=.19, P=.001), and more moderate exercise (B=.25, P=.001), although the strength of the associations between using the Internet for DWPA and fruit intake and exercise was weaker in 2011 than in 2007. Contrary to prior research, our population-level study did not show a pronounced gender difference in the use of the Internet for DWPA. Our results support the increasing viability of the Internet as a platform for behavior change intervention, as a growing percentage of Internet users are turning to the Internet for help with DWPA. Additionally, using the Internet for DWPA is associated with better DWPA-related health behaviors.
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影响因子：
1.8
作者：
Tjur, Tue
通讯作者：
Tjur, Tue
DOI：
10.1056/nejmoa0804748
发表时间：
2009-02-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Sacks FM;Bray GA;Carey VJ;Smith SR;Ryan DH;Anton SD;McManus K;Champagne CM;Bishop LM;Laranjo N;Leboff MS;Rood JC;de Jonge L;Greenway FL;Loria CM;Obarzanek E;Williamson DA
通讯作者：
Williamson DA
影响因子：
7.4
作者：
Anderson-Bill, Eileen Smith;Winett, Richard A.;Wojcik, Janet R.
通讯作者：
Wojcik, Janet R.
影响因子：
7.4
作者：
Webb TL;Joseph J;Yardley L;Michie S
通讯作者：
Michie S
影响因子：
3.8
作者：
Kreuter, MW;Strecher, VJ;Glassman, B
通讯作者：
Glassman, B