title: [The efficacy of e-health management on weight control in adolescents: a systematic review].
abstract: BACKGROUND
  Advances during the past decade have made it feasible to apply e-health methods to chronic disease management. Researchers have recently begun applying these methods to weight control. The application of e-health management methods to weight control in adolescents has yet to be investigated empirically.
  
  
  OBJECTIVE
  This study conducted a systematic review of reports discussing the weight-control effects of e-health management in adolescents.
  
  
  METHODS
  Researchers searched 6 electronic databases for relevant articles published between 1995 and April 2013. Data were collected using inclusion and exclusion criteria. A modified Jadad Scale was used to evaluate the quality of the identified articles.
  
  
  RESULTS
  Seven studies met the inclusion criterion of targeting adolescent subject populations. A total of 3728 adolescents and 1394 parents participated in these studies. The majority of participants were overweight girls and median participant ages ranged from 12.52 (SD = 3.15) to 15.31 (SD = 0.69). All studies reported that e-health management reduced body mass index and body fat percentage. Four studies indicate that e-health management may improve physical activity knowledge and skills. However, diet control outcomes among the seven studies varied.
  
  
  CONCLUSIONS
  Empirical results demonstrate that e-health management significantly affects weight control. However, the effectiveness of log-in versus primary outcome indicators was inconclusive. Future studies should consider the use of incentives, reminder systems, and other strategies to enhance website usage. The development of an Internet-based, computer-tailored weight-management intervention for overweight adolescents and the development of an appropriate care model are recommended.
authors: Department of Nursing, Chang Gung University Science and Technology, Taiwan, ROC.
authors: Mei-Chen
authors: MC
authors: Su
authors: Department of Nursing, Chang Gung University Science and Technology, Taiwan, ROC.
authors: Chia-Ling
authors: CL
authors: Lin
authors: College of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC. leeing.tsao@gmail.com.
authors: Lee-Ing
authors: LI
authors: Tsao
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D001835:Body Weight; D004032:Diet; D015444:Exercise; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D017216:Telemedicine
keywords: E-health management; adolescents; systematic review; weight control