Two-year follow-up results for hip-hop to health Jr.: A randomized controlled trial for overweight prevention in preschool minority children
Two-year follow-up results for hip-hop to health Jr.: A randomized controlled trial for overweight prevention in preschool minority children
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DOI：
10.1016/j.jpeds.2004.12.019
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发表时间：
2005-05-01
影响因子：
5.1
通讯作者：
Dyer, A
中科院分区：
文献类型：
--
作者：
Fitzgibbon, ML;Stolley, M;Dyer, A
目的 评估文化背景下的饮食/体力活动干预对体重指数 (BMI) (kg/m(2)) 变化的影响。研究设计 1999 年 9 月至 2002 年 6 月在伊利诺伊州芝加哥市的 12 个 Head Start 学前项目中进行的随机对照试验 (Hip-Hop to Health Jr.)。结果 1 年随访时，与对照组儿童相比，干预儿童的 BMI 增幅明显较小，为 0.06对比 0.59 千克/米(2)；差值-0.53 kg/m(2)（95% Cl -0.91 至 -0.14），P = .01； 2 年随访时，分别为 0.54 与 1.08 kg/m(2)；差异 -0.54 kg/m(2)（95%，Cl -0.98 至 -0.10），P =.02，调整基线年龄和 BMI。干预组儿童和对照组儿童在食物摄入量/体力活动方面唯一显着差异是第一年的饱和脂肪卡路里百分比差异，分别为 11.6% 和 12.8% (P = 0.002)。 结论 Hip-Hop to Health Jr. 可有效减少学龄前儿童随后的 BMI 增加。这是预防学龄前少数民族儿童超重的一种有前景的方法。
Objectives To assess the impact of a culturally proficient dietary/physical activity intervention on changes in body mass index (BMI) (kg/m(2)).Study design Randomized controlled trial (Hip-Hop to Health Jr.) conducted between September 1999 and June 2002 in 12 Head Start preschool programs in Chicago, Illinois.Results Intervention children had significantly smaller increases in BMI compared with con trol children at 1-year follow-up, 0.06 vs 0.59 kg/m(2); difference -0.53 kg/m(2) (95% Cl -0.91 to -0.14), P = .01; and at 2-year follow-up, 0.54 vs 1.08 kg/m(2); difference -0.54 kg/m(2) (95%, Cl -0.98 to -0.10), P =.02, with adjustment for baseline age and BMI. The only significant difference between intervention and control children in food intake/physical activity was the Year 1. difference in percent of calories from saturated fat, 11.6% vs 12.8% (P =.002).Conclusions Hip-Hop to Health Jr. was effective in reducing subsequent increases in BMI in preschool children. This represents a promising approach to prevention of overweight among minority children in the preschool years.