Short- and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: A cluster-randomized trial
Short- and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: A cluster-randomized trial
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DOI：
10.1016/j.clnu.2009.01.001
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发表时间：
2009-04-01
影响因子：
6.3
通讯作者：
Koletzko, Berthold V.
中科院分区：
文献类型：
--
作者：
Bayer, Otmar;von Kries, Ruediger;Koletzko, Berthold V.
背景和目标：为了评估一个低成本的行为预防计划在学龄前setting.Methods的效果：在4个巴伐利亚州的64名儿童被随机分配为干预或控制在2：1的比例。在5.7 +/- 2.6和17.6 +/- 2.3个月入学健康检查中检查的1318和1340名儿童样本分析程序开始后的测量值（第一和第二样品的平均值+/-标准偏差）。主要结果指标是高水果和蔬菜消费的流行率，在父母问卷中评估的饮食习惯低高热量饮料消费，结果：该项目在6个月后已导致高水果和蔬菜消费的儿童比例增加，这是可持续的，18个月后的校正比值比为1.59（1.26：2.01）和1.48（1.08：2.03）。按性别、超重和父母教育进行亚组分析，以评估影响的一致性。显示了类似的结果。干预组和对照组的超重和肥胖患病率以及运动测试结果没有统计学差异。这种基于低成本环境的行为干预在干预开始后18个月对幼儿的水果和蔬菜消费产生了可持续的影响，并且在来自教育水平较低家庭的儿童的高风险群体中也显示出效果，和已经超重的儿童。(C)2009 Elsevier Ltd和欧洲临床营养与代谢学会。All rights reserved.
Background & aims: To assess the effects of a low cost behavioral prevention program in a preschool setting.Methods: 64 Kindergartens in 4 Bavarian regions were randomly assigned as intervention or controls in a 2:1 ratio. Samples of 1318 and 1340 children examined in the school entrance health examination at 5.7 +/- 2.6 and 17.6 +/- 2.3 months (mean +/- standard deviation for first and second sample) after the start of the program were analysed.Measurements: Main outcome measures were the prevalence of high fruit and vegetable consumption, Dietary habits low consumption of high caloric drinks assessed in parental questionnaires, overweight and obesity, and Behavior modification secondary, further dietary habits and results of motoric testing.Results: The program led to an increased proportion of children with high fruit and vegetable consumption already after 6 months, which was sustainable with adjusted odds ratios of 1.59 (1.26:2.01) and 1.48 (1.08:2.03) after 18 months. Subgroup analyses by gender, overweight and parental education, performed in order to assess consistency of effects. showed similar results. Prevalence of overweight and obesity as well as motoric testing results were not statistically different between intervention and control groups.Conclusion: This low cost setting based behavioral intervention achieved sustainable effects on fruit and vegetable consumption in young children 18 months after the start of the intervention and showed effects also in the high risk groups of children from families with lower education levels, and children already overweight. (C) 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.