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Effectiveness of Mobile Applications Running on Smartphones to Promote Physical Activity: A Systematic Review with Meta-Analysis

机译:在智能手机上运行的移动应用程序促进身体活动的有效性:荟萃分析的系统评价

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摘要

Mobile applications reach a high number of individuals at low costs. This systematic review investigated the effectiveness of mobile application-based interventions to increase physical activity (PA) and self-efficacy and to decrease sedentarism. Randomized controlled trials (RCTs) and quasi-RCTs investigating the effect of PA interventions using an app compared to no intervention or traditional interventions were included. Pooled effects using the standardized mean difference (SMD) or the weighted mean difference (WMD) were calculated and the overall quality of the evidence was rated using the GRADE. Eleven studies were included. In the short term, pooled estimates showed a small and positive effect in the number of steps favoring interventions using a mobile app when compared with no interventions (WMD = 1579.04, 95%CI 454.04 to 2703.38) and with traditional interventions (WMD = 665.96, 95%CI 167.92 to 1164.00). For self-efficacy and at follow-up, results favoured traditional interventions (WMD = −8.20, 95%CI −14.25 to −2.15). Non-significant results were found for the remaining comparisons. The quality of the evidence ranged from very low to low. There is very low to low quality evidence that interventions using mobile apps running on smartphones, when combined with traditional interventions, are superior to traditional interventions in the short term. Further high-quality studies are required.
机译:移动应用程序以较低的成本吸引了大量个人。这篇系统的综述调查了基于移动应用程序的干预措施对增加体力活动(PA)和自我效能以及减少久坐感的有效性。相比于没有干预措施或传统干预措施的情况,包括了通过应用程序调查PA干预效果的随机对照试验(RCT)和准RCT。使用标准化均值差(SMD)或加权均值差(WMD)计算合并效应,并使用GRADE对证据的整体质量进行评级。包括十一项研究。在短期内,与没有干预措施(WMD = 1579.04,95%CI 454.04至2703.38)和传统干预措施(WMD = 665.96, 95%CI(167.92至1164.00)。对于自我效能感和随访,结果偏爱传统干预措施(WMD = -8.20,95%CI -14.25至-2.15)。对于其余的比较,未发现明显的结果。证据的质量从极低到极低。从极低质量到低质量的证据表明,与传统干预措施结合使用使用智能手机上运行的移动应用程序的干预措施在短期内要优于传统干预措施。需要进一步的高质量研究。

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