Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index.
Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index.
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营养和体育活动随机对照试验在儿童保育中心进行了改善知识，政策和儿童体重指数。
DOI：
10.1186/1471-2458-14-215
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发表时间：
2014-03-01
影响因子：
4.5
通讯作者：
Kotch JB
中科院分区：
文献类型：
--
作者：
Alkon A;Crowley AA;Neelon SE;Hill S;Pan Y;Nguyen V;Rose R;Savage E;Forestieri N;Shipman L;Kotch JB
为了解决超重和肥胖学龄前儿童的公共卫生危机，儿童护理营养和身体活动自我评估（NAP SACC）干预措施由护士儿童护理健康顾问提供，目的是提高儿童护理提供者和父母的营养和身体活动知识，中心一级的营养和身体活动政策和实践，以及儿童的身体质量指数（BMI）。在加州、康涅狄格州和北卡罗来纳州的17个主要为低收入家庭服务的持牌儿童保育中心进行了一项为期7个月的随机对照试验，其中包括137名儿童保育提供者和552个3至5岁儿童种族和民族多样化的家庭。国家行动计划的儿童保健和营养咨询干预措施包括为儿童保育提供者和家长举办关于营养和体育活动的教育讲习班，以及由受过培训的儿童保育保健顾问护士提供的咨询访问。提供者和家长完成了人口特征和讲习班前后的知识调查。盲态研究助理审查每个中心的书面健康和安全政策，观察营养和体育活动的做法，并测量随机选择的儿童的营养摄入量，体育活动，身高和体重干预前后。分层线性模型和多元回归模型评估个人和中心层面的知识，政策，做法和年龄和性别特异性标准化体重指数（zBMI）的变化，控制状态，父母教育和贫困水平。结果显示，提供者和父母的营养和身体活动知识显着增加，中心层面的政策改善，以及基于干预和控制中心209名儿童在干预前后时间点的儿童zBMI的儿童水平变化。NAP SACC干预措施由经过培训的儿童保健专业人员（如儿童保健健康顾问）提供，增加了提供者的知识，改善了中心政策，并降低了儿童保健中心儿童的BMI。需要更多的卫生专业人员专门培训的营养和身体活动干预儿童保育，以帮助扭转肥胖症的流行。国家临床试验编号NCT 01921842
To address the public health crisis of overweight and obese preschool-age children, the Nutrition And Physical Activity Self Assessment for Child Care (NAP SACC) intervention was delivered by nurse child care health consultants with the objective of improving child care provider and parent nutrition and physical activity knowledge, center-level nutrition and physical activity policies and practices, and children’s body mass index (BMI). A seven-month randomized control trial was conducted in 17 licensed child care centers serving predominantly low income families in California, Connecticut, and North Carolina, including 137 child care providers and 552 families with racially and ethnically diverse children three to five years old. The NAP SACC intervention included educational workshops for child care providers and parents on nutrition and physical activity and consultation visits provided by trained nurse child care health consultants. Demographic characteristics and pre - and post-workshop knowledge surveys were completed by providers and parents. Blinded research assistants reviewed each center’s written health and safety policies, observed nutrition and physical activity practices, and measured randomly selected children’s nutritional intake, physical activity, and height and weight pre- and post-intervention. Hierarchical linear models and multiple regression models assessed individual- and center-level changes in knowledge, policies, practices and age- and sex-specific standardized body mass index (zBMI), controlling for state, parent education, and poverty level. Results showed significant increases in providers’ and parents’ knowledge of nutrition and physical activity, center-level improvements in policies, and child-level changes in children’s zBMI based on 209 children in the intervention and control centers at both pre- and post-intervention time points. The NAP SACC intervention, as delivered by trained child health professionals such as child care health consultants, increases provider knowledge, improves center policies, and lowers BMI for children in child care centers. More health professionals specifically trained in a nutrition and physical activity intervention in child care are needed to help reverse the obesity epidemic. National Clinical Trials Number NCT01921842
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影响因子：
3.1
作者：
Alkon, Abbey;Bernzweig, Jane;Mackie, Joanna F.
通讯作者：
Mackie, Joanna F.
影响因子：
1.9
作者：
Drummond, Rebecca L.;Staten, Lisa K.;Kaplan, Frances
通讯作者：
Kaplan, Frances
影响因子：
8
作者：
Brotman, Laurie Miller;Dawson-McClure, Spring;Ogedegbe, Gbenga
通讯作者：
Ogedegbe, Gbenga
DOI：
10.1001/archpediatrics.2010.267
发表时间：
2011-05-01
影响因子：
--
作者：
Copeland, Kristen A.;Sherman, Susan N.;Kalkwarf, Heidi J.
通讯作者：
Kalkwarf, Heidi J.
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.