段婷婷，尚延平，姚宝瑞，姚伟，杜伟，杨高辉，姚敏，罗瑞德，李彦平- 2012da - 2021/2/22 TI -基于电子健康的多种健康行为改变干预对非传染性疾病患者身体活动、健康饮食和体重的影响:系统评价和荟萃分析KW -系统评价KW -荟萃分析KW -非传染性疾病KW -多种健康行为改变KW -体重相关KW -身体活动KW -健康饮食KW - eHealth AB -背景:全球范围内，非传染性疾病(ncd)与过早死亡负担和巨额医疗费用相关。越来越多的研究将多种健康行为改变(MHBC)干预模式与电子健康方法结合起来，共同促进非传染性疾病患者体重相关的健康行为;然而，缺乏对这些研究的全面总结。目的:本综述旨在荟萃分析改善非传染性疾病患者身体活动、健康饮食和体重结局的相关干预研究的有效性，并系统总结其特点。方法:按照PRISMA指南，系统检索4个电子数据库(PsycINFO、PubMed、Scopus、SPORTDiscus)，根据一系列纳入和排除标准筛选出符合条件的文章。文章选择、质量评估和数据提取由2位作者独立完成。计算标准化平均差(SMD)以评估3个干预结果(身体活动、健康饮食和体重)的干预效果，并对性别、年龄、干预持续时间、渠道和理论进行亚组分析。进行计算，并在SPSS 22和Review Manager 5.3中生成数据。结果:在系统检索产生的664个原始hits中，纳入了15个中等到高质量的符合条件的研究。 No potential publication bias was detected using statistical analyses. Studies varied in intervention channel, intensity, and content. The meta-analysis revealed that the eHealth MHBC interventions significantly promoted physical activity (SMD 0.85, 95% CI 0.23 to 1.47, P=.008) and healthy diet (SMD 0.78, 95% CI 0.13 to 1.43, P=.02), but did not contribute to a healthy weight status (SMD –0.13, 95% CI= –0.47 to 0.20, P=.43) among people with NCDs, compared to the control conditions. Results from subgroup analysis indicated that theory-based interventions achieved greater effect than nontheory-based interventions in promoting physical activity, and interventions with traditional approaches (SMS, telephone) were more effective than those with modern internet-based approaches in promoting healthy diet. Conclusions: The results of this review indicates that eHealth MHBC interventions achieve preliminary success in promoting physical activity and healthy diet behaviors among people with NCD. Future studies could improve the intervention design to achieve better intervention effectiveness. Trial Registration: PROSPERO International Prospective Register of Systematic Reviews CRD42019118629; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=118629 SN - 1438-8871 UR - //www.mybigtv.com/2021/2/e23786 UR - https://doi.org/10.2196/23786 UR - http://www.ncbi.nlm.nih.gov/pubmed/33616534 DO - 10.2196/23786 ID - info:doi/10.2196/23786 ER -