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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9491112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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