Pedometer intervention and weight loss in overweight and obese adults with Type 2 diabetes: a meta-analysis.
Pedometer intervention and weight loss in overweight and obese adults with Type 2 diabetes: a meta-analysis.
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DOI：
10.1111/dme.13104
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发表时间：
2016-08
期刊：
影响因子：
--
通讯作者：
Schumann U
中科院分区：
文献类型：
--
作者：
Cai X;Qiu SH;Yin H;Sun ZL;Ju CP;Zügel M;Steinacker JM;Schumann U
尽管计步器干预在增加2型糖尿病成年人的体力活动方面是有效的，但其对减肥的影响尚不清楚。本荟萃分析旨在评估计步器干预是否能促进体重减轻。我们检索了三个不同的数据库，检索了截至2015年4月发表的英文随机对照试验（RCTs）。如果研究以BMI或体重来衡量计步器干预对减肥的影响，则将其纳入研究。效应量采用随机效应模型进行汇总。亚组和meta -回归分析用于确定潜在的调节因子。纳入11项随机对照试验，共1258名受试者。所有参与者都超重或肥胖。计步器干预导致BMI显著降低[加权平均差(WMD) - 0.15 kg/m2, 95%可信区间(CI) - 0.29至- 0.02 kg/m2]，体重减轻（WMD - 0.65 kg, 95% CI - 1.12至- 0.17 kg）。饮食咨询似乎是观察到的变化的关键预测因素。然而，以下变量均无显著影响：步数目标设定、基线年龄、BMI、体重、性别分布、疾病持续时间、干预持续时间、总或中度至剧烈身体活动的基线值或改变评分。在完成计步器干预后，在随访期间观察到BMI和体重的非显著下降。计步器干预促进适度减肥，但其与体育活动的关系需要进一步澄清。未来的研究还需要记录饮食和久坐行为的改变，以促进超重和肥胖的2型糖尿病成年人使用计步器减肥。
Although pedometer intervention is effective in increasing physical activity among adults with Type 2 diabetes, its impact on weight loss remains unclear. This meta‐analysis was aimed to assess whether pedometer intervention promotes weight loss. Three different databases were searched for randomized controlled trials (RCTs) published in English up to April 2015. Studies were included if they investigated the effects of pedometer intervention on weight loss, as measured by BMI or weight. Effect sizes were aggregated using a random‐effects model. Subgroup and meta‐regression analyses were used to identify potential moderators. Eleven RCTs with 1258 participants were included. All enrolled participants were overweight or obese. Pedometer intervention led to significantly decreased BMI [weighted mean difference (WMD) −0.15 kg/m2, 95% confidence interval (CI) −0.29 to −0.02 kg/m2] and reduced weight (WMD −0.65 kg, 95% CI −1.12 to −0.17 kg). Dietary counselling seemed to be a key predictor of the observed changes. However, none of the following variables had a significant influence: step goal setting, baseline age, BMI, weight, sex distribution, disease duration, intervention duration, and baseline values or change scores for total or moderate‐to‐vigorous physical activity. After completion of the pedometer intervention, non‐significant declines in BMI and weight were observed during the follow‐up periods. Pedometer intervention promotes modest weight loss, but its association with physical activity requires further clarification. Future studies are also required to document dietary and sedentary behaviour changes to facilitate the use of pedometers for weight loss in overweight and obese adults with Type 2 diabetes.
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影响因子：
7.1
作者：
Jesudason, David R.;Pedersen, Eva;Clifton, Peter M.
通讯作者：
Clifton, Peter M.
影响因子：
3.1
作者：
Catenacci, Victoria Anne;Odgen, Lorraine;Wyatt, Holly
通讯作者：
Wyatt, Holly
影响因子：
9.8
作者：
Bjorgaas, Marit R.;Vik, John T.;Grill, Valdemar
通讯作者：
Grill, Valdemar
2型糖尿病中的步骤计数器使用：随机对照试验的荟萃分析。
影响因子：
9.3
作者：
Qiu S;Cai X;Chen X;Yang B;Sun Z
通讯作者：
Sun Z
DOI：
10.3390/ijerph8093747
发表时间：
2011-09
影响因子：
--
作者：
Helmink JH;Kremers SP;van Brussel-Visser FN;de Vries NK
通讯作者：
de Vries NK