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mHealth technologies in the management of obesity: a narrative review

机译：肥胖管理中的移动医疗技术：叙事回顾

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The global pandemic of obesity requires an urgent response. Obesity results in increased risk of type 2 diabetes, cardiovascular disease and cancer. The need to provide cost-effective treatment to the millions affected is evident but traditional repeated individual face-to-face management would clearly exhaust available health care services. It is for this reason that the use of mobile health (mHealth) to improve population health, diet, and physical activity has become an active area of research. The aim of this review is to give a perspective of where this field of research currently stands using examples from the published literature. Smartphones provide a medium for the delivery of health information, personal coaching, monitoring of eating and physical activity behaviors and to integrate outputs from other sensors. Health and computer researchers have been developing and evaluating mHealth for the management of obesity but their efforts are relatively small. Text messaging, applications (apps) and a number of multicomponent mHealth programs utilizing a variety of Smartphone functions indicate some success in weight management but the results are mixed. Apart from the ubiquitous nature of Smartphones and devices, the real-time delivery of output data provides the potential for continuous adjustment of interventions according to the changes an individual is making after each message they receive from the mHealth program. This ability to optimize interventions for individual weight management in a timely fashion is the big challenge for researchers. Personalized heath advice is the preferred option of individuals, and cooperation between computer scientists, behavioral scientists, dietitians, exercise physiologists and medical practitioners will be needed to meaningfully integrate data and responses from automated systems. In summary, mHealth shows potential, but we are still in the early stages of being able to harness its full capabilities for making a meaningful contribution to combatting obesity.
机译：全球肥胖大流行需要紧急应对。肥胖导致2型糖尿病，心血管疾病和癌症的风险增加。向数百万受影响的人提供具有成本效益的治疗的需求显而易见，但是传统的重复个人面对面管理显然会耗尽可用的医疗保健服务。出于这个原因，使用移动健康（mHealth）改善人群健康，饮食和身体活动已成为研究的活跃领域。这篇综述的目的是使用已发表文献中的例子来提供一个关于这个研究领域目前立场的观点。智能手机提供了一种媒介，用于传递健康信息，进行个人指导，监测饮食和体育锻炼行为，并集成其他传感器的输出。健康和计算机研究人员一直在开发和评估mHealth来控制肥胖，但他们的努力相对较小。文本消息传递，应用程序（应用程序）和许多利用多种智能手机功能的多组件mHealth程序表明在体重管理方面取得了一些成功，但结果好坏参半。除了智能手机和设备的无处不在的特性，输出数据的实时传递还提供了根据个人从mHealth程序收到的每条消息后所做的更改来不断调整干预措施的潜力。及时为个体体重管理优化干预措施的能力对研究人员而言是巨大的挑战。个性化的健康建议是个人的首选，计算机科学家，行为科学家，营养师，运动生理学家和医学从业者之间的合作将需要有意义地整合自动化系统的数据和响应。总而言之，mHealth具有潜力，但我们仍处于利用其全部功能为对抗肥胖做出有意义贡献的早期阶段。

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