移动健康干预对超重和肥胖孕妇妊娠期体重增加和身体活动的影响：随机对照试验的荟萃分析

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-30 DOI:10.1016/j.midw.2025.104399

Yanti Puspita Sari , Hermalinda Herman , Lili Fajria , Yelly Herien , Evi Susanti , Chung-Ying Lin

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引用次数: 0

摘要

目的探讨移动健康对超重和肥胖孕妇孕期体重增加和身体活动的影响。方法检索EMBASE、MEDLINE （Ovid）、CINAHL EBSCOhost、COCHRANE Library、ScienceDirect和谷歌Scholar 6个数据库。文献检索从开始到2024年11月初进行。研究对象是被诊断为肥胖或超重的孕妇。这些干预措施涉及移动保健（m-Health）战略，包括移动或智能手机应用程序、短信、可穿戴设备、远程保健平台和各种其他数字通信方法。该研究特别报告了妊娠期体重增加和身体活动，或其中一个结果。仅纳入随机对照试验（RCTs）。采用Cochrane偏倚风险评估对研究质量进行评价。使用Review Manager 5程序进行随机效应和标准平均差（SMD）分析。结果纳入14项随机对照试验，共纳入4371名受试者。目前的荟萃分析发现，移动健康对超重和肥胖孕妇的妊娠期体重增加有轻微的负面影响，smd =-0.18, 95% CI [-0.32, -0.04], I2: 64%。特别是，移动健康对身体活动没有显著影响，smd = 0.13, 95% CI [-0.06, 0.31], I2= 74%。结论健康app对超重肥胖孕妇的体重控制有较好的效果。然而，这似乎对身体活动没有显著影响。至关重要的是，要对移动医疗干预措施进行修改，以解决怀孕期间体育锻炼计划中的差距。

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The impact of m-health interventions on gestational weight gain and physical activity among pregnant women with overweight and obesity: A meta-analysis of randomized controlled trials

Objective

To determine the effects of m-health on gestational weight gain and physical activity during pregnancy among pregnant women with overweight and obesity.

Methods

Six databases were searched: EMBASE, MEDLINE (Ovid), CINAHL EBSCOhost, COCHRANE Library, ScienceDirect and Google Scholar. The literature search was conducted from inception to early November 2024. The population of the study was pregnant women diagnosed as obese or overweight. The interventions involve mobile health (m-Health) strategies, including mobile or smartphone applications, text messaging, wearable devices, telehealth platforms, and various other digital communication methods. The study specifically reported gestational weight gain and physical activity, or one of the outcomes. Only randomised controlled trials (RCTs) were included. The study's quality was evaluated using the Cochrane risk of bias assessment. The effect was analyzed using the Review Manager 5 program with random effect and standard mean difference (SMD).

Results

Fourteen RCTs were included, involving 4371 participants. The current meta-analysis found that m-health had a small negative effect on gestational weight gain among pregnant women with overweight and obesity, with SMDs=-0.18, 95 % CI [-0.32, -0.04], I²: 64 %. Particularly, m-health had no significant effects on physical activity, with: SMDs= 0.13, 95 % CI [-0.06, 0.31], I²= 74 %.

Conclusions

M-health apps are effective for weight control among pregnant women with overweight and obesity. However, it seems not to be significant on physical activity. It is crucial to make modifications to m-health interventions to address gaps in physical exercise programs during pregnancy.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.