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Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis

OBJECTIVE: To investigate the effect of multiple eHealth-delivered lifestyle interventions on obesity-related anthropometric outcomes in children and adolescents. METHODS: The Medline (via PubMed), Embase, Cochrane Library, Web of Science, CBM, VIP, CNKI, and Wanfang electronic databases were system...

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Autores principales: Qiu, Li-Ting, Sun, Gui-Xiang, Li, Ling, Zhang, Ji-Dong, Wang, Dan, Fan, Bo-Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491112/
https://www.ncbi.nlm.nih.gov/pubmed/36157474
http://dx.doi.org/10.3389/fendo.2022.999702
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author Qiu, Li-Ting
Sun, Gui-Xiang
Li, Ling
Zhang, Ji-Dong
Wang, Dan
Fan, Bo-Yan
author_facet Qiu, Li-Ting
Sun, Gui-Xiang
Li, Ling
Zhang, Ji-Dong
Wang, Dan
Fan, Bo-Yan
author_sort Qiu, Li-Ting
collection PubMed
description OBJECTIVE: To investigate the effect of multiple eHealth-delivered lifestyle interventions on obesity-related anthropometric outcomes in children and adolescents. METHODS: The Medline (via PubMed), Embase, Cochrane Library, Web of Science, CBM, VIP, CNKI, and Wanfang electronic databases were systematically searched from their inception to March 18, 2022, for randomized controlled trials (RCTs). Meta-analyses were performed to investigate the effect of multiple eHealth-delivered lifestyle interventions on obesity-related anthropometric outcomes (body mass index [BMI], BMI Z-score, waist circumference, body weight, and body fat%). Two independent investigators reviewed the studies for accuracy and completeness. All included studies were evaluated using the Cochrane Risk-of-Bias (ROB) Tool. RESULTS: Forty trials comprising 6,403 patients were selected for the meta-analysis. The eligible trials were published from 2006 to 2022. Compared with the control group, the eHealth-intervention group was more effective in reducing BMI (weighted mean difference [WMD] = −0.32, 95% confidence interval [CI]: −0.50 to −0.13, I(2) = 85.9%), BMI Z-score (WMD = −0.08, 95% CI: −0.14 to −0.03, I(2) = 89.1%), waist circumference (WMD = −0.87, 95% CI: −1.70 to −0.04, I(2) = 43.3%), body weight (WMD = −0.96, 95% CI: −1.55 to −0.37, I(2) = 0.0%), and body fat% (WMD = −0.59, 95% CI: −1.08 to −0.10, I(2) = 0.0%). The subgroup analysis showed that parental or school involvement (WMD = −0.66, 95% CI: −0.98 to −0.34), eHealth-intervention duration of >12 weeks (WMD = −0.67, 95% CI: −0.96 to −0.38), and mobile-based interventions (WMD = −0.78, 95% CI: −1.13 to −0.43) had a significantly greater intervention effect size on BMI. CONCLUSIONS: This review recommends that multiple eHealth-delivered lifestyle strategies may be useful for preventing or treating overweight and obesity among children and adolescents. However, our results should be cautiously interpreted due to certain limitations in our study.
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spelling pubmed-94911122022-09-22 Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis Qiu, Li-Ting Sun, Gui-Xiang Li, Ling Zhang, Ji-Dong Wang, Dan Fan, Bo-Yan Front Endocrinol (Lausanne) Endocrinology OBJECTIVE: To investigate the effect of multiple eHealth-delivered lifestyle interventions on obesity-related anthropometric outcomes in children and adolescents. METHODS: The Medline (via PubMed), Embase, Cochrane Library, Web of Science, CBM, VIP, CNKI, and Wanfang electronic databases were systematically searched from their inception to March 18, 2022, for randomized controlled trials (RCTs). Meta-analyses were performed to investigate the effect of multiple eHealth-delivered lifestyle interventions on obesity-related anthropometric outcomes (body mass index [BMI], BMI Z-score, waist circumference, body weight, and body fat%). Two independent investigators reviewed the studies for accuracy and completeness. All included studies were evaluated using the Cochrane Risk-of-Bias (ROB) Tool. RESULTS: Forty trials comprising 6,403 patients were selected for the meta-analysis. The eligible trials were published from 2006 to 2022. Compared with the control group, the eHealth-intervention group was more effective in reducing BMI (weighted mean difference [WMD] = −0.32, 95% confidence interval [CI]: −0.50 to −0.13, I(2) = 85.9%), BMI Z-score (WMD = −0.08, 95% CI: −0.14 to −0.03, I(2) = 89.1%), waist circumference (WMD = −0.87, 95% CI: −1.70 to −0.04, I(2) = 43.3%), body weight (WMD = −0.96, 95% CI: −1.55 to −0.37, I(2) = 0.0%), and body fat% (WMD = −0.59, 95% CI: −1.08 to −0.10, I(2) = 0.0%). The subgroup analysis showed that parental or school involvement (WMD = −0.66, 95% CI: −0.98 to −0.34), eHealth-intervention duration of >12 weeks (WMD = −0.67, 95% CI: −0.96 to −0.38), and mobile-based interventions (WMD = −0.78, 95% CI: −1.13 to −0.43) had a significantly greater intervention effect size on BMI. CONCLUSIONS: This review recommends that multiple eHealth-delivered lifestyle strategies may be useful for preventing or treating overweight and obesity among children and adolescents. However, our results should be cautiously interpreted due to certain limitations in our study. Frontiers Media S.A. 2022-09-05 /pmc/articles/PMC9491112/ /pubmed/36157474 http://dx.doi.org/10.3389/fendo.2022.999702 Text en Copyright © 2022 Qiu, Sun, Li, Zhang, Wang and Fan https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Qiu, Li-Ting
Sun, Gui-Xiang
Li, Ling
Zhang, Ji-Dong
Wang, Dan
Fan, Bo-Yan
Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title_full Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title_fullStr Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title_full_unstemmed Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title_short Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
title_sort effectiveness of multiple ehealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: a systematic review and meta-analysis
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491112/
https://www.ncbi.nlm.nih.gov/pubmed/36157474
http://dx.doi.org/10.3389/fendo.2022.999702
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