Strength of obesity prevention interventions in early care and education settings: A systematic review.
Strength of obesity prevention interventions in early care and education settings: A systematic review.
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早期护理和教育环境中肥胖预防干预措施的强度：系统评价。
DOI：
10.1016/j.ypmed.2016.09.033
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发表时间：
2017
影响因子：
5.1
通讯作者：
J. Sallis
中科院分区：
文献类型：
--
作者：
D. Ward;Emily B Welker;A. Choate;Kathryn E. Henderson;M. Lott;Alison Tovar;Amanda L. Wilson;J. Sallis
研究时间和地点：2010-2015年；国际研究鉴于幼儿肥胖率高、在家照看的儿童人数多，以及数据表明参加早期护理和教育与超重/肥胖之间的联系，在欧洲经委会环境中预防肥胖症至关重要。随着这一领域的进展，对一些干预措施进行了审查，但需要使用更复杂的分析来总结数据，以回答有关干预措施有效性的问题。我们对2010至2015年间发表的以中心为基础的欧洲经委会环境下的肥胖预防干预措施进行了系统审查。我们的目标是确定与成功的行为和人体测量结果相关的有前景的干预特征。严格的搜索策略导致43项干预措施符合纳入标准。我们制定了评估干预强度的编码策略，使用了经过验证的研究质量评估工具，并提供了有关干预的详细描述性信息(例如，目标行为、干预策略和交付方式)。干预强度与身体活动、饮食和综合干预的积极人体测量结果呈正相关，父母参与成分增加了这些关系的强度。研究质量与健康饮食结果的成功率有一定关系。干预强度与行为结果之间的关系对所有行为结果均呈负相关。干预强度的特定组成部分(干预策略的数量、策略的潜在影响、使用频率和干预持续时间)与一些人体测量学和父母参与结果相关。审查提供了初步证据，表明多组成部分、多层次、有父母参与的欧洲经委会干预措施最有可能对人体测量结果有效。
Time and place of study: 2010–2015; internationalGiven the high levels of obesity in young children, numbers of children in out-of-home care, and data suggesting a link between early care and education (ECE) participation and overweight/obesity, obesity prevention in ECE settings is critical. As the field has progressed, a number of interventions have been reviewed yet there is a need to summarize the data using more sophisticated analyses to answer questions on the effectiveness of interventions. We conducted a systematic review of obesity prevention interventions in center-based ECE settings published between 2010 and 2015. Our goal was to identify promising intervention characteristics associated with successful behavioral and anthropometric outcomes. A rigorous search strategy resulted in 43 interventions that met inclusion criteria. We developed a coding strategy to assess intervention strength, used a validated study quality assessment tool, and presented detailed descriptive information about interventions (e.g., target behaviors, intervention strategies, and mode of delivery). Intervention strength was positively correlated with reporting of positive anthropometric outcomes for physical activity, diet, and combined interventions, and parent engagement components increased the strength of these relationships. Study quality was modestly related to percent successful healthy eating outcomes. Relationships between intervention strength and behavioral outcomes demonstrated negative relationships for all behavioral outcomes. Specific components of intervention strength (number of intervention strategies, potential impact of strategies, frequency of use, and duration of intervention) were correlated with some of the anthropometric and parent engagement outcomes. The review provided tentative evidence that multi-component, multi-level ECE interventions with parental engagement are most likely to be effective with anthropometric outcomes.
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DOI：
10.1056/nejmoa1309753
发表时间：
2014-01-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cunningham SA;Kramer MR;Narayan KM
通讯作者：
Narayan KM
影响因子：
5.5
作者：
Blake-Lamb TL;Locks LM;Perkins ME;Woo Baidal JA;Cheng ER;Taveras EM
通讯作者：
Taveras EM
社会经济地位低下的非超重和超重西班牙裔儿童的营养充足性和饮食质量：Viva la Familia 研究。
影响因子：
--
作者：
Wilson,TheresaA;Adolph,AnneL;Butte,NancyF
通讯作者：
Butte,NancyF
影响因子：
7.1
作者：
Piernas, Carmen;Popkin, Barry M.
通讯作者：
Popkin, Barry M.