Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions.
Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions.
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系统评价与饮食和体育锻炼干预效果提高有关的干预组件评论。
DOI：
10.1186/1471-2458-11-119
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发表时间：
2011-02-18
影响因子：
4.5
通讯作者：
IMAGE Study Group
中科院分区：
文献类型：
--
作者：
Greaves CJ;Sheppard KE;Abraham C;Hardeman W;Roden M;Evans PH;Schwarz P;IMAGE Study Group
为了制定更有效的促进饮食和/或身体活动改变的方案（以预防2型糖尿病），关键是要确保纳入与有效性最密切相关的干预成分和特征。这项系统性综述的目的是确定与2型糖尿病风险个体饮食和/或体力活动增加变化相关的干预成分。检索MEDLINE、EMBASE、CINAHL、PsycInfo和科克伦图书馆，以获得1998年至2008年针对有2型糖尿病风险的成人的饮食和/或体力活动干预措施的系统评价。两名评审员独立选择评审并评定方法学质量。从与干预成分有效性相关的综述中提取个体分析，对证据质量进行分级并进行总结。在识别的3856篇文章中，30篇符合纳入标准，129篇分析将干预成分与有效性相关。这些分析包括因果分析（基于参与者随机分配到不同的干预条件）和关联分析（例如荟萃回归）。总体而言，干预措施产生了具有临床意义的体重减轻（12个月时3-5 kg; 36个月时2-3 kg）和增加的体力活动（12-18个月时30-60分钟/周的中等活动）。基于因果分析，通过参与社会支持，针对饮食和体育活动，并使用定义明确/既定的行为改变技术，提高了干预效果。有效性的提高还与接触频率的增加和使用一组特定的“自我调节”行为改变技术（例如设定目标、自我监测）有关。未发现有效性与干预设置、交付模式、研究人群或交付提供者之间存在明确关系。关于长期有效性的证据表明，需要更多地考虑行为维持战略。这一对审查的全面审查确定了与提高促进饮食和/或体育活动变化的干预措施的有效性有关的具体组成部分。为了最大限度地提高糖尿病预防计划的效率，从业人员和委托组织应考虑包括这些组成部分。
To develop more efficient programmes for promoting dietary and/or physical activity change (in order to prevent type 2 diabetes) it is critical to ensure that the intervention components and characteristics most strongly associated with effectiveness are included. The aim of this systematic review of reviews was to identify intervention components that are associated with increased change in diet and/or physical activity in individuals at risk of type 2 diabetes. MEDLINE, EMBASE, CINAHL, PsycInfo, and the Cochrane Library were searched for systematic reviews of interventions targeting diet and/or physical activity in adults at risk of developing type 2 diabetes from 1998 to 2008. Two reviewers independently selected reviews and rated methodological quality. Individual analyses from reviews relating effectiveness to intervention components were extracted, graded for evidence quality and summarised. Of 3856 identified articles, 30 met the inclusion criteria and 129 analyses related intervention components to effectiveness. These included causal analyses (based on randomisation of participants to different intervention conditions) and associative analyses (e.g. meta-regression). Overall, interventions produced clinically meaningful weight loss (3-5 kg at 12 months; 2-3 kg at 36 months) and increased physical activity (30-60 mins/week of moderate activity at 12-18 months). Based on causal analyses, intervention effectiveness was increased by engaging social support, targeting both diet and physical activity, and using well-defined/established behaviour change techniques. Increased effectiveness was also associated with increased contact frequency and using a specific cluster of "self-regulatory" behaviour change techniques (e.g. goal-setting, self-monitoring). No clear relationships were found between effectiveness and intervention setting, delivery mode, study population or delivery provider. Evidence on long-term effectiveness suggested the need for greater consideration of behaviour maintenance strategies. This comprehensive review of reviews identifies specific components which are associated with increased effectiveness in interventions to promote change in diet and/or physical activity. To maximise the efficiency of programmes for diabetes prevention, practitioners and commissioning organisations should consider including these components.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
3.9
作者：
Ackermann, Ronald T.;Marrero, David G.
通讯作者：
Marrero, David G.
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
3.5
作者：
Alberti, K. G. M. M.;Zimmet, P.;Shaw, J.
通讯作者：
Shaw, J.
影响因子：
37.8
作者：
Artinian NT;Fletcher GF;Mozaffarian D;Kris-Etherton P;Van Horn L;Lichtenstein AH;Kumanyika S;Kraus WE;Fleg JL;Redeker NS;Meininger JC;Banks J;Stuart-Shor EM;Fletcher BJ;Miller TD;Hughes S;Braun LT;Kopin LA;Berra K;Hayman LL;Ewing LJ;Ades PA;Durstine JL;Houston-Miller N;Burke LE;American Heart Association Prevention Committee of the Council on Cardiovascular Nursing
通讯作者：
American Heart Association Prevention Committee of the Council on Cardiovascular Nursing