“三减”主题倡导下的中国居民全民健康生活方式行动行为效果的Meta分析

Meta-analysis of the behavioral effects of national healthy lifestyle actions among Chinese residents advocated by the theme of‘three reductions’

目的:评价中国居民开展全民健康生活方式行动的效果。方法:计算机检索2007年9月1日—2021年12月31日公开发表于Web of Science,PubMed,the Cochrane Library及中国知网、维普、万方和中国生物医学文献数据库关于中国居民全民健康生活方式行动的相关文献,采用Cochrane风险偏倚风险评估工具、ROBINS-I偏倚风险评估工具对文献进行质量评价,并应用RevMan 5.3软件进行Meta分析。结果:共纳入6篇文献,其中4篇随机对照试验,2篇非随机对照试验。Meta分析结果显示,全民健康生活方式行动可使居民自觉控制食盐摄入率[RR=2.00,95%CI(1.53~2.61),Z=5.07,P<0.00001]、自觉控制油摄入率[RR=2.51,95%CI(1.76~3.60),Z=5.04,P<0.00001],并可提高限盐勺使用率[RR=2.11,95%CI(1.61~2.75),Z=5.47,P<0.00001]、控油壶使用率[RR=2.33,95%CI(1.74~3.12),Z=5.70,P<0.00001]。结论:现有证据表明,全民健康生活方式行动可以提高中国居民自觉控制食盐、油摄入的持有率以及限盐勺和控油壶的使用率。

Objective:To evaluate the effectiveness of a national healthy lifestyle initiative among Chinese residents since its inception.Methods:A computerized search was conducted from September 1th,2007 to December 31th in 2021,for literature related to the national healthy lifestyle initiative among Chinese residents published in Web of Science,PubMed,the Cochrane Library,China Knowledge Network,Vipshop,Wanfang and China Biomedical Literature Database.The Cochrane Risk of Bias Assessment Tool and ROBINS-I Risk of Bias Assessment Tool were used to evaluate the quality of the literature,and Meta-analysis was performed using RevMan 5.3 software.Results:A total of six papers were included,four randomized controlled trials and two non-randomized controlled trials,and the results of Meta-analysis showed that a national healthy lifestyle initiative could increase the rate of conscious control of salt in-take[RR=2.00,95%CI(1.53~2.61),Z=5.07,P<0.00001],conscious control of oil intake[RR=2.51,95%CI(1.76~3.60),Z=5.04,P<0.00001],salt-limiting spoon use[RR=2.11,95%CI(1.61~2.75),Z=5.47,P<0.00001],and oil-control jug use[RR=2.33,95%CI(1.74~3.12),Z=5.70,P<0.00001].Conclusion:Available evidence suggests that a national healthy lifestyle initiative can increase the rate of ownership of consciously controlled salt and oil intake,as well as the rate of use of salt-restricted spoons and oil-control pots among Chinese residents.