对于成年癌症患者，技术支持的自我指导的营养和身体活动干预:卡塔尔世界杯8强波胆分析系统综述%A Kiss,Nicole %A Baguley,Brenton James %A Ball,Kylie %A Daly,Robin M %A Fraser,Steve F %A Granger,Catherine L %A Ugalde,Anna %+澳大利亚吉隆迪肯大学身体活动和营养研究所，61 3 9246 8858,nicole.kiss@deakin.edu.au %K癌症%K饮食%K运动%K营养%K身体活动%K自我指导干预%K技术%D 2019 %7 12.02.2019 %9综述%J JMIR Mhealth Uhealth %G英语%X背景:营养和身体活动干预是癌症护理的重要组成部分。随着对服务的需求不断增加，在保持最佳结果的同时，需要考虑灵活、容易获得和量身定制的护理模式。目的:本系统综述描述和评价技术支持的自我指导营养和身体活动干预对癌症患者的疗效。方法:对1973年至2018年7月期间的多个数据库进行了系统搜索，检索了研究技术支持的自我指导营养和体育活动干预的随机和非随机试验。采用Cochrane偏倚风险工具评估偏倚风险。结果包括行为、健康、临床、卫生服务或财务措施。结果:共纳入16项随机对照试验，共计2684名受试者。大多数研究是基于网络的干预(n=9)，随访时间为12周(n=8)。 Seven studies assessed dietary behaviour, of which two reported a significant benefit on diet quality or fruit and vegetable intake. Fifteen studies measured physical activity behaviour, of which eight studies reported a significant improvement in muscle strength and moderate-to-vigorous physical activity. Four of the nine studies assessing the health-related quality of life (HRQoL) reported a significant improvement in global HRQoL or a domain subscale. A significant improvement in fatigue was found in four of six studies. Interpretation of findings was influenced by inadequate reporting of intervention description and compliance. Conclusions: This review identified short-term benefits of technology-supported self-guided interventions on the physical activity level and fatigue and some benefit on dietary behaviour and HRQoL in people with cancer. However, current literature demonstrates a lack of evidence for long-term benefit. Trial Registration: PROSPERO CRD42017080346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=80346 %M 30747720 %R 10.2196/12281 %U http://mhealth.www.mybigtv.com/2019/2/e12281/ %U https://doi.org/10.2196/12281 %U http://www.ncbi.nlm.nih.gov/pubmed/30747720