基于可穿戴电子设备干预对健康青少年身体活动和久坐行为影响的Meta分析  

Effects of wearable electronic device-based interventions on physical activity and sedentary behavior in healthy adolescents:a meta-analysis

作　　者：王艺达 刘君[1] 王晓玲[1] 王丽岩 杨程茹 张学晓 Wang Yida;Liu Jun;Wang Xiaoling;Wang Liyan;Yang Chengru;Zhang Xuexiao(School of Sport and Health Sciences,Dalian University of Technology,Dalian 116024,Liaoning Province,China;College of Rehabilitation Science,Shanghai University of Medicine and Health Sciences,Shanghai 201318,China;Graduate Student Affairs Department,Shenyang Sport University,Shenyang 110102,Liaoning Province,China)

机构地区：[1]大连理工大学体育与健康学院,辽宁省大连市116024 [2]上海健康医学院康复学院,上海市201318 [3]沈阳体育学院研究生工作部,辽宁省沈阳市110102

出　　处：《中国组织工程研究》2025年第8期1693-1704,共12页Chinese Journal of Tissue Engineering Research

基　　金：辽宁省社会科学规划基金项目(L22BTY002),项目负责人:刘君;辽宁省体育科学学会规划课题(2022LTXH066),项目负责人:刘君。

摘　　要：目的:虽然可穿戴电子设备作为干预工具在增进身体活动方面展现出潜在效用,但关于其对健康青少年群体具体效果的全面评估仍显不足。为此,文章系统地探索和总结基于可穿戴电子设备的干预对健康青少年身体活动及久坐行为的影响,以期为公共卫生实践提供更精准和可靠的循证支持。方法:从Web of Science,PubMed,Scopus,The Cochrane Library和EBSCO数据库中检索关于可穿戴电子设备的干预对健康青少年身体活动和久坐行为影响的随机对照试验。利用RevMan 5.4和Stata 17软件进行Meta分析,通过标准化均数差评价干预对身体活动及久坐行为的效果。为确保研究结果的稳健性,采用Leave-One-Out方法进行敏感性分析,并通过亚组分析深入探究不同因素对结果的可能影响。该方案已在国际系统综述前瞻性注册中心注册(CRD42023406645)。结果:①最终纳入12篇文献,其中包含3项随机对照试验和9项整群随机对照试验,共纳入4933名健康青少年对象。②Meta分析结果发现,基于可穿戴电子设备的干预对中高强度身体活动产生了积极影响(SMD=0.10,95%CI:0.04-0.17;P<0.05),然而,该干预未能显著改善低强度身体活动(SMD=-0.15,95%CI:-0.32-0.02;P>0.05)、每日步数(SMD=0.13,95%CI:-0.65-0.91;P>0.05)和久坐行为(SMD=0.00,95%CI:-0.09-0.09;P>0.05)。③亚组分析结果表明,短期(≤12周)干预(SMD=0.11,95%CI:0.03-0.18;P=0.008)、佩戴在腰或臀部的计步器的研究(SMD=0.10,95%CI:0.04-0.17;P=0.002),以及在临床注册中心注册的试验(SMD=0.11,95%CI:0.04-0.17;P=0.001)对提升每日中高强度身体活动的效果更为显著。结论:当前证据表明,基于可穿戴电子设备的干预措施在提升健康青少年每日中高强度身体活动方面具有一定优势;建议通过不超过12周的干预时间、使用腰部或臀部计步器的干预设备以获得更好的促进效果;然而,每日步数、低强度身体活动以及久坐行为的干预�OBJECTIVE:Although wearable electronic devices have demonstrated potential utility as intervention tools to enhance physical activity,comprehensive evaluations of their specific effects on the healthy adolescent population remain scarce.Consequently,this article aims to systematically explore and summarize the impact of interventions based on wearable electronic devices on the physical activity and sedentary behavior of healthy adolescents,thereby providing more precise and reliable evidence-based support for public health practices.METHODS:Randomized controlled trials assessing the effects of wearable electronic device-based interventions on the physical activity and sedentary behavior of healthy adolescents were retrieved from databases including Web of Science,PubMed,Scopus,The Cochrane Library,and EBSCO.Meta-analysis was conducted using Review Manager 5.4 and Stata 17,evaluating the effects of interventions on physical activity and sedentary behavior through the standardized mean difference.To ensure the robustness of the research findings,a Leave-One-Out sensitivity analysis was conducted,and subgroup analyses were carried out to explore the potential influence of different factors on the results.The review protocol was registered with the International Prospective Register of Systematic Reviews(CRD42023406645).RESULTS:(1)Twelve publications were ultimately included,consisting of three randomized controlled trials and nine cluster-randomized controlled trials,involving a total of 4933 healthy adolescents.(2)Meta-analysis results revealed that interventions based on wearable electronic devices had a positive effect on moderate to vigorous physical activity[standardized mean difference(SMD)=0.10;95%confidence interval(CI):0.04 to 0.17;P<0.05).However,the interventions did not significantly improve low-intensity physical activity(SMD=-0.15;95%CI:-0.32 to 0.02;P>0.05),daily step count(SMD=0.13;95%CI:-0.65 to 0.91;P>0.05),and sedentary behavior(SMD=0.00;95%CI:-0.09 to 0.09;P>0.05).(3)Subgroup analyses indicated t

关 键 词：可穿戴电子设备 健康青少年 中高强度身体活动 久坐行为 低强度身体活动 每日步数 随机对照试验 整群随机对照试验 META分析 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R319