Pediatric Obesity Prevention and Treatment Among Hispanics: A Systematic Review and Meta-Analysis.
Pediatric Obesity Prevention and Treatment Among Hispanics: A Systematic Review and Meta-Analysis.
复制标题
DOI：
10.1016/j.amepre.2021.10.003
复制
发表时间：
2022-03
影响因子：
5.5
通讯作者：
Dorcius DP
中科院分区：
文献类型：
--
作者：
St George SM;Kobayashi MA;Noriega Esquives BS;Ocasio MA;Wagstaff RG;Dorcius DP
在美国，西班牙裔儿童的肥胖率最高。目前还没有关于肥胖干预措施对西班牙裔青年的影响的荟萃分析。这项系统评价和荟萃分析评估了肥胖预防和治疗干预措施对西班牙裔青少年体重状况和生活方式行为的影响。 PubMed、PsycInfo 和 Scopus 的检索时间为 2000 年 1 月 1 日至 2020 年 10 月 30 日。纳入了 ≥50% 0-18 岁西班牙裔青少年的干预措施。使用加权逆方差程序，根据 Qtotal 检验统计量运行固定效应和随机效应模型以获得总体效应大小。 Hedges g 是针对多种与单一条件的研究分别计算基线和干预后之间的感兴趣结果。还检查了连续调节器和分类调节器。总共筛选了 1,103 篇文章，其中 117 篇纳入叙事综合，105 篇纳入荟萃分析（n=49,276 名青少年）。 RCT/准实验研究对 BMI 状态 (g= -0.15, SE=0.03, 95% CI= -0.20, -0.10)、腰围 (g= -0.15, SE=0.10, 95% CI= -0.35, -0.05)、体力活动 (g=0.12, SE=0.05, 95%) 的总体影响 CI=0.03, 0.22）、水果和蔬菜（g=0.08, SE=0.02, 95% CI=0.03, 0.12）和含糖饮料（g= -0.07, SE= 0.03, 95% CI= -0.13, -0.01）摄入量较小。干预效果因参与者的发展阶段、社会经济地位、研究背景和生活方式行为目标而异。除了制定更有影响力的干预措施来解决西班牙裔年轻人的肥胖问题外，研究结果还强调需要有针对性的政策和更容易传播的干预措施，这些干预措施可以在人群中传播微小的影响，从而最大限度地产生公共卫生影响。
Rates of pediatric obesity in the U.S. are highest among Hispanics. There is no existing meta-analysis of the effects of obesity interventions among Hispanic youth. This systematic review and meta-analysis assesses the effects of obesity prevention and treatment interventions on Hispanic youth’s weight status and lifestyle behaviors. PubMed, PsycInfo, and Scopus were searched between January 1, 2000 and October 30, 2020. Interventions with ≥50% Hispanic youth aged 0–18 years were included. Using a weighted inverse variance procedure, fixed effects and random effects models were run for an overall effect size based on the Qtotal test statistic. Hedges’ g was calculated for outcomes of interest between baseline and post-intervention separately for studies with multiple versus single conditions. Continuous and categorical moderators were also examined. A total of 1,103 articles were screened, of which 117 were included in the narrative synthesis and 105 in the meta-analysis (n=49,276 youth). The overall effects for RCT/quasi-experimental studies on BMI status (g= −0.15, SE=0.03, 95% CI= −0.20, −0.10), waist circumference (g= −0.15, SE=0.10, 95% CI= −0.35, −0.05), physical activity (g=0.12, SE=0.05, 95% CI=0.03, 0.22), fruit and vegetable (g=0.08, SE=0.02, 95% CI=0.03, 0.12), and sugar-sweetened beverage intake (g= −0.07, SE= 0.03, 95% CI= −0.13, −0.01) were small. Intervention effects varied by participant developmental stage, SES, study setting, and lifestyle behavior target. Beyond developing more impactful interventions to address obesity among Hispanic youth, findings highlight the need for targeted policies and more easily disseminable interventions that can spread small effects across a population for maximal public health impact.
登录
查看更多内容
干预措施以促进身体激活，改善婴儿的睡眠和反应喂养，以预防生命早期肥胖症，婴儿演员试验：基本原理和设计。
影响因子：
2.2
作者：
Campos M;Pomeroy J;Mays MH;Lopez A;Palacios C
通讯作者：
Palacios C
影响因子：
2.8
作者：
Gonzalez, Giulliana
通讯作者：
Gonzalez, Giulliana
DOI：
10.1111/josh.12144
发表时间：
2014-04
期刊：
The Journal of school health
影响因子：
--
作者：
Holub CK;Lobelo F;Mehta SM;Sánchez Romero LM;Arredondo EM;Elder JP
通讯作者：
Elder JP
影响因子：
2.6
作者：
Hannon, Bridget A.;Teran-Garcia, Margarita;Fiese, Barbara H.
通讯作者：
Fiese, Barbara H.
影响因子：
12.6
作者：
Goetz, Friedrich M.;Gosling, Samuel D.;Rentfrow, Peter J.
通讯作者：
Rentfrow, Peter J.