The control of highly contagious disease spreading in campuses is a critical challenge.In residential universities,students attend classes according to a curriculum schedule,and mainly pack into classrooms,dining hall...The control of highly contagious disease spreading in campuses is a critical challenge.In residential universities,students attend classes according to a curriculum schedule,and mainly pack into classrooms,dining halls and dorms.They move from one place to another.To simulate such environments,we propose an agent-based susceptible–infected–recovered model with time-varying heterogeneous contact networks.In close environments,maintaining physical distancing is the most widely recommended and encouraged non-pharmaceutical intervention.It can be easily realized by using larger classrooms,adopting staggered dining hours,decreasing the number of students per dorm and so on.Their real-world influence remains uncertain.With numerical simulations,we obtain epidemic thresholds.The effect of such countermeasures on reducing the number of disease cases is also quantitatively evaluated.展开更多
Objective To investigate the changes of the epidemiology and clinical characteristics of human metapneumovirus (hMPV) among children with acute lower respiratory tract infection (ALRTI) before and after the discontinu...Objective To investigate the changes of the epidemiology and clinical characteristics of human metapneumovirus (hMPV) among children with acute lower respiratory tract infection (ALRTI) before and after the discontinuation of non-pharmaceutical interventions(NPI) during coronavirus disease 2019 epidemic.展开更多
The epidemiological characteristics and distributions of two epidemics in Fujian Province of Southeast China were attributed to the complex interactions among variant,host,and non-pharmaceutical interventions(NPIs).Al...The epidemiological characteristics and distributions of two epidemics in Fujian Province of Southeast China were attributed to the complex interactions among variant,host,and non-pharmaceutical interventions(NPIs).All reported cases in the Putian epidemic(September 8–October 2,2021,Delta variant B.1.617.2)and Fuzhou epidemic(October 22–November 18,2022,Omicron variant BA.5.2)were classified by sex,age group,occupation,and location in this study.Using surveillance data from the Fujian Provincial Center for Disease Control and Prevention,we established a virus-oriented SVEIR(Susceptible–Vaccinated–Exposed–Infected–Recovered)model to investigate the dynamic evolution features of these two variants and the effects of NPIs.The optimal simulations were carried out with variants and scenario investigations.The scenario investigations showed that NPIs significantly reduced the transmission risk and infection scales of COVID-19,and that the Omicron variant was more infectious than the Delta variant.Moreover,the dynamic investigations revealed the increasing tendencies from Delta to Omicron,such as the basic reproduction number,infection rate,percentage of high-risk cases,and the growth rate.Decreasing tendencies were also identified,such as the average recovery period,the awareness delay,and the percentage of symptomatic cases.This study highlighted that NPIs played critical roles in successfully containing the two epidemics.Such interventions are strongly recommended to public health policymakers.展开更多
The world has faced the COVID-19 pandemic for over two years now,and it is time to revisit the lessons learned from lockdown measures for theoretical and practical epidemiological improvements.The interlink between th...The world has faced the COVID-19 pandemic for over two years now,and it is time to revisit the lessons learned from lockdown measures for theoretical and practical epidemiological improvements.The interlink between these measures and the resulting change in mobility(a predictor of the disease transmission contact rate)is uncertain.We thus propose a new method for assessing the efficacy of various non-pharmaceutical interventions(NPI)and examine the aptness of incorporating mobility data for epidemiological modelling.Facebook mobility maps for the United Arab Emirates are used as input datasets from the first infection in the country to mid-Oct 2020.Dataset was limited to the pre-vaccination period as this paper focuses on assessing the different NPIs at an early epidemic stage when no vaccines are available and NPIs are the only way to reduce the reproduction number(R_(0)).We developed a travel network density parameterβ_(t)to provide an estimate of NPI impact on mobility patterns.Given the infection-fatality ratio and time lag(onset-to-death),a Bayesian probabilistic model is adapted to calculate the change in epidemic development withβt.Results showed that the change inβ_(t)clearly impacted R_(0).The three lockdowns strongly affected the growth of transmission rate and collectively reduced R_(0)by 78%before the restrictions were eased.The model forecasted daily infections and deaths by 2%and 3%fractional errors.It also projected what-if scenarios for different implementation protocols of each NPI.The developed model can be applied to identify the most efficient NPIs for confronting new COVID-19 waves and the spread of variants,as well as for future pandemics.展开更多
BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emoti...BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emotional states is imperative.AIM To evaluate the efficacy of cognitive behavioral therapy(CBT)-based psychological interventions in improving the psychological well-being and quality of life(QoL)of patients with laryngeal carcinoma.METHODS This study enrolled 120 patients admitted from February 2022 to February 2024.The control group,comprising 50 participants,received standard supportive psychological care,while the research group,consisting 70 participants,underwent CBT-based interventions.Several clinical outcomes were systematically assessed that included postoperative recovery metrics(duration of tracheostomy and nasogastric tube dependence and length of hospitalization),psychological status(Self-Rating Anxiety Scale and Self-Rating Depression Scale),nutritional markers(serum albumin and hemoglobin levels),sleep quality(Self-Rating Scale of Sleep and Athens Insomnia Scale),and QoL(Functional Assessment of Cancer Therapy-Head and Neck).RESULTS The results demonstrated that the research group experienced superior outcomes,with significantly reduced durations of tracheostomy and nasogastric tube dependence,as well as shorter hospital stays,compared with the control group.Additionally,the research group exhibited markedly lower post-intervention Self-Rating Anxiety Scale,Self-Rating Depression Scale,Self-Rating Scale of Sleep,and Athens Insomnia Scale scores,along with minimal but higher change in serum albumin and hemoglobin levels compared with the control group.All five domains of Functional Assessment of Cancer Therapy-Head and Neck showed notable improvements in the research group,exceeding those observed in the control group.CONCLUSION CBT-based psychological support positively affects the mental well-being and QoL of patients with laryngeal carcinoma,highlighting its potential for broader clinical application.展开更多
Background Non-pharmaceutical interventions(NPIs)have been implemented worldwide to suppress the spread of coronavirus disease 2019(COVID-19).However,few studies have evaluated the effect of NPIs on other infectious d...Background Non-pharmaceutical interventions(NPIs)have been implemented worldwide to suppress the spread of coronavirus disease 2019(COVID-19).However,few studies have evaluated the effect of NPIs on other infectious diseases and none has assessed the avoided disease burden associated with NPIs.We aimed to assess the effect of NPIs on the incidence of infectious diseases during the COVID-19 pandemic in 2020 and evaluate the health economic benefits related to the reduction in the incidence of infectious diseases.Methods Data on 10 notifiable infectious diseases across China during 2010–2020 were extracted from the China Information System for Disease Control and Prevention.A two-stage controlled interrupted time-series design with a quasi-Poisson regression model was used to examine the impact of NPIs on the incidence of infectious diseases.The analysis was first performed at the provincial-level administrative divisions(PLADs)level in China,then the PLAD-specific estimates were pooled using a random-effect meta-analysis.Results A total of 61,393,737 cases of 10 infectious diseases were identified.The implementation of NPIs was associated with 5.13 million(95%confidence interval[CI]3.45‒7.42)avoided cases and USD 1.77 billion(95%CI 1.18‒2.57)avoided hospital expenditures in 2020.There were 4.52 million(95%CI 3.00‒6.63)avoided cases for children and adolescents,corresponding to 88.2%of total avoided cases.The top leading cause of avoided burden attributable to NPIs was influenza[avoided percentage(AP):89.3%;95%CI 84.5‒92.6].Socioeconomic status and population density were effect modifiers.Conclusions NPIs for COVID-19 could effectively control the prevalence of infectious diseases,with patterns of risk varying by socioeconomic status.These findings have important implications for informing targeted strategies to prevent infectious diseases.展开更多
The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 ...The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 affected globally,older adults also experience significant psychological impact including depression,anxiety,and cognitive impairment.The implications of vision-related challenges extend far beyond mere sight.Depression and anxiety,exacerbated by social isolation and reduced physical activity,underscore the need for comprehensive interventions that address both medical and psychosocial dimensions.By recognizing the profound impact of ocular morbidities like strabismus,myopia,glaucoma,and age-related macular degeneration on mental health and investing in effective treatments and inclusive practices,society can pave the way for a healthier,more equitable future for affected individuals.There is evidence that myopic children experience a higher prevalence of depressive symptoms compared to their normal peers,and interventions like the correction of strabismus can enhance psychological outcome-demonstrating the value of an integrated management approach.展开更多
The outbreak of the novel coronavirus disease 2019(COVID-19),caused by the novel severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),has caused global transmission,and been spread all over the world.For those ...The outbreak of the novel coronavirus disease 2019(COVID-19),caused by the novel severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),has caused global transmission,and been spread all over the world.For those regions that are currently free of infected cases,it is an urgent issue to prevent and control the local outbreak of COVID-19 when there are sporadic cases.To evaluate the effects of non-pharmaceutical interventions against local transmission of COVID-19,and to forecast the epidemic dynamics after local outbreak of diseases under different control measures,we developed an individual-based model(IBM)to simulate the transmission dynamics of COVID-19 from a microscopic perspective of individual-to-individual contacts to heterogenous among individuals.Based on the model,we simulated the effects of different levels of non-pharmaceutical interventions in controlling disease transmission after the appearance of sporadic cases.Simulations shown that isolation of infected cases and quarantine of close contacts alone would not eliminate the local transmission of COVID-19,and there is a risk of a second wave epidemics.Quarantine the second-layer close contacts can obviously reduce the size of outbreak.Moreover,to effectively eliminate the daily new infections in a short time,it is necessary to reduce the individual-to-individual contacts.IBM provides a numerical representation for the local transmission of infectious diseases,and extends the compartmental models to include individual heterogeneity and the close contacts network.Our study suggests that combinations of self-isolation,quarantine of close contacts,and social distancing would be necessary to block the local transmission of COVID-19.展开更多
In this paper,based on the classic Kermack-McKendrick SIR model,we propose an ordinary differential equation model to re-examine the COVID-19 epidemics in Wuhan where this disease initially broke out.The focus is on t...In this paper,based on the classic Kermack-McKendrick SIR model,we propose an ordinary differential equation model to re-examine the COVID-19 epidemics in Wuhan where this disease initially broke out.The focus is on the impact of all those major nonpharmaceutical interventions(NPIs)implemented by the local public healthy authorities and government during the epidemics.We use the data publicly available and the nonlinear least-squares solver lsqnonlin built in MATLAB to estimate the model parameters.Then we explore the impact of those NPIs,particularly the timings of these interventions,on the epidemics.The results can help people review the responses to the outbreak of the COVID-19 inWuhan,while the proposed model also offers a framework for studying epidemics of COVID-19 and/or other similar diseases in other places,and accordingly helping people better prepare for possible future outbreaks of similar diseases.展开更多
Before vaccine development during the COVID-19 pandemic,Non-Pharmaceutical Interventions(NPIs)were the only solutions to mitigate COVID-19 infections.Governments continued to use them even after starting vaccine admin...Before vaccine development during the COVID-19 pandemic,Non-Pharmaceutical Interventions(NPIs)were the only solutions to mitigate COVID-19 infections.Governments continued to use them even after starting vaccine administration.In this research,we review different big data analytics models that assess and optimize the effectiveness of NPIs.These models are categorized into three big data analytics groups:descriptive,which measures the infection rate changes caused by NPIs;predictive,which predicts the future of the pandemic by implementing several NPIs;and data-driven prescriptive,which suggests optimal control policies.We further analyze each method’s basic assumptions,limitations,and applicability during different pandemic phases and under different scenarios.This review of COVID-19 NPI evaluation methods will be beneficial for decision-makers to know which model to select for policy-making in possible future pandemics,which are more likely recently due to globalization.Finally,we suggest some future research directions.展开更多
Neonatal pain management is an important issue which should have great attention.More and more researches have proved that neonates can feel pain when undergoes painful procedures such as vaccination,heel stick,and so...Neonatal pain management is an important issue which should have great attention.More and more researches have proved that neonates can feel pain when undergoes painful procedures such as vaccination,heel stick,and so on,and it will result in shortterm and long-term outcomes.So it is very important to manage neonatal pain.This article summarized some non-pharmaceutical interventions,including sucrose or glucose,non-nutritional sucking(NNS),breastfeeding,facilitated tucking(FT),kangaroo mother care(KMC),swaddling,heel warming,sensorial saturation(SS),and music therapy,which showed obvious effects for neonatal pain.In addition,this article summarized the progress of neonatal pain intervention in various countries and showed that many countries have not paid enough attention to this problem,while some countries have carried out promotion programs for neonatal pain management which give some clinical enlightenment to our country that we need to pay more attention to this problem.展开更多
Objective:To investigate the preventive effect of targeted nursing interventions on deep vein thrombosis in patients with hemodialysis catheter indwelling.Methods:A prospective study was conducted involving patients w...Objective:To investigate the preventive effect of targeted nursing interventions on deep vein thrombosis in patients with hemodialysis catheter indwelling.Methods:A prospective study was conducted involving patients who underwent hemodialysis catheter indwelling and were admitted between August 2023 and August 2025,totaling 108 cases.These patients were randomly divided into two groups using a random number table method,with 54 cases in each group.The control group received routine nursing interventions,while the observation group received targeted nursing interventions.The incidence of deep vein thrombosis and hemodynamic indicators were compared between the two groups.Results:The incidence of deep vein thrombosis in the observation group was lower than that in the control group(p<0.05).After two weeks of nursing,the hemodynamic indicators in the observation group were higher than those in the control group(p<0.05).Conclusion:Targeted nursing interventions can effectively prevent deep vein thrombosis and improve hemodynamics in patients with hemodialysis catheter indwelling,making them worthy of clinical promotion.展开更多
Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-...Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.展开更多
BACKGROUND Esophageal cancer is a malignancy that originates in the epithelium of the esophageal mucosa and has a high mortality rate.Although radiotherapy is the primary treatment modality,it can easily lead to nutri...BACKGROUND Esophageal cancer is a malignancy that originates in the epithelium of the esophageal mucosa and has a high mortality rate.Although radiotherapy is the primary treatment modality,it can easily lead to nutritional deterioration and psychological distress,affecting treatment efficacy and quality of life.Currently,there are relatively few postoperative rehabilitation interventions for esophageal cancer.As such,it is particularly important to develop a systematic and comprehensive intervention model to improve the quality of life and nutritional status of patients.AIM To evaluate exercise,nutritional,and psychological interventions on the postoperative nutritional and mental status of patients with esophageal cancer.METHODS Data from 104 patients,who were diagnosed with postoperative esophageal cancer between August 2023 and February 2024,were retrospectively analyzed.Patients were divided into 2 groups using a random numbers table:control[routine nursing measures(n=53)];and observation[routine nursing+exercise,nutritional support,and psychological interventions(n=51)].Nutritional status,anxiety and depression,quality of life,incidence of complications,treatment compliance,and satisfaction with nursing care were compared between the two groups.RESULTS Serum albumin,prealbumin,hemoglobin,transferrin,and World Health Organization Quality of Life-Brief Version scores were higher in the observation group than those in the control group.After treatment,Self-rating Anxiety Scale,Self-rating Depression Scale,and Hamilton Anxiety and Depression Scale scores in the observation group were lower than those in the control group.No significant differences were observed in the incidence of complications between the observation and control groups.The observation group exhibited more satisfaction with nursing care and treatment compliance than the control group.CONCLUSION Exercise,nutritional support,and psychological interventions effectively improves the nutritional status and negative emotions of patients undergoing radiotherapy for esophageal cancer,and enhances treatment compliance and satisfaction with nursing.展开更多
Anxiety disorders following percutaneous coronary intervention for acute myocardial infarction affect approximately 20%-40%of patients,with a significantly greater prevalence in females(OR=1.8).These disorders manifes...Anxiety disorders following percutaneous coronary intervention for acute myocardial infarction affect approximately 20%-40%of patients,with a significantly greater prevalence in females(OR=1.8).These disorders manifest through physiological symptoms,cognitive distortions,behavioral avoidance,and cardiacspecific concerns and typically emerge within 1-2 weeks post-procedure.Key risk factors include female sex,younger age(<55 years),psychiatric history,procedural complexity,and poor social support.Anxiety negatively affects cardiovascular outcomes when left untreated,leading to higher readmission rates(HR=1.47)and recurrent cardiovascular events(HR=1.31),as well as lower medication adherence and quality of life.Screening is optimally conducted 7-10 days postprocedure via validated tools such as the Hospital Anxiety and Depr-ession Scale,Anxiety.Heart-specific cognitive behavioral therapy(SMD=-0.72),selective serotonin reuptake inhibitors(especially sertraline),and integrated cardiac rehabilitation programs that incorporate both psychological and physical elements are among the beneficial interventions that have been supported by evidence.These all-encompassing strategies show long-term improvements in cardiovascular outcomes,functional ability,and healthcare expenses in addition to immediate benefits in lowering anxiety.Digital initiatives have the potential to increase access,especially in underprivileged areas.Early identification of highrisk patients and implementation of timely,targeted interventions represent crucial strategies for improving both psychological and cardiovascular outcomes in this vulnerable population.展开更多
Background Quantitative flow ratio(QFR)based lesion selection for percutaneous coronary intervention(PCI)treatment has shown clinical benefits in terms of reduced risk for myocardial infarction and repeat revasculariz...Background Quantitative flow ratio(QFR)based lesion selection for percutaneous coronary intervention(PCI)treatment has shown clinical benefits in terms of reduced risk for myocardial infarction and repeat revascularization.Whether this benefit is consistent across different age groups still needs further investigation.Methods In this prespecified subgroup study of FAVORⅢChina trial,we compared long-term clinical outcomes between QFR-guided and angiography-guided PCI among different age groups among 3825 enrolled subjects.The primary endpoint was major adverse cardiac events(MACEs),a composite of all-cause death,myocardial infarction,and ischemia-driven revascularization.Results Of the 3825 patients,1717(44.9%)were aged≥65 years.At baseline,patients≥65 had higher rates of hypertension,hyperlipidaemia,stroke history(P<0.0001),and peripheral vascular disease(P=0.024)and had higher SYNTAX scores(P=0.0095).Compared with standard angiography guidance,the QFR-guided strategy consistently reduced the 1-year(≥65 years,6.04%vs.9.19%,HR=0.65,95%CI:0.46–0.92;<65 years,5.53%vs.8.43%,HR=0.65,95%CI:0.47–0.91)and 3-year MACE rates in both age groups(≥65 years,11.8%vs.15.2%,HR:0.75,95%CI:0.58–0.98;<65 years,9.5%vs.14.6%,HR=0.63;95%CI:0.49–0.81),without a significant interaction(Pinteraction=0.99).Within the QFR-guided group,the 3-year MACE rate in patients with deferred vessels was numerically greater in patients aged≥65 years than in those aged<65 years(8.3%vs.3.0%,P=0.10).Conclusions Although with higher rate of comorbidities and more complex coronary anatomy,the long-term benefit of the QFR-guided PCI strategy remained consistent in patients≥65 years,compared with those<65 years.展开更多
There have been an increasing number of studies on climate change and population health over the past 20 years,with most focusing on health risk assessment,targeting different locations and populations with various di...There have been an increasing number of studies on climate change and population health over the past 20 years,with most focusing on health risk assessment,targeting different locations and populations with various diseases[1−2].While these studies have provided the necessary epidemiological evidence for health authorities in policymaking,it is time to develop and implement tailored health interventions to protect the health and well-being of communities,and particularly that of vulnerable groups.展开更多
Psychological interventions have demonstrated efficacy in improving patients’emotional state,cognition,and thinking abilities,thereby enhancing their quality of life and survival.This review examines literature from ...Psychological interventions have demonstrated efficacy in improving patients’emotional state,cognition,and thinking abilities,thereby enhancing their quality of life and survival.This review examines literature from the China National Knowledge Infrastructure,Wanfang Data,Web of Science,and PubMed databases published over the past decade,focusing on the use of psychotherapy for poststroke anxiety and depression.The prevalence of anxiety and depression is significantly higher among patients who have experienced a stroke than in the general population,possibly due to vestibular dysfunction following brain injury.Current psychological interventions for stroke patients include cognitive behavioral therapy,supportive psychotherapy,music and art therapy,and exercise therapy.These approaches have been shown to promote psychological wellbeing and physical rehabilitation.展开更多
Depression is a common and serious mental disorder,triggered by multiple biological,social and psychological factors.According to the World Health Organization,the incidence of suicide in patients with depression is m...Depression is a common and serious mental disorder,triggered by multiple biological,social and psychological factors.According to the World Health Organization,the incidence of suicide in patients with depression is much higher than in patients with other mental illnesses.Depression has a complex etiology and individual differences,and the effect of single therapy is limited.This review classifies depression into endogenous,exogenous,and secondary categories based on etiology,describes their characteristics,and reviews the research progress of psychological,pharmacological,traditional Chinese medicine,and microbiological interventions.Studies have shown that about 30%-50%of depression has a genetic predisposition;cognitive behavioral therapy is effective for patients with mild-to-moderate depression,and has significant advantages in preventing recurrence,such as networked cognitive behavioral therapy,which is effective in improving mild-to-moderate depressive symptoms,and has a high level of user experience and adherence.Diets rich in dietary fiber,Omega-3 fatty acids,and supplementation with specific probiotics such as Bifidobacterium and Lactobacillus can help alleviate depressive symptoms;preparations of Chinese herbal compounds derived from the Chinese herbal formula,Xiaoyaosan,are effective in alleviating depressive behaviors in mice;and acupuncture is helpful in alleviating primary depression,especially in milder cases.Taken together,gut microbiota influence brain changes through the gut-brain axis.Chinese medicine can realize the combination of Chinese and Western medicine.Both gut microbiota and Chinese medicine show great potential in the treatment of depression.However,the specific therapeutic mechanisms need to be further investigated.展开更多
Purpose:This study aimed to provide comparative evidence on the effectiveness of various lifestyle interventions on body composition management for preschool and school-aged children.Methods:PubMed(MEDLINE),Embase,CIN...Purpose:This study aimed to provide comparative evidence on the effectiveness of various lifestyle interventions on body composition management for preschool and school-aged children.Methods:PubMed(MEDLINE),Embase,CINAHL,and Web of Science were systematically searched for this network meta-analysis.Randomized controlled studies(RCTs)that included children aged 4-12 years with no physical or mental conditions;performed at least 1 type of lifestyle intervention;reported change in body mass index(BMI),BMI z-score,or body fat percentage(BFP);and were published between January2010 and August 2023 were included.Results:The final analysis included 91 RCTs with aggregate data for 58,649 children.All interventions were categorized into single-arm approaches(physical activity,diet,and behavioral and informational support)and combined arms approaches(bicomponent and multicomponent treatment).Multicomponent treatment showed significant effectiveness on the reduction of BMI(mean deviation(MD)-0.49,95%confidence interval(95%CI):-0.88 to-0.12),BMI z-score(MD=-0.11,95%CI:-0.18 to-0.04),and BFP(MD=-1.69,95%CI:-2.97 to-0.42)compared to the usual care condition.Bicomponent treatment also significantly reduced BMI(MD=-0.28,95%CI:-0.54 to-0.04)and BMI z-score(MD=-0.07,95%CI:-0.12 to-0.02)compared to usual care.Conclusion:Interventions targeting multiple lifestyle components achieved greater reductions in children's BMI and BFP.Among single-component approaches,physical activity engagement emerged as the most effective.These findings should guide practitioners in recommending comprehensive lifestyle modifications for children.Moreover,children with higher initial BMI and body fat levels tend to exhibit more positive responses to lifestyle interventions aimed at managing obesity.展开更多
基金Project supported by the National Natural Science Foundation of China(Grant No.61871234).
文摘The control of highly contagious disease spreading in campuses is a critical challenge.In residential universities,students attend classes according to a curriculum schedule,and mainly pack into classrooms,dining halls and dorms.They move from one place to another.To simulate such environments,we propose an agent-based susceptible–infected–recovered model with time-varying heterogeneous contact networks.In close environments,maintaining physical distancing is the most widely recommended and encouraged non-pharmaceutical intervention.It can be easily realized by using larger classrooms,adopting staggered dining hours,decreasing the number of students per dorm and so on.Their real-world influence remains uncertain.With numerical simulations,we obtain epidemic thresholds.The effect of such countermeasures on reducing the number of disease cases is also quantitatively evaluated.
文摘Objective To investigate the changes of the epidemiology and clinical characteristics of human metapneumovirus (hMPV) among children with acute lower respiratory tract infection (ALRTI) before and after the discontinuation of non-pharmaceutical interventions(NPI) during coronavirus disease 2019 epidemic.
基金supported by Consultancy Project by the Chinese Academy of Engineering(2022-JB-06)supported by Special Projects of the Central Government Guiding Local Science and Technology Development(2021L3018)+2 种基金supported by the Natural Science Foundation of Fujian ProvinceProvince of China(2021J01621)supported by Fujian Science and Technology Innovation Platform Construction Project(2019Y2001)Health Science and Technology Project of Fujian Province(2020GGB019).
文摘The epidemiological characteristics and distributions of two epidemics in Fujian Province of Southeast China were attributed to the complex interactions among variant,host,and non-pharmaceutical interventions(NPIs).All reported cases in the Putian epidemic(September 8–October 2,2021,Delta variant B.1.617.2)and Fuzhou epidemic(October 22–November 18,2022,Omicron variant BA.5.2)were classified by sex,age group,occupation,and location in this study.Using surveillance data from the Fujian Provincial Center for Disease Control and Prevention,we established a virus-oriented SVEIR(Susceptible–Vaccinated–Exposed–Infected–Recovered)model to investigate the dynamic evolution features of these two variants and the effects of NPIs.The optimal simulations were carried out with variants and scenario investigations.The scenario investigations showed that NPIs significantly reduced the transmission risk and infection scales of COVID-19,and that the Omicron variant was more infectious than the Delta variant.Moreover,the dynamic investigations revealed the increasing tendencies from Delta to Omicron,such as the basic reproduction number,infection rate,percentage of high-risk cases,and the growth rate.Decreasing tendencies were also identified,such as the average recovery period,the awareness delay,and the percentage of symptomatic cases.This study highlighted that NPIs played critical roles in successfully containing the two epidemics.Such interventions are strongly recommended to public health policymakers.
文摘The world has faced the COVID-19 pandemic for over two years now,and it is time to revisit the lessons learned from lockdown measures for theoretical and practical epidemiological improvements.The interlink between these measures and the resulting change in mobility(a predictor of the disease transmission contact rate)is uncertain.We thus propose a new method for assessing the efficacy of various non-pharmaceutical interventions(NPI)and examine the aptness of incorporating mobility data for epidemiological modelling.Facebook mobility maps for the United Arab Emirates are used as input datasets from the first infection in the country to mid-Oct 2020.Dataset was limited to the pre-vaccination period as this paper focuses on assessing the different NPIs at an early epidemic stage when no vaccines are available and NPIs are the only way to reduce the reproduction number(R_(0)).We developed a travel network density parameterβ_(t)to provide an estimate of NPI impact on mobility patterns.Given the infection-fatality ratio and time lag(onset-to-death),a Bayesian probabilistic model is adapted to calculate the change in epidemic development withβt.Results showed that the change inβ_(t)clearly impacted R_(0).The three lockdowns strongly affected the growth of transmission rate and collectively reduced R_(0)by 78%before the restrictions were eased.The model forecasted daily infections and deaths by 2%and 3%fractional errors.It also projected what-if scenarios for different implementation protocols of each NPI.The developed model can be applied to identify the most efficient NPIs for confronting new COVID-19 waves and the spread of variants,as well as for future pandemics.
文摘BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emotional states is imperative.AIM To evaluate the efficacy of cognitive behavioral therapy(CBT)-based psychological interventions in improving the psychological well-being and quality of life(QoL)of patients with laryngeal carcinoma.METHODS This study enrolled 120 patients admitted from February 2022 to February 2024.The control group,comprising 50 participants,received standard supportive psychological care,while the research group,consisting 70 participants,underwent CBT-based interventions.Several clinical outcomes were systematically assessed that included postoperative recovery metrics(duration of tracheostomy and nasogastric tube dependence and length of hospitalization),psychological status(Self-Rating Anxiety Scale and Self-Rating Depression Scale),nutritional markers(serum albumin and hemoglobin levels),sleep quality(Self-Rating Scale of Sleep and Athens Insomnia Scale),and QoL(Functional Assessment of Cancer Therapy-Head and Neck).RESULTS The results demonstrated that the research group experienced superior outcomes,with significantly reduced durations of tracheostomy and nasogastric tube dependence,as well as shorter hospital stays,compared with the control group.Additionally,the research group exhibited markedly lower post-intervention Self-Rating Anxiety Scale,Self-Rating Depression Scale,Self-Rating Scale of Sleep,and Athens Insomnia Scale scores,along with minimal but higher change in serum albumin and hemoglobin levels compared with the control group.All five domains of Functional Assessment of Cancer Therapy-Head and Neck showed notable improvements in the research group,exceeding those observed in the control group.CONCLUSION CBT-based psychological support positively affects the mental well-being and QoL of patients with laryngeal carcinoma,highlighting its potential for broader clinical application.
基金supported by Chinese Major Grant for the Prevention and Control of Infectious Diseases(2018ZX10713003)the Australian Research Council(DP210102076)+4 种基金the Australian National Health and Medical Research Council(GNT2000581)WY and BW were supported by China Scholarship Council(number 202006010044 for YW and 202006010043 for BW)SL is supported by an Emerging Leader Fellowship of the Australian National Health and Medical Research Council(NHMRCGNT2009866)YG is supported by NHMRC Career Development Fellowship(GNT1163693)and Leader Fellowship(GNT2008813).
文摘Background Non-pharmaceutical interventions(NPIs)have been implemented worldwide to suppress the spread of coronavirus disease 2019(COVID-19).However,few studies have evaluated the effect of NPIs on other infectious diseases and none has assessed the avoided disease burden associated with NPIs.We aimed to assess the effect of NPIs on the incidence of infectious diseases during the COVID-19 pandemic in 2020 and evaluate the health economic benefits related to the reduction in the incidence of infectious diseases.Methods Data on 10 notifiable infectious diseases across China during 2010–2020 were extracted from the China Information System for Disease Control and Prevention.A two-stage controlled interrupted time-series design with a quasi-Poisson regression model was used to examine the impact of NPIs on the incidence of infectious diseases.The analysis was first performed at the provincial-level administrative divisions(PLADs)level in China,then the PLAD-specific estimates were pooled using a random-effect meta-analysis.Results A total of 61,393,737 cases of 10 infectious diseases were identified.The implementation of NPIs was associated with 5.13 million(95%confidence interval[CI]3.45‒7.42)avoided cases and USD 1.77 billion(95%CI 1.18‒2.57)avoided hospital expenditures in 2020.There were 4.52 million(95%CI 3.00‒6.63)avoided cases for children and adolescents,corresponding to 88.2%of total avoided cases.The top leading cause of avoided burden attributable to NPIs was influenza[avoided percentage(AP):89.3%;95%CI 84.5‒92.6].Socioeconomic status and population density were effect modifiers.Conclusions NPIs for COVID-19 could effectively control the prevalence of infectious diseases,with patterns of risk varying by socioeconomic status.These findings have important implications for informing targeted strategies to prevent infectious diseases.
文摘The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 affected globally,older adults also experience significant psychological impact including depression,anxiety,and cognitive impairment.The implications of vision-related challenges extend far beyond mere sight.Depression and anxiety,exacerbated by social isolation and reduced physical activity,underscore the need for comprehensive interventions that address both medical and psychosocial dimensions.By recognizing the profound impact of ocular morbidities like strabismus,myopia,glaucoma,and age-related macular degeneration on mental health and investing in effective treatments and inclusive practices,society can pave the way for a healthier,more equitable future for affected individuals.There is evidence that myopic children experience a higher prevalence of depressive symptoms compared to their normal peers,and interventions like the correction of strabismus can enhance psychological outcome-demonstrating the value of an integrated management approach.
基金This work was supported by the National Natural Science Foundation of China under grant No.11831015,11871179,11771374,11971023.
文摘The outbreak of the novel coronavirus disease 2019(COVID-19),caused by the novel severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),has caused global transmission,and been spread all over the world.For those regions that are currently free of infected cases,it is an urgent issue to prevent and control the local outbreak of COVID-19 when there are sporadic cases.To evaluate the effects of non-pharmaceutical interventions against local transmission of COVID-19,and to forecast the epidemic dynamics after local outbreak of diseases under different control measures,we developed an individual-based model(IBM)to simulate the transmission dynamics of COVID-19 from a microscopic perspective of individual-to-individual contacts to heterogenous among individuals.Based on the model,we simulated the effects of different levels of non-pharmaceutical interventions in controlling disease transmission after the appearance of sporadic cases.Simulations shown that isolation of infected cases and quarantine of close contacts alone would not eliminate the local transmission of COVID-19,and there is a risk of a second wave epidemics.Quarantine the second-layer close contacts can obviously reduce the size of outbreak.Moreover,to effectively eliminate the daily new infections in a short time,it is necessary to reduce the individual-to-individual contacts.IBM provides a numerical representation for the local transmission of infectious diseases,and extends the compartmental models to include individual heterogeneity and the close contacts network.Our study suggests that combinations of self-isolation,quarantine of close contacts,and social distancing would be necessary to block the local transmission of COVID-19.
基金Research partially supported by NSERC of Canada(No.RGPIN-2016-04665)CP was supported by the”Short-term Study Abroad Program for PhD Students”of Northeast Normal University(China).
文摘In this paper,based on the classic Kermack-McKendrick SIR model,we propose an ordinary differential equation model to re-examine the COVID-19 epidemics in Wuhan where this disease initially broke out.The focus is on the impact of all those major nonpharmaceutical interventions(NPIs)implemented by the local public healthy authorities and government during the epidemics.We use the data publicly available and the nonlinear least-squares solver lsqnonlin built in MATLAB to estimate the model parameters.Then we explore the impact of those NPIs,particularly the timings of these interventions,on the epidemics.The results can help people review the responses to the outbreak of the COVID-19 inWuhan,while the proposed model also offers a framework for studying epidemics of COVID-19 and/or other similar diseases in other places,and accordingly helping people better prepare for possible future outbreaks of similar diseases.
文摘Before vaccine development during the COVID-19 pandemic,Non-Pharmaceutical Interventions(NPIs)were the only solutions to mitigate COVID-19 infections.Governments continued to use them even after starting vaccine administration.In this research,we review different big data analytics models that assess and optimize the effectiveness of NPIs.These models are categorized into three big data analytics groups:descriptive,which measures the infection rate changes caused by NPIs;predictive,which predicts the future of the pandemic by implementing several NPIs;and data-driven prescriptive,which suggests optimal control policies.We further analyze each method’s basic assumptions,limitations,and applicability during different pandemic phases and under different scenarios.This review of COVID-19 NPI evaluation methods will be beneficial for decision-makers to know which model to select for policy-making in possible future pandemics,which are more likely recently due to globalization.Finally,we suggest some future research directions.
文摘Neonatal pain management is an important issue which should have great attention.More and more researches have proved that neonates can feel pain when undergoes painful procedures such as vaccination,heel stick,and so on,and it will result in shortterm and long-term outcomes.So it is very important to manage neonatal pain.This article summarized some non-pharmaceutical interventions,including sucrose or glucose,non-nutritional sucking(NNS),breastfeeding,facilitated tucking(FT),kangaroo mother care(KMC),swaddling,heel warming,sensorial saturation(SS),and music therapy,which showed obvious effects for neonatal pain.In addition,this article summarized the progress of neonatal pain intervention in various countries and showed that many countries have not paid enough attention to this problem,while some countries have carried out promotion programs for neonatal pain management which give some clinical enlightenment to our country that we need to pay more attention to this problem.
文摘Objective:To investigate the preventive effect of targeted nursing interventions on deep vein thrombosis in patients with hemodialysis catheter indwelling.Methods:A prospective study was conducted involving patients who underwent hemodialysis catheter indwelling and were admitted between August 2023 and August 2025,totaling 108 cases.These patients were randomly divided into two groups using a random number table method,with 54 cases in each group.The control group received routine nursing interventions,while the observation group received targeted nursing interventions.The incidence of deep vein thrombosis and hemodynamic indicators were compared between the two groups.Results:The incidence of deep vein thrombosis in the observation group was lower than that in the control group(p<0.05).After two weeks of nursing,the hemodynamic indicators in the observation group were higher than those in the control group(p<0.05).Conclusion:Targeted nursing interventions can effectively prevent deep vein thrombosis and improve hemodynamics in patients with hemodialysis catheter indwelling,making them worthy of clinical promotion.
文摘Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.
基金Supported by the Special Project on Intravenous Therapy of Shanghai Nursing Society,No.2023JL-B08Naval Medical University Nursing“Zhuyuan”Talent Program.
文摘BACKGROUND Esophageal cancer is a malignancy that originates in the epithelium of the esophageal mucosa and has a high mortality rate.Although radiotherapy is the primary treatment modality,it can easily lead to nutritional deterioration and psychological distress,affecting treatment efficacy and quality of life.Currently,there are relatively few postoperative rehabilitation interventions for esophageal cancer.As such,it is particularly important to develop a systematic and comprehensive intervention model to improve the quality of life and nutritional status of patients.AIM To evaluate exercise,nutritional,and psychological interventions on the postoperative nutritional and mental status of patients with esophageal cancer.METHODS Data from 104 patients,who were diagnosed with postoperative esophageal cancer between August 2023 and February 2024,were retrospectively analyzed.Patients were divided into 2 groups using a random numbers table:control[routine nursing measures(n=53)];and observation[routine nursing+exercise,nutritional support,and psychological interventions(n=51)].Nutritional status,anxiety and depression,quality of life,incidence of complications,treatment compliance,and satisfaction with nursing care were compared between the two groups.RESULTS Serum albumin,prealbumin,hemoglobin,transferrin,and World Health Organization Quality of Life-Brief Version scores were higher in the observation group than those in the control group.After treatment,Self-rating Anxiety Scale,Self-rating Depression Scale,and Hamilton Anxiety and Depression Scale scores in the observation group were lower than those in the control group.No significant differences were observed in the incidence of complications between the observation and control groups.The observation group exhibited more satisfaction with nursing care and treatment compliance than the control group.CONCLUSION Exercise,nutritional support,and psychological interventions effectively improves the nutritional status and negative emotions of patients undergoing radiotherapy for esophageal cancer,and enhances treatment compliance and satisfaction with nursing.
文摘Anxiety disorders following percutaneous coronary intervention for acute myocardial infarction affect approximately 20%-40%of patients,with a significantly greater prevalence in females(OR=1.8).These disorders manifest through physiological symptoms,cognitive distortions,behavioral avoidance,and cardiacspecific concerns and typically emerge within 1-2 weeks post-procedure.Key risk factors include female sex,younger age(<55 years),psychiatric history,procedural complexity,and poor social support.Anxiety negatively affects cardiovascular outcomes when left untreated,leading to higher readmission rates(HR=1.47)and recurrent cardiovascular events(HR=1.31),as well as lower medication adherence and quality of life.Screening is optimally conducted 7-10 days postprocedure via validated tools such as the Hospital Anxiety and Depr-ession Scale,Anxiety.Heart-specific cognitive behavioral therapy(SMD=-0.72),selective serotonin reuptake inhibitors(especially sertraline),and integrated cardiac rehabilitation programs that incorporate both psychological and physical elements are among the beneficial interventions that have been supported by evidence.These all-encompassing strategies show long-term improvements in cardiovascular outcomes,functional ability,and healthcare expenses in addition to immediate benefits in lowering anxiety.Digital initiatives have the potential to increase access,especially in underprivileged areas.Early identification of highrisk patients and implementation of timely,targeted interventions represent crucial strategies for improving both psychological and cardiovascular outcomes in this vulnerable population.
文摘Background Quantitative flow ratio(QFR)based lesion selection for percutaneous coronary intervention(PCI)treatment has shown clinical benefits in terms of reduced risk for myocardial infarction and repeat revascularization.Whether this benefit is consistent across different age groups still needs further investigation.Methods In this prespecified subgroup study of FAVORⅢChina trial,we compared long-term clinical outcomes between QFR-guided and angiography-guided PCI among different age groups among 3825 enrolled subjects.The primary endpoint was major adverse cardiac events(MACEs),a composite of all-cause death,myocardial infarction,and ischemia-driven revascularization.Results Of the 3825 patients,1717(44.9%)were aged≥65 years.At baseline,patients≥65 had higher rates of hypertension,hyperlipidaemia,stroke history(P<0.0001),and peripheral vascular disease(P=0.024)and had higher SYNTAX scores(P=0.0095).Compared with standard angiography guidance,the QFR-guided strategy consistently reduced the 1-year(≥65 years,6.04%vs.9.19%,HR=0.65,95%CI:0.46–0.92;<65 years,5.53%vs.8.43%,HR=0.65,95%CI:0.47–0.91)and 3-year MACE rates in both age groups(≥65 years,11.8%vs.15.2%,HR:0.75,95%CI:0.58–0.98;<65 years,9.5%vs.14.6%,HR=0.63;95%CI:0.49–0.81),without a significant interaction(Pinteraction=0.99).Within the QFR-guided group,the 3-year MACE rate in patients with deferred vessels was numerically greater in patients aged≥65 years than in those aged<65 years(8.3%vs.3.0%,P=0.10).Conclusions Although with higher rate of comorbidities and more complex coronary anatomy,the long-term benefit of the QFR-guided PCI strategy remained consistent in patients≥65 years,compared with those<65 years.
文摘There have been an increasing number of studies on climate change and population health over the past 20 years,with most focusing on health risk assessment,targeting different locations and populations with various diseases[1−2].While these studies have provided the necessary epidemiological evidence for health authorities in policymaking,it is time to develop and implement tailored health interventions to protect the health and well-being of communities,and particularly that of vulnerable groups.
文摘Psychological interventions have demonstrated efficacy in improving patients’emotional state,cognition,and thinking abilities,thereby enhancing their quality of life and survival.This review examines literature from the China National Knowledge Infrastructure,Wanfang Data,Web of Science,and PubMed databases published over the past decade,focusing on the use of psychotherapy for poststroke anxiety and depression.The prevalence of anxiety and depression is significantly higher among patients who have experienced a stroke than in the general population,possibly due to vestibular dysfunction following brain injury.Current psychological interventions for stroke patients include cognitive behavioral therapy,supportive psychotherapy,music and art therapy,and exercise therapy.These approaches have been shown to promote psychological wellbeing and physical rehabilitation.
基金Yan’an University Students Innovation and Entrepreneurship project funding(202310719006)the National Nature Science Foundation of Chinasupported by the National Nature Science Foundation of China(31160004).
文摘Depression is a common and serious mental disorder,triggered by multiple biological,social and psychological factors.According to the World Health Organization,the incidence of suicide in patients with depression is much higher than in patients with other mental illnesses.Depression has a complex etiology and individual differences,and the effect of single therapy is limited.This review classifies depression into endogenous,exogenous,and secondary categories based on etiology,describes their characteristics,and reviews the research progress of psychological,pharmacological,traditional Chinese medicine,and microbiological interventions.Studies have shown that about 30%-50%of depression has a genetic predisposition;cognitive behavioral therapy is effective for patients with mild-to-moderate depression,and has significant advantages in preventing recurrence,such as networked cognitive behavioral therapy,which is effective in improving mild-to-moderate depressive symptoms,and has a high level of user experience and adherence.Diets rich in dietary fiber,Omega-3 fatty acids,and supplementation with specific probiotics such as Bifidobacterium and Lactobacillus can help alleviate depressive symptoms;preparations of Chinese herbal compounds derived from the Chinese herbal formula,Xiaoyaosan,are effective in alleviating depressive behaviors in mice;and acupuncture is helpful in alleviating primary depression,especially in milder cases.Taken together,gut microbiota influence brain changes through the gut-brain axis.Chinese medicine can realize the combination of Chinese and Western medicine.Both gut microbiota and Chinese medicine show great potential in the treatment of depression.However,the specific therapeutic mechanisms need to be further investigated.
文摘Purpose:This study aimed to provide comparative evidence on the effectiveness of various lifestyle interventions on body composition management for preschool and school-aged children.Methods:PubMed(MEDLINE),Embase,CINAHL,and Web of Science were systematically searched for this network meta-analysis.Randomized controlled studies(RCTs)that included children aged 4-12 years with no physical or mental conditions;performed at least 1 type of lifestyle intervention;reported change in body mass index(BMI),BMI z-score,or body fat percentage(BFP);and were published between January2010 and August 2023 were included.Results:The final analysis included 91 RCTs with aggregate data for 58,649 children.All interventions were categorized into single-arm approaches(physical activity,diet,and behavioral and informational support)and combined arms approaches(bicomponent and multicomponent treatment).Multicomponent treatment showed significant effectiveness on the reduction of BMI(mean deviation(MD)-0.49,95%confidence interval(95%CI):-0.88 to-0.12),BMI z-score(MD=-0.11,95%CI:-0.18 to-0.04),and BFP(MD=-1.69,95%CI:-2.97 to-0.42)compared to the usual care condition.Bicomponent treatment also significantly reduced BMI(MD=-0.28,95%CI:-0.54 to-0.04)and BMI z-score(MD=-0.07,95%CI:-0.12 to-0.02)compared to usual care.Conclusion:Interventions targeting multiple lifestyle components achieved greater reductions in children's BMI and BFP.Among single-component approaches,physical activity engagement emerged as the most effective.These findings should guide practitioners in recommending comprehensive lifestyle modifications for children.Moreover,children with higher initial BMI and body fat levels tend to exhibit more positive responses to lifestyle interventions aimed at managing obesity.
