سامانه کنگره های دانشگاه علوم پزشکی و خدمات بهداشتی و درمانی آذربایجان غربی

صفحه اصلی / بیستمین همایش سالیانه بیماری های شایع گوارش و کبد کودکان ایران و دومین همایش بین المللی چاقی کودکان

The Efficacy of electronic- health interventions for the treatment of overweight or obesity in childhood and adolescents: a systematic review and meta-analysis

نویسندگان :

Elahe Molaei Moghbeli¹

1- دانشکده علوم پزشکی مراغه

کلمات کلیدی :

behaviour،narrative synthesis،digital technology،lifestyle interventions

چکیده :

Background and Aim: The aim of this systematic review and meta-analysis was to examine the Efficacy of electronic -health interventions for the treatment of childhood and adolescents with overweight or obesity. Methods: Databases were searched up to November 2024 Studies were randomised controlled trials where interventions were delivered via electronic -health (e.g. computers, tablets, smartphones, but not phone calls). Studies should target the treatment of overweight or obesity in childhood or their agent of changes and report BMI or BMI-z score. Results: A meta-analysis using a random-effects model was conducted. Nineteen studies met the inclusion criteria, and 60% were of high quality. The narrative review revealed variation in behaviour change strategies and modes of delivery. The pooled mean reduction in BMI or BMI z-score showed evidence for a non-zero effect (standardised mean difference = -0.31, 95% confidence interval -0.49 to -0.13), with moderately high heterogeneity between studies (I2 = 74%, p<0.001). Subgroup analysis revealed high heterogeneity in studies with a high or unclear risk of bias. Conclusions: electronic -health interventions can be effective in treating childhood and adolescents with overweight and obesity and should be considered by practitioners and policymakers. However, an understanding of the most effective and acceptable intervention components, long-term benefits and sustainability should be further studied.