Systematic review of randomised controlled trials of interventions that aim to reduce the risk, either directly or indirectly, of overweight and obesity in infancy and early childhood.
Systematic review of randomised controlled trials of interventions that aim to reduce the risk, either directly or indirectly, of overweight and obesity in infancy and early childhood.
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DOI：
10.1111/mcn.12184
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发表时间：
2016-01
影响因子：
3.4
通讯作者：
Glazebrook C
中科院分区：
文献类型：
--
作者：
Redsell SA;Edmonds B;Swift JA;Siriwardena AN;Weng S;Nathan D;Glazebrook C
儿童超重和肥胖的风险因素是已知的，可以在产前或婴儿期确定，但是，大多数有效的干预措施是为年龄较大的儿童设计的。该综述确定了旨在降低产前或出生后2年内超重/肥胖风险的干预措施，并报告了从出生到7岁的结局。检索了6个电子数据库中1990年1月至2013年9月发表的报告干预措施随机对照试验的论文。共确定了35项合格研究，描述了27项独特的试验，其中24项为行为试验，3项为非行为试验。24项行为试验按干预类型分类：（1）针对婴儿父母的营养和/或响应性喂养干预，改善了喂养实践并对儿童体重产生了一定影响（n = 12）;（2）母乳喂养促进和母亲的哺乳支持，对母乳喂养有积极影响，但对儿童体重没有影响（n = 5）;（3）养育和家庭生活方式（n = 4）;（4）孕产妇健康（n = 3）干预措施对喂养方式有一定影响，但对儿童体重无影响。非行为试验包括操纵配方奶成分的干预措施（n = 3）。其中，低/水解蛋白配方奶对体重结果有积极影响。旨在改善饮食和父母对婴儿线索的反应的干预措施在自我报告的行为变化方面表现出最大的希望。尽管存在已知的风险因素，但很少有针对孕妇的干预研究在婴儿期继续进行，这应该是未来研究的优先事项。
The risk factors for childhood overweight and obesity are known and can be identified antenatally or during infancy, however, the majority of effective interventions are designed for older children. This review identified interventions designed to reduce the risk of overweight/obesity that were delivered antenatally or during the first 2 years of life, with outcomes reported from birth to 7 years of age. Six electronic databases were searched for papers reporting randomised controlled trials of interventions published from January 1990 to September 2013. A total of 35 eligible studies were identified, describing 27 unique trials of which 24 were behavioural and three were non‐behavioural. The 24 behavioural trials were categorised by type of intervention: (1) nutritional and/or responsive feeding interventions targeted at parents of infants, which improved feeding practices and had some impact on child weight (n = 12); (2) breastfeeding promotion and lactation support for mothers, which had a positive effect on breastfeeding but not child weight (n = 5); (3) parenting and family lifestyle (n = 4); and (4) maternal health (n = 3) interventions that had some impact on feeding practices but not child weight. The non‐behavioural trials comprised interventions manipulating formula milk composition (n = 3). Of these, lower/hydrolysed protein formula milk had a positive effect on weight outcomes. Interventions that aim to improve diet and parental responsiveness to infant cues showed most promise in terms of self‐reported behavioural change. Despite the known risk factors, there were very few intervention studies for pregnant women that continue during infancy which should be a priority for future research.
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影响因子：
8
作者：
Campbell, Karen J.;Lioret, Sandrine;Hesketh, Kylie D.
通讯作者：
Hesketh, Kylie D.
影响因子：
3.8
作者：
Agrasada, GV;Gustafsson, J;Ewald, U
通讯作者：
Ewald, U
影响因子：
1.8
作者：
Fewtrell, M S;Kennedy, K;Lucas, A
通讯作者：
Lucas, A
影响因子：
7.1
作者：
Hauner, Hans;Much, Daniela;Amann-Gassner, Ulrike
通讯作者：
Amann-Gassner, Ulrike
影响因子：
168.9
作者：
Bhandari, N;Bahl, R;Bhan, MK
通讯作者：
Bhan, MK