A developmental cascade perspective of paediatric obesity: a conceptual model and scoping review.
A developmental cascade perspective of paediatric obesity: a conceptual model and scoping review.
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DOI：
10.1080/17437199.2018.1457450
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发表时间：
2018-09
影响因子：
9.8
通讯作者：
St George SM
中科院分区：
文献类型：
--
作者：
Smith JD;Egan KN;Montaño Z;Dawson-McClure S;Jake-Schoffman DE;Larson M;St George SM
考虑到预防肥胖所面临的巨大挑战，是时候重新概念化并改变我们研究儿童肥胖发展的方式了。发育级联模型指的是风险和保护因素的累积后果和扩散下游效应，为理解肥胖提供了一个纵向框架。这一观点阐明了跨生物心理社会领域和发展阶段的危险因素的积累如何推动个体走向肥胖。在本文中，我们使用理论驱动的模型构建方法和对已发表文献的回顾，提出了一个儿童肥胖的发育级联模型，重点关注近端生物心理社会影响（例如遗传、个人内部、家庭）。 2015 年 1 月和 2016 年 5 月进行的两阶段范围界定审查确定了 1315 项独特的研究； 310人进入最终评审。所提出的发展级联模型为测试具有多个干预变量和复杂纵向过程的假设级联提供了基础。此外，该模型通过解决看似相互矛盾的肥胖途径研究结果，为未来的研究提供信息，这些途径以前被认为是不同的（低自尊、食用含糖食物和睡眠不足导致肥胖），而这些发现实际上是随着时间的推移共同作用的过程（低自尊导致食用含糖食物，从而扰乱睡眠质量并导致肥胖）。此类调查的实证结果对于确定发育阶段和发育阶段内预防性干预的时机和具体目标具有非常丰富的信息。讨论了这种儿童肥胖级联模型对健康心理学以及发育和预防科学的影响。
Considering the vast ongoing challenge of preventing obesity, the time has come to reconceptualize and change the way we study the development of obesity in childhood. The developmental cascade model, which refers to the cumulative consequences and spreading downstream effects of risk and protective factors, offers a longitudinal framework for understanding obesity. This perspective elucidates the way an accumulation of risk factors, across and within biopsychosocial spheres and phases of development, can propel individuals toward obesity. In this article, we use a theory-driven model-building approach and a review of published literature to propose a developmental cascade model of pediatric obesity focused on proximal biopsychosocial influences (e.g., genetic, intrapersonal, familial). A two-stage scoping review conducted in January 2015 and May 2016 identified 1315 unique studies; 310 were included in the final review. The proposed developmental cascade model provides a basis for testing hypothesized cascades with multiple intervening variables and complex longitudinal processes. Moreover, the model informs future research by resolving seemingly contradictory findings on pathways to obesity previously thought to be distinct (low self-esteem, consuming sugary foods, and poor sleep cause obesity) that are actually processes working together over time (low self-esteem causes consumption of sugary foods which disrupts sleep quality and contributes to obesity). The resultant empirical findings of such inquiries are highly informative for identifying the timing and specific targets of preventive interventions across and within developmental phases. The implications of such a cascade model of pediatric obesity for health psychology and developmental and prevention sciences are discussed.
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影响因子：
24.8
作者：
Duncan GJ;Magnuson K;Votruba-Drzal E
通讯作者：
Votruba-Drzal E
影响因子：
4.6
作者：
Dodge KA;Greenberg MT;Malone PS;Conduct Problems Prevention Research Group
通讯作者：
Conduct Problems Prevention Research Group
影响因子：
3.1
作者：
Brown, CH;Liao, J
通讯作者：
Liao, J
影响因子：
8
作者：
Brotman, Laurie Miller;Dawson-McClure, Spring;Ogedegbe, Gbenga
通讯作者：
Ogedegbe, Gbenga
影响因子：
3.6
作者：
Denzer, C;Reithofer, E;Widhalm, K
通讯作者：
Widhalm, K