School-wide programs aimed at obesity among Latino youth in the United States: a review of the evidence.
School-wide programs aimed at obesity among Latino youth in the United States: a review of the evidence.
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DOI：
10.1111/josh.12144
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发表时间：
2014-04
期刊：
影响因子：
--
通讯作者：
Elder JP
中科院分区：
文献类型：
--
作者：
Holub CK;Lobelo F;Mehta SM;Sánchez Romero LM;Arredondo EM;Elder JP
在过去的30年里，儿童肥胖率增加了两倍，对拉丁裔儿童的影响尤为严重。从2003年到2006年，43.0%的墨西哥裔美国儿童被列为超重，而非西班牙裔白人的这一比例为36.9%。针对儿童的肥胖干预可以在学校环境中产生重大影响。我们对学校环境中以证据为基础的肥胖相关干预措施进行了系统回顾。纳入标准包括：研究中有50%或以上的拉丁裔儿童，并使用与肥胖相关的结果（如体重指数[BMI] z-score，体重，腰围和体脂）。大多数确定的研究都包括针对营养和身体活动的干预措施。最成功的干预措施是随机对照试验或准实验对照研究，在研究中执行限制很少；然而，总体结果喜忧参半。针对已经超重或肥胖的拉丁裔儿童的干预措施有很好的结果，但有效性的证据很少。这篇综述是第一次系统地收集基于证据的研究，旨在针对学校环境中与肥胖相关的干预措施，特别是针对拉丁裔儿童。考虑到所需证据的紧迫性和美国儿童肥胖的现状，审查的结果是有希望和及时的。
In the past 30 years, childhood obesity rates have tripled, disproportionately affecting Latino children. From 2003 to 2006, 43.0% of Mexican-American children were classified as overweight compared with 36.9% of non-Hispanic Whites. Obesity interventions targeting children can have a significant impact in the school setting. We conducted a systematic review of evidence-based, obesity-related interventions in the school setting. Inclusion criteria included: having 50% or more Latino children in the study, and usage of obesity-related outcomes (eg, body mass index [BMI] z-score, weight, and waist circumference, and body fat). The majority of identified studies included interventions that targeted both nutrition and physical activity. The most successful interventions were randomized, controlled trials or quasi-experimental controlled studies and had few limitations in execution in the study; however, overall results were mixed. There are promising results for interventions targeting Latino children who are already overweight or obese, but evidence of effectiveness is sparse. This review is the first to gather evidence-based research systematically aimed at obesity-related interventions in the school setting that are specifically focused on Latino children. Results of the review are promising and timely, given the exigency of the needed evidence, and the current state of childhood obesity in the United States.
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影响因子：
4.5
作者：
Lubans DR;Morgan PJ;Dewar D;Collins CE;Plotnikoff RC;Okely AD;Batterham MJ;Finn T;Callister R
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通讯作者：
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