摘要
目的系统评价电子健康技术对超重或单纯性肥胖人群减重结局的影响。方法计算机检索Cochrane Library、Embase、PubMed、WOS数据库,搜集与研究目的相关的随机对照试验(RCT),检索时限均从建库至2024年5月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.4和Stata 18软件进行Meta分析。结果共纳入9个RCT,包括2416名超重或单纯性肥胖患者。Meta分析结果显示:使用电子健康技术组的体重[MD=-0.81,95%CI(-1.1,-0.52),P<0.001]、BMI[MD=-0.63,95%CI(-0.89,-0.37),P<0.001]、腰围[MD=-1.06,95%CI(-1.70,-0.42),P<0.001]、能量摄入[SMD=-0.44,95%CI(-0.75,-0.13),P=0.005]较对照组均有显著改善,但体力活动变化两组差异无统计学意义。结论现有证据表明,电子健康技术是减重的有效工具。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
Objective To systematically review the impact of different electronic health technologies on weight loss outcomes in overweight and simple obesity populations.Methods The Cochrane Library,Embase,PubMed and WOS databases were electronically searched to collect randomized controlled trials(RCTs)related to the objectives from inception to May 2024.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.Meta-analysis was then performed by using RevMan 5.4 and Stata 18 software.Results A total of 9 RCTs involving 2416 patients with overweight or simple obesity were included.The meta-analysis results showed that body weight(MD=-0.81,95%CI-1.1 to-0.52,P<0.001),BMI(MD=-0.63,95%CI-0.89 to-0.37,P<0.001),waist circumference(MD=-1.06,95%CI-1.70 to-0.42,P<0.001)and energy intake(SMD=-0.44,95%CI-0.75 to-0.13,P-0.005)in the e-health technology group were significantly improved compared with the control group.But there was no statistically significant difference in physical activity between two groups.Conclusion The available evidence suggests that e-health technology is an effective tool for weight loss.Due to the limited quality and quantity of the included studies,more high quality studies are needed to verify the above conclusion.
作者
李晓菲
沈瑜菲
陈天翔
王欢
白银川
宋玉婷
龚波
LI Xiaofei;SHEN Yufei;CHEN Tianxiang;WANG Huan;BAI Yinchuan;SONG Yuting;GONG Bo(Shanghai University of Sport,Shanghai 200082,P.R.China;National Sports Intelligent Sports Technology Innovation Centre(Beijing),Beijing 100000,P.R.China;Nanjing Sport Institute,Nanjing 210000,P.R.China;China Institute of Sport Science,Beijing 100000,P.R.China;Qingdao University,Qingdao 266000,P.R.China)
出处
《中国循证医学杂志》
北大核心
2025年第7期827-831,共5页
Chinese Journal of Evidence-based Medicine
关键词
超重
单纯性肥胖
电子健康技术
减重主要结局
Overweight
Simple obesity
E-health technology
Primary outcome of weight loss
