Effectiveness of mobile health interventions targeting parents to prevent and treat childhood Obesity: Systematic review.
Effectiveness of mobile health interventions targeting parents to prevent and treat childhood Obesity: Systematic review.
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DOI：
10.1016/j.pmedr.2022.101940
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发表时间：
2022-10
影响因子：
2.8
通讯作者：
Rossi, Paolo Giorgi
中科院分区：
文献类型：
--
作者：
Bonvicini, Laura;Pingani, Ilaria;Venturelli, Francesco;Patrignani, Nicoletta;Bassi, Maria Chiara;Broccoli, Serena;Ferrari, Francesca;Gallelli, Teresa;Panza, Costantino;Vicentini, Massimo;Rossi, Paolo Giorgi
移动应用程序越来越多地用于儿童肥胖预防，以监测食物摄入量和PA，并发送健康信息。这些研究的小样本量和异质性干预措施阻碍了本综述对有效性得出结论。总体情况显示，一些干预措施有改善的趋势，而另一些干预措施基本上无效。移动应用程序的高可接受性和广泛使用，支持新的研究开发有效的，值得信赖的应用程序。儿童肥胖是一种高患病率的疾病，在成年后会造成很高的疾病负担。手机应用程序越来越多地用于防止它。我们总结了父母用于预防和治疗儿童和青少年肥胖的移动应用程序有效性的证据。进行了文献系统综述的更新。PubMed, Embase, Cochrane， CINAHL, PsycINFO， Scopus和ERIC被检索到2020年。纳入的研究应针对1-18岁的儿童，比较旨在预防或治疗超重和肥胖的应用程序，作为独立干预或作为复杂程序的一部分，安装在父母的移动设备上，与无干预或无干预的应用程序进行比较。考虑与体重状况，饮食和身体活动（PA）行为相关的结果。纳入19项研究（14项随机对照试验和5项非随机试验）。该应用程序主要用于记录食物消耗和PA，设定目标，查看进度，并发送健康促进信息。一项研究报告肥胖和超重儿童的人体测量值显著下降，另一项研究提示人体测量值下降，而其他研究则没有观察到任何影响。一项研究报告了PA的显著增加。六项干预措施被证明在改变饮食行为方面是有效的。针对超重和/或肥胖儿童的干预措施取得了最积极的结果。所有研究都报告了干预措施的高可接受性和可行性。干预措施之间的差异和研究的小样本量使本综述无法得出关于有效性的结论。
Mobile apps are increasingly used in childhood obesity prevention to monitor food intake and PA, and send health messages. The studies' small sample size and the heterogeneous interventions prevent this review to conclude on effectiveness. The overall picture shows a trend toward improvement in some interventions, while others were essentially ineffective. The high acceptability and the widespread use of mobile apps, support new research to develop effective, trustworthy apps. Childhood obesity is a high prevalence condition that causes a high burden of disease in adulthood. Mobile phone app are increasingly used to prevent it. We summarized the evidence on the effectiveness of mobile apps for devices used by parents to prevent and treat childhood and adolescent obesity. An update of a systematic review of the literature was carried out. PubMed, Embase, Cochrane, CINAHL, PsycINFO, Scopus, and ERIC were searched up to 2020. The included studies should target children 1–18 years, compare an app aimed at preventing or treating overweight and obesity, as stand-alone intervention or as part of a complex program, installed on parents’ mobile devices, to no intervention or an intervention without the app. Outcomes related to weight status, diet, and physical activity (PA) behaviors were considered. Nineteen studies (14 RCTs and 5 non-randomized trials) were included. The app was mainly used to record food consumption and PA, to set goals, to view progress, and send health promotion messages. One study reported a significant decrease and one a suggestive decrease in anthropometric measures in obese and overweight children, while other studies observed no effect. One study reported a significant increase in PA. Six interventions proved to be effective in changing dietary behaviors. Interventions targeting overweight and/or obese children had the most positive results. All studies reported high acceptability and feasibility of interventions. The differences between interventions and the small sample size of the studies did not allow this review to reach conclusion on effectiveness.
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影响因子：
7.4
作者：
Flores Mateo G;Granado-Font E;Ferré-Grau C;Montaña-Carreras X
通讯作者：
Montaña-Carreras X
影响因子：
105.7
作者：
Agarwal, Smisha;LeFevre, Amnesty E.;Labrique, Alain
通讯作者：
Labrique, Alain
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
3.2
作者：
Clarke, Peter;Evans, Susan H.;Neffa-Creech, Deborah
通讯作者：
Neffa-Creech, Deborah
影响因子：
4.5
作者：
De Lepeleere, Sara;De Bourdeaudhuij, Ilse;Verloigne, Maite
通讯作者：
Verloigne, Maite