BMI Measurement in Schools
BMI Measurement in Schools
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DOI：
10.1542/peds.2008-3586l
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发表时间：
2009-09-01
期刊：
影响因子：
8
通讯作者：
Grummer-Strawn, Larry
中科院分区：
文献类型：
--
作者：
Nihiser, Allison J.;Lee, Sarah M.;Grummer-Strawn, Larry
背景与目的：以学校为基础的BMI测量作为解决青少年肥胖的潜在方法已经引起了全国的关注。然而，人们对它在改变肥胖率或影响肥胖的相关体育活动和饮食行为方面的影响或有效性知之甚少。本文描述了当前的bmi测量程序和实践、研究和专家建议，并提供了实现这种方法的指导。方法：广泛检索与bmi测量计划相关的科学文章、立场声明和当前州立法。撰写了一篇文献和政策综述，并提交给一个专家小组。该小组由公共卫生、教育、学校咨询、学校医疗保健和育儿方面的专家组成，对本文进行了审查并提供了专门知识。结果：以学校为基础的bmi测量项目是为了监测或筛选目的而进行的。13个州正在按照立法要求实施以学校为基础的bmi测量项目。很少有研究评估这些项目在预防肥胖增加方面的效用，或者这些项目可能对青少年及其家庭的体重相关知识、态度和行为产生的影响。通常，专家组织支持以学校为基础的BMI监测；然而，关于筛选存在争议。目前，BMI筛查并不符合美国儿科学会（American Academy of Pediatrics）确定是否应在学校实施特定健康状况筛查的所有标准。结论：开展bmi测量项目的学校应坚持保障措施，以最大限度地减少潜在危害，最大限度地提高效益，为各种体型的学生建立安全和支持性的环境，并实施以科学为基础的策略，促进体育活动和健康饮食。儿科2009;124: S89-S97
BACKGROUND AND OBJECTIVE: School-based BMI measurement has attracted attention across the nation as a potential approach to address obesity among youth. However, little is known about its impact or effectiveness in changing obesity rates or related physical activity and dietary behaviors that influence obesity. This article describes current BMI-measurement programs and practices, research, and expert recommendations and provides guidance on implementing such an approach.METHODS: An extensive search for scientific articles, position statements, and current state legislation related to BMI-measurement programs was conducted. A literature and policy review was written and presented to a panel of experts. This panel, comprising experts in public health, education, school counseling, school medical care, and parenting, reviewed and provided expertise on this article.RESULTS: School-based BMI-measurement programs are conducted for surveillance or screening purposes. Thirteen states are implementing school-based BMI-measurement programs as required by legislation. Few studies exist that assess the utility of these programs in preventing increases in obesity or the effects these programs may have on weight-related knowledge, attitudes, and behaviors of youth and their families. Typically, expert organizations support school-based BMI surveillance; however, controversy exists over screening. BMI screening does not currently meet all of the American Academy of Pediatrics' criteria for determining whether screening for specific health conditions should be implemented in schools.CONCLUSION: Schools initiating BMI-measurement programs should adhere to safeguards to minimize potential harms and maximize benefits, establish a safe and supportive environment for students of all body sizes, and implement science-based strategies to promote physical activity and healthy eating. Pediatrics 2009;124:S89-S97