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The efficacy of electronic health interventions targeting improved sleep for achieving prevention of weight gain in adolescents and young to middle-aged adults: A systematic review.
Obesity Reviews ( IF 8.0 ) Pub Date : 2020-02-10 , DOI: 10.1111/obr.13006
Margaret Allman-Farinelli 1 , Juliana Chen 1 , Guillaume Chevance 2 , Stephanie R Partridge 1 , Luke Gemming 1 , Kevin Patrick 2 , Job G Godino 2
Affiliation  

Sleep is emerging as a modifiable risk factor in counteracting harmful weight gain. Electronic and mobile devices offer a channel for wide‐reaching intervention delivery. This systematic review aimed to determine the efficacy of interventions that included sleep behaviour as part of health promotion for preventing weight gain. Seven databases were searched from 1 January 2000 until 28 June 2019. Eligible studies were controlled trials of weight gain prevention programs that addressed sleep in healthy participants aged 13 to 44 years of age. The primary outcome was change in measured or self‐reported weight. From 824 publications located, only six eligible trials with a total of 3,277 participants were identified and all addressed multiple behaviours. One study demonstrated a decrease in weight for the intervention group, and two other studies showed a decreased prevalence of overweight and obesity. Only one trial showed improved sleep duration but failed to show differences in weight. No definitive conclusions concerning the efficacy of electronic weight gain prevention interventions that include sleep can be made, but future trials should provide more detail about intervention techniques used, employ objective sleep and physical activity measures and undertake mediation analysis to judge the contributions of changes in sleep to study outcomes. PROSPERO REGISTRATION: CRD42019121879.

中文翻译:

一项针对青少年的电子健康干预措施的功效,旨在改善青少年和中青年成年人的体重增长:一项系统综述。

睡眠正逐渐成为抵消有害体重增加的一种可改变的危险因素。电子和移动设备为广泛的干预提供渠道。这项系统的审查旨在确定包括睡眠行为在内的干预措施的有效性,这些行为是健康促进预防体重增加的一部分。从2000年1月1日至2019年6月28日,检索了七个数据库。符合条件的研究为体重增加预防计划的对照试验,该计划针对13至44岁的健康参与者的睡眠。主要结果是体重或自我报告的体重变化。从找到的824种出版物中,仅鉴定出6项合格试验,共有3277名参与者,并且所有试验均涉及多种行为。一项研究表明,干预组的体重减轻了,另外两项研究表明,超重和肥胖的患病率有所降低。只有一项试验显示改善了睡眠时间,但未显示出体重差异。关于包括睡眠在内的预防体重增加的电子干预措施的功效尚无确切结论,但未来的试验应提供有关所用干预技术的更多详细信息,采用客观睡眠和身体活动措施,并进行中介分析以判断睡眠变化的贡献研究结果。PROSPERO注册:CRD42019121879。但未来的试验应提供有关所用干预技术的更多详细信息,采用客观的睡眠和身体活动措施,并进行中介分析,以判断睡眠变化对研究结果的影响。PROSPERO注册:CRD42019121879。但未来的试验应提供有关所用干预技术的更多详细信息,采用客观的睡眠和身体活动措施,并进行中介分析,以判断睡眠变化对研究结果的影响。PROSPERO注册:CRD42019121879。
更新日期:2020-02-10
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