School-based obesity interventions: A literature review
School-based obesity interventions: A literature review
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DOI：
10.1111/j.1746-1561.2008.00285.x
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发表时间：
2008-04-01
影响因子：
2.2
通讯作者：
Wang, Jingshu
中科院分区：
文献类型：
--
作者：
Shaya, Fadia T.;Flores, David;Wang, Jingshu
背景：儿童肥胖症是一种迫在眉睫的流行病。本文概述了在学校环境中进行的不同干预措施，以指导儿童肥胖的有效管理，从而最大限度地减少成人肥胖和相关心血管风险。方法：在PubMed和奥维德Medline数据库中检索学校-1986年6月至2006年6月，对7 - 19岁儿童和青少年进行基于肥胖干预的人体测量。研究进行了审查的持续时间，类型的干预，并确定定性和定量的措施，导致产量51干预studies.RESULTS：干预措施的长度从4周到8个连续多年。总共有15项干预研究专门利用体育活动计划，16项研究专门利用教育模式和行为矫正策略，20项研究同时利用两者。此外，31项研究仅使用体重指数和腰臀比等定量变量来衡量干预计划的有效性，另有20项研究使用定量和定性测量相结合的方法，包括自我报告的身体活动和对身体活动的态度以及营养，心血管健康和身体健康的测试知识。共有40项研究取得了积极的统计学显着的结果之间的基线和后续的定量measurements.CONCLUSIONS：没有持久的积极结果，减少学龄儿童肥胖已被观察到。特别需要对短期干预措施的定量和定性测量进行长期跟踪研究。
BACKGROUND: Childhood obesity is an impending epidemic. This article is an overview of different interventions conducted in school settings so as to guide efforts for an effective management of obesity in children, thus minimizing the risk of adult obesity and related cardiovascular risk.METHODS: PubMed and OVID Medline databases were searched for school-based obesity interventions with anthropometric measures in children and adolescents between the ages of 7 and 19 years from June 1986 to June 2006. Studies were reviewed by duration, type of intervention, and defined qualitative and quantitative measures, resulting in a yield of 51 intervention studies.RESULTS: The interventions ranged from 4 weeks in length to as long as 8 continuing years. In total, 15 of the intervention studies exclusively utilized physical activity programs, 16 studies exclusively utilized educational models and behavior modification strategies, and 20 studies utilized both. In addition, 31 studies utilized exclusively quantitative variables like body mass indices and waist-to-hip ratios to measure the efficacy of the intervention programs, and another 20 studies utilized a combination of quantitative and qualitative measures that included self-reported physical activity and attitude toward physical activity and the tested knowledge of nutrition, cardiovascular health, and physical fitness. A total of 40 studies achieved positive statistically significant results between the baseline and the follow-up quantitative measurements.CONCLUSIONS: No persistence of positive results in reducing obesity in school-age children has been observed. Studies employing long-term follow-up of quantitative and qualitative measurements of short-term interventions in particular are warranted.