Factors influencing obesogenic dietary intake in young children (0-6 years): systematic review of qualitative evidence.
Factors influencing obesogenic dietary intake in young children (0-6 years): systematic review of qualitative evidence.
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DOI：
10.1136/bmjopen-2014-007396
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发表时间：
2015-09-16
期刊：
影响因子：
2.9
通讯作者：
Lakshman R
中科院分区：
文献类型：
--
作者：
Mazarello Paes V;Ong KK;Lakshman R
致胖饮食摄入在幼儿中很普遍，与儿童期和以后生活中的肥胖和其他不良健康结果有关。描述儿童早期致肥胖饮食摄入的障碍和促进因素，以便为预防肥胖的干预措施和公共卫生政策提供信息。关于0-6岁儿童致肥胖饮食影响因素的定性文献的系统综述。 MEDLINE、EMBASE、CINAHL、PsycINFO、Web of Knowledge、British Nursing Index、ASSIA和Sociological Abstracts。对符合纳入标准的定性研究进行了综合。通过创建一个以社会生态模型为基础的主题框架来分析数据，其中包括熟悉各项研究的数据、索引、制图、绘图和解释。来自美国（10），欧洲（6）和澳大利亚（4）的20项研究包括1067名参与者（901名父母/照顾者，37名儿童，87名教师，15名营养师和27名托儿所工作人员）的观点。研究设计包括焦点小组（n=16），个人访谈（n=6）和民族志（n=1），一些研究使用一种以上的设计。尽管研究背景和重点存在很大差异，但出现了几个一致的主题。增加幼儿肥胖饮食的父母因素是：消极的父母/家庭/同伴模型，缺乏知识，时间限制，使用食物作为奖励，负担能力和对儿童健康的关注。儿童偏好也增加了摄入量。增加摄入量的环境因素包括：可用性，广告，社会，文化和学前/儿童保育的影响。未来的干预战略应旨在促进树立积极行为的榜样，创造促进健康饮食的家庭和学前环境，同时针对家庭和学前/儿童保育层面的因素。本综述是关于幼儿致肥胖行为决定因素的一系列系统性综述之一，已在国际系统性综述前瞻性登记册（PROSPERO）注册，CRD 42012002881。
Obesogenic dietary intake is prevalent in young children and is associated with obesity and other adverse health outcomes in childhood and later in life. To describe the barriers to and facilitators of obesogenic dietary intake in early childhood, in order to inform interventions and public health policies to prevent obesity. Systematic review of qualitative literature on factors influencing obesogenic diets in children aged 0–6 years. MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Knowledge, British Nursing Index, ASSIA and Sociological Abstracts. Qualitative studies meeting the inclusion criteria were synthesised. Data were analysed by creating a thematic framework, underpinned by the socioecological model, which included familiarisation of data across the studies, indexing, charting, mapping and interpretation. 20 studies from the USA (10), Europe (6) and Australia (4) included the views of 1067 participants (901 parents/caregivers, 37 children, 87 teachers, 15 dieticians and 27 nursery staff). Study designs included focus groups (n=16), individual interviews (n=6) and ethnography (n=1) with some studies using more than one design. Despite wide differences in the study context and focus, several consistent themes emerged. Parental factors increasing young children's obesogenic diets were: negative parent/family/peer modelling, lack of knowledge, time constraints, using food as reward, affordability and concerns about child's health. Child preferences also increased intake. Environmental factors increasing intake include: availability, advertising, societal, cultural and preschool/childcare influences. Future intervention strategies should aim to promote modelling of positive behaviours, create home and preschool environments that promote healthy diets, and simultaneously target factors at the family and preschool/childcare levels. This review is one of a series of systematic reviews on the determinants of obesogenic behaviours in young children, registered with the International Prospective Register for Systematic Reviews (PROSPERO), CRD42012002881.