中国组织工程研究

中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (8): 1693-1704.doi: 10.12307/2025.242

• 组织构建循证医学 evidence-based medicine in tissue construction • 上一篇    下一篇

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

王艺达1，刘  君1，王晓玲1，王丽岩2，杨程茹1，张学晓3   

  1. 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
  • 收稿日期:2023-12-04 接受日期:2024-01-23 出版日期:2025-03-18 发布日期:2024-07-06
  • 通讯作者: 刘君，硕士，教授，硕士生导师，大连理工大学体育与健康学院，辽宁省大连市 116024
  • 作者简介:王艺达，男，1999年生，山西省临汾市人，汉族，大连理工大学在读硕士，主要从事数字健康及运动行为相关的研究。
  • 基金资助:
    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

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

Wang Yida1, Liu Jun1, Wang Xiaoling1, Wang Liyan2, Yang Chengru1, Zhang Xuexiao3   

  1. 1School of Sport and Health Sciences, Dalian University of Technology, Dalian 116024, Liaoning Province, China; 2College of Rehabilitation Science, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China; 3Graduate Student Affairs Department, Shenyang Sport University, Shenyang 110102, Liaoning Province, China
  • Received:2023-12-04 Accepted:2024-01-23 Online:2025-03-18 Published:2024-07-06
  • Contact: Liu Jun, Master, Professor, Master’s supervisor, School of Sport and Health Sciences, Dalian University of Technology, Dalian 116024, Liaoning Province, China
  • About author:Wang Yida, Master candidate, School of Sport and Health Sciences, Dalian University of Technology, Dalian 116024, Liaoning Province, China
  • Supported by:
    Liaoning Provincial Social Science Planning Fund Project, No. L22BTY002 (to LJ); Liaoning Province Sports Science Society Planning Project, No. 2022LTXH066 (to LJ)

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摘要：


文题释义：
可穿戴电子设备：可以作为植入物或配件佩戴在身上的电子装置，如可穿戴诊断器、活动追踪器和感官辅助工具等，可用于监测健康数据和辅助日常功能等。
身体活动：任何由骨骼肌引起的体力运动，包括各种强度和类型的运动。
久坐行为：长时间保持坐姿的活动，如坐着工作、看电视或使用电脑等，通常与低能量消耗相关。

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4 933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效果存在一定的局限性，未来仍需要更高质量、大样本的随机对照试验进一步验证。
https://orcid.org/0009-0002-1674-1228(王艺达)；https://orcid.org/0009-0006-1741-3188(刘君)

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

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

Abstract: 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 4 933 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 that short-term interventions (≤ 12 weeks) (SMD=0.11; 95% CI: 0.03 to 0.18; P=0.008), studies using pedometers worn at the waist or hip (SMD=0.10; 95% CI: 0.04 to 0.17; P=0.002), and experiments registered at clinical trial centers (SMD=0.11; 95% CI: 0.04 to 0.17; P=0.001) had a more significant effect on enhancing daily moderate to vigorous physical activity.
CONCLUSION: The current evidence suggests that interventions based on wearable electronic devices possess certain advantages in enhancing the daily moderate-to-vigorous physical activity of healthy adolescents. It is recommended that interventions not exceeding 12 weeks and utilizing pedometers positioned at the waist or hip may yield more favorable results. However, the effects of these interventions on daily step count, low-intensity physical activity, and sedentary behavior exhibit some limitations. Consequently, future investigations necessitate higher-quality, larger-scale randomized controlled trials for further validation.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: wearable electronic devices, healthy adolescents, moderate to vigorous physical activity, sedentary behavior, light physical activity, daily steps, randomized controlled trial, cluster randomized controlled trial, Meta-analysis

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