Evidence for interventions to prevent and control obesity among children and adolescents: its applicability to India.
Evidence for interventions to prevent and control obesity among children and adolescents: its applicability to India.
复制标题
预防和控制儿童和青少年肥胖的干预措施的证据：其对印度的适用性。
DOI：
10.1007/s12098-012-0881-y
复制
发表时间：
2013
影响因子：
4.3
通讯作者：
Cunningham,SolveigA
中科院分区：
文献类型：
--
作者：
Sreevatsava,Meghana;Narayan,KMVenkat;Cunningham,SolveigA
儿童肥胖症在全球范围内呈上升趋势，其在低收入和中等收入国家的患病率不断上升是众所周知的。肥胖干预措施有可能预防不良健康后果；然而，关于此类干预措施的有效性和可持续性的研究和知识仍然存在巨大差距。本文的目的是回顾预防和控制儿童和青少年肥胖的干预措施的证据，评估其在印度的适用性，并讨论维持此类干预措施所面临的挑战。作者回顾了已发表的关注儿童肥胖干预措施的研究，特别是在印度和其他资源匮乏的国家。回顾了 9 项观察性研究和 10 项干预性研究。大多数研究都来自发达国家，并在日托机构、学校和课后项目中进行。十九项报告的研究分为几类：饮食 (2)、体力活动 (4)、儿童保育计划 (2)、基于媒体的计划 (2)、家长参与 (2)、多成分研究 (1) 和屏幕时间 (6)。大多数干预措施可以有效降低体重指数、减少久坐行为和增加体力活动。没有评估这些干预措施的可持续性。虽然没有一种方法或简单的干预措施可以解决肥胖问题，但涉及家庭和学校环境的多成分方法很有前景，值得在印度进行评估。然而，关于印度和资源匮乏国家的肥胖预防和控制的文献却很少。应通过在印度进行研究并采取干预措施来确定哪些策略将在当地取得成功和可持续，从而解决现有的肥胖知识差距。
Childhood obesity is on the rise worldwide and its increasing prevalence in low and middle income countries is well-known. Obesity interventions have the potential to prevent adverse health outcomes; however, large gaps in research and knowledge about the efficacy and sustainability of such interventions remain. The objectives of this article were to review the evidence for interventions to prevent and control obesity among children and adolescents, evaluate their applicability in India, and discuss the challenges to sustain such interventions. The authors reviewed published research focusing on childhood obesity interventions, especially in India and other lower-resource countries. Nine observational and 10 interventional studies were reviewed. Most studies identified were from developed countries and took place at day-care settings, schools, and after school programs. Nineteen reported studies were grouped into categories: diet (2), physical activity (4), childcare programs (2), media-based programs (2), parental involvement (2), multi-component studies (1), and screen time (6). Most interventions were effective in reducing BMI, decreasing sedentary behaviors, and increasing physical activity. Sustainability of these interventions was not evaluated. While there is no one method or simple intervention to address obesity, multi-component approaches involving home and school environments are promising and warrant evaluation in India. Literature on obesity prevention and control in India and in lower-resource countries, however, is sparse. Existing gaps in knowledge about obesity should be addressed by conducting research in India and carrying out interventions to determine what strategies will be successful and sustainable locally.