Intervencije mZdravstva za smanjenje fizičke neaktivnosti i sjedilačkog ponašanja kod djece i adolescenata: sistematski pregled i meta-analiza randomiziranih kontroliranih ispitivanja.
JMIR mHealth and uHealth
Sažetak istraživanja
Pozadina Djeca i adolescenti sve više ne ispunjavaju preporuke za fizičku aktivnost (PA). Stoga su nedovoljno PA (IPA) i sjedilačko ponašanje (SB) među djecom i adolescentima relevantni domeni promjene ponašanja za korištenje individualiziranih mobilnih zdravstvenih (mHealth) intervencija.
Cilj Ovaj pregled i metaanaliza istraživali su efikasnost intervencija mHealth na IPA i SB, sa posebnim fokusom na uzrast i nivo individualizacije.
Metode PubMed, Scopus, Web of Science, SPORTDiscus i Cochrane Library su pretražene za randomizirane kontrolirane studije objavljene između januara 2000. i marta 2021. Uključene su mHealth intervencije za primarnu prevenciju kod djece i adolescenata koje se bave promjenom ponašanja u vezi sa IPA i SB. Uključene studije su upoređene za karakteristike sadržaja i metodološki kvalitet i sažete narativno. Osim toga, izvršena je meta-analiza s naknadnom istraživačkom meta-regresijom koja ispituje umjerene efekte starosti i individualizacije na ukupnu efikasnost.
Rezultati Na osnovu kriterijuma uključivanja, 1,3% (11/828) preliminarnih studija uključeno je u kvalitativnu sintezu, a 1,2% (10/828) je uključeno u metaanalizu. Ispitivanja su uključivala ukupno 1515 učesnika (srednja starost (11,69, SD 0,788 godina; 65% muškaraca i 35% žena) samoprocenjivanih (3/11, 27%) ili zdravstvenih podataka merenih uređajima (8/11, 73%) o trajanju SB i IPA za prosečno smanjenje nivoa individualnih studija od 9,6 nedelja (SD značajno smanjenje od 9,6 studija). nedovoljni nivoi PA (Cohen d=0,33; 95% CI 0,08-0,58; Z=2,55; P=,01), dok oni sa niskim nivoom individualizacije (Cohen d=-0,06; 95% CI -0,32 do 0,20; Z=0,48; CO= 0,63% ili ciljanje; 1.63) CI -0,01 do 0,23, Z=1,08) je ukazalo da nije bilo značajnog efekta u studijama, a utvrđene su značajne razlike u podgrupama (χ 2 1 = 4,0; P= 0,04, a rezultati nisu bili značajni). Zaključci. Dokazi sugeriraju da intervencije mHealtha za djecu i adolescente mogu potaknuti umjereno smanjenje IPA-e, ali ne i SB. umjereno, ovi nalazi ukazuju na relevantnost individualizacije s jedne strane i na poteškoće u smanjenju SB korištenjem mHealth intervencija s druge strane.
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mHealth Interventions to Reduce Physical Inactivity and Sedentary Behavior in Children and Adolescents: Systematic Review and Meta-analysis of Randomized Controlled Trials.
Background Children and adolescents increasingly do not meet physical activity (PA) recommendations. Hence, insufficient PA (IPA) and sedentary behavior (SB) among children and adolescents are relevant behavior change domains for using individualized mobile health (mHealth) interventions.
Objective This review and meta-analysis investigated the effectiveness of mHealth interventions on IPA and SB, with a special focus on the age and level of individualization.
Methods PubMed, Scopus, Web of Science, SPORTDiscus, and Cochrane Library were searched for randomized controlled trials published between January 2000 and March 2021. mHealth interventions for primary prevention in children and adolescents addressing behavior change related to IPA and SB were included. Included studies were compared for content characteristics and methodological quality and summarized narratively. In addition, a meta-analysis with a subsequent exploratory meta-regression examining the moderating effects of age and individualization on overall effectiveness was performed.
Results On the basis of the inclusion criteria, 1.3% (11/828) of the preliminary identified studies were included in the qualitative synthesis, and 1.2% (10/828) were included in the meta-analysis. Trials included a total of 1515 participants (mean age (11.69, SD 0.788 years; 65% male and 35% female) self-reported (3/11, 27%) or device-measured (8/11, 73%) health data on the duration of SB and IPA for an average of 9.3 (SD 5.6) weeks. Studies with high levels of individualization significantly decreased insufficient PA levels (Cohen d=0.33; 95% CI 0.08-0.58; Z=2.55; P=.01), whereas those with low levels of individualization (Cohen d=-0.06; 95% CI -0.32 to 0.20; Z=0.48; P=.63) or targeting SB (Cohen d=-0.11; 95% CI -0.01 to 0.23; Z=1.73; P=.08) indicated no overall significant effect. The heterogeneity of the studies was moderate to low, and significant subgroup differences were found between trials with high and low levels of individualization (χ 2 1 =4.0; P=.04; I 2 =75.2%). Age as a moderator variable showed a small effect; however, the results were not significant, which might have been because of being underpowered.
Conclusions Evidence suggests that mHealth interventions for children and adolescents can foster moderate reductions in IPA but not SB. Moreover, individualized mHealth interventions to reduce IPA seem to be more effective for adolescents than for children. Although, to date, only a few mHealth studies have addressed inactive and sedentary young people, and their quality of evidence is moderate, these findings indicate the relevance of individualization on the one hand and the difficulties in reducing SB using mHealth interventions on the other. Trial registration PROSPERO CRD42020209417; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=209417.
Izvorni podaci
- DOI
- 10.2196/35920
- PMID
- 35544294
- PMCID
- PMC9133983
- Provjereno
- 2026-07-26
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