A2 Katsausartikkeli tieteellisessä aikausilehdessä
The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis (2022)
Lahtio, H., Rintala, A., Immonen, J., & Sjögren, T. (2022). The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis. Journal of Medical Internet Research, 24(3), Article e25906. https://doi.org/10.2196/25906
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Lahtio, Heli; Rintala, Aki; Immonen, Jaakko; Sjögren, Tuulikki
Lehti tai sarja: Journal of Medical Internet Research
ISSN: 1439-4456
eISSN: 1438-8871
Julkaisuvuosi: 2022
Ilmestymispäivä: 24.03.2022
Volyymi: 24
Lehden numero: 3
Artikkelinumero: e25906
Kustantaja: JMIR Publications Inc.
Julkaisumaa: Saksa
Julkaisun kieli: englanti
DOI: https://doi.org/10.2196/25906
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/81082
Tiivistelmä
Overweight and obesity are major problems worldwide, and they lead to an increased risk for several diseases. The use of technology in the treatment of obesity is promising, but in the existing literature, there is considerable uncertainty regarding its efficacy. In this review, we included web- and mobile-based weight loss interventions that were implemented remotely in rehabilitation settings.
Objective:
The aim of this systematic review is to study the effectiveness of physical activity-promoting web- and mobile-based distance weight loss interventions in rehabilitation settings on body composition in comparison with control groups that did not use technology.
Methods:
Studies were searched from 9 databases. The inclusion criteria were as follows: population: age 18-65 years; intervention: physical activity-promoting web- and mobile-based distance weight loss interventions; comparison: control groups without the use of technology; outcome: changes in BMI, waist circumference, or body fat percentage; study design: randomized controlled trial. The quality of the studies was assessed by 2 researchers. Meta-analysis was performed, and we also conducted a meta-regression analysis to evaluate the factors associated with the changes in body composition outcomes if statistical heterogeneity was observed.
Results:
The meta-analysis included 30 studies. The mean quality of the studies was 7 of 13 (SD 1.9; range 3-10). A statistically significant difference was observed in BMI (mean difference [MD] 0.83, 95% CI 0.51-1.15 kg/m2; P<.001), waist circumference (MD 2.45, 95% CI 1.83-3.07 cm; P<.001), and body fat percentage (MD 1.07%, 95% CI 0.74%-1.41%; P<.001) in favor of the weight loss groups using web- or mobile-based interventions. Meta-regression analyses found an association between personal feedback and BMI (P=.04), but other factors did not play a role in explaining statistical heterogeneity.
Conclusions:
Web- and mobile-based distance weight loss interventions significantly reduced BMI, waist circumference, and body fat percentage. Future studies should focus on the comparability of the intervention content. Future studies are needed to better understand weight loss and identify which components are essential in achieving it.
Trial Registration:
PROSPERO CRD42016035831; https://tinyurl.com/7c93tvd4
YSO-asiasanat: lihavuus; ylipaino; painonhallinta; painoindeksi; rasvaprosentti; laihdutus; kuntoutus; liikunta; fyysinen aktiivisuus; terveysvaikutukset; terveyden edistäminen; teknologia; verkkopalvelut; mobiilipalvelut; maailmanlaajuiset ongelmat
Vapaat asiasanat: technology; weight loss; rehabilitation; overweight; obesity; body mass index; waist circumference; body fat percentage; mobile phone
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2022
JUFO-taso: 2
