摘要
目的系统评价移动健康类APP对减重的影响。方法计算机检索Web of Science、PubMed、CNKI、WanFang Data和CBM数据库,搜集移动健康类APP对超重或肥胖人群减重效果的随机对照试验(RCT),检索时限均为建库至2019年10月18日。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 5.3软件进行Meta分析。结果共纳入12个RCT,包括1 074例患者。Meta分析结果显示:APP组体质量[MD=-1.88,95%CI(-3.23,-0.53),P=0.006]降低更多,两组差异有统计学意义。APP组体质量指数(BMI)降低有优于对照组的趋势[MD=-0.55,95%CI(-1.09,0.00),P=0.05],但两组差异没有统计学意义。结论当前证据显示,使用APP干预可增强超重或肥胖人群的减重效果。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 efficacy of mobile health(mHealth)apps on weight loss.Methods Web of Science,PubMed,CNKI,WanFang Data and CBM databases were electronically searched to collect randomized controlled trials(RCTs)on the efficacy of mHealth APPs on weight loss from inception to October 18,2019.Two reviewers independently screened literature,extracted data and assessed risk of bias of included studies.Metaanalysis was then performed using RevMan 5.3 software.Results A total of 12 RCTs involving 1074 patients were included.The results of meta-analysis showed that the apps group was superior to the control group in body weight(MD=-1.88,95%CI-3.23 to-0.53,P=0.006).There was a decreasing trend of body mass index(BMI)in apps group(MD=-0.55,95%CI-1.09 to 0.00,P=0.05).Conclusions Current evidence shows that mHealth app can increase the efficacy of weight loss.Due to limited quality and quantity of the included studies,more highquality studies are required to verify above conclusions.
作者
汪昱彤
张溶
王强
金辉
WANG Yutong;ZHANG Rong;WANG Qiang;JIN Hui(School of Public Health,Southeast University,Nanjing 210009,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第6期688-694,共7页
Chinese Journal of Evidence-based Medicine
基金
江苏省研究生教育教学改革课题(编号:JGZZ17_006)
国家大学生创新训练计划(编号:201810286135)
东南大学重点教改项目(编号:2017-cxcy-050)
