Web-Based Interventions for Weight Loss or Weight Loss Maintenance in Overweight and Obese People: A Systematic Review of Systematic Reviews.

Web-Based Interventions for Weight Loss or Weight Loss Maintenance in Overweight and Obese People: A Systematic Review of Systematic Reviews.
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DOI:
10.2196/jmir.6972
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发表时间:
2017-06-26
影响因子:
7.4
通讯作者:
Castelnuovo G
Castelnuovo G
中科院分区:
医学2区
文献类型:
--
作者:
Sorgente A;Pietrabissa G;Manzoni GM;Re F;Simpson S;Perona S;Rossi A;Cattivelli R;Innamorati M;Jackson JB;Castelnuovo G

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减肥是具有挑战性的,保持减肥也是有问题的。基于网络的计划为提供减肥或减肥维持干预措施提供了良好的潜力。然而,基于网络的体重管理计划的确切影响仍不清楚。这一元系统综述的目的是对基于网络的减肥和减肥维持干预措施的有效性进行全面总结。在电子数据库中搜索系统性综述和荟萃分析,其中包括至少一项研究,调查超重和/或肥胖个体样本中基于网络的干预对减肥和/或减肥维持的影响。已确定的20项审查符合纳入标准。采用修订的多系统评价评定量表(R-AMSTAR)评价评价的方法学质量。所有纳入的综述均具有足够的方法学质量(R-AMSTAR评分≥22)。从每一篇综述中提取了关键的方法和结果数据。基于网络的减肥和减肥维持干预措施比最低限度或控制条件更有效。然而,当与可比的非基于网络的干预措施相比时,结果在审查中不太一致。总体而言,减肥维持干预的效果比减肥干预的效果更强,但需要进一步的证据才能更清楚地了解这两种基于网络的干预措施的效果。PROSPERO 2015:CRD42015029377;http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015029377(由http://www.webcitation.org/6qkSafdCZ)网站存档
Weight loss is challenging and maintenance of weight loss is problematic. Web-based programs offer good potential for delivery of interventions for weight loss or weight loss maintenance. However, the precise impact of Web-based weight management programs is still unclear. The purpose of this meta-systematic review was to provide a comprehensive summary of the efficacy of Web-based interventions for weight loss and weight loss maintenance. Electronic databases were searched for systematic reviews and meta-analyses that included at least one study investigating the effect of a Web-based intervention on weight loss and/or weight loss maintenance among samples of overweight and/or obese individuals. Twenty identified reviews met the inclusion criteria. The Revised Assessment of Multiple SysTemAtic Reviews (R-AMSTAR) was used to assess methodological quality of reviews. All included reviews were of sufficient methodological quality (R-AMSTAR score ≥22). Key methodological and outcome data were extracted from each review. Web-based interventions for both weight loss and weight loss maintenance were more effective than minimal or control conditions. However, when contrasted with comparable non-Web-based interventions, results were less consistent across reviews. Overall, the efficacy of weight loss maintenance interventions was stronger than the efficacy of weight loss interventions, but further evidence is needed to more clearly understand the efficacy of both types of Web-based interventions. PROSPERO 2015: CRD42015029377; http://www.crd.york.ac.uk/PROSPERO/display_record.asp? ID=CRD42015029377 (Archived by WebCite at http://www.webcitation.org/6qkSafdCZ)
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