Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis.
Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis.
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基于家庭的儿童肥胖预防干预措施：系统评价和定量内容分析。
DOI：
10.1186/s12966-017-0571-2
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发表时间：
2017-08-24
期刊：
影响因子：
--
通讯作者：
Davison KK
中科院分区：
文献类型：
--
作者：
Ash T;Agaronov A;Young T;Aftosmes-Tobio A;Davison KK
为预防儿童肥胖，已经实施和测试了广泛的干预措施。考虑到父母对儿童能量平衡行为的影响和控制，包括饮食、身体活动、媒体使用和睡眠，家庭干预是这项工作的关键策略。本研究的目的是通过采用系统回顾和定量内容分析方法来确定知识库中的空白，概述最近以家庭为基础的儿童肥胖预防干预领域。采用综合检索策略，我们检索了PubMed、PsycIFO和CINAHL数据库，以确定2008年至2015年间发表的具有积极家庭成分的儿童肥胖预防干预措施。研究设计的特征、目标行为领域和样本人口统计数据使用综合代码本从符合条件的文章中提取。在119项符合条件的干预措施中，90%以上来自美国、欧洲或澳大利亚。大多数干预措施针对2-5岁儿童（43%）或6-10岁儿童（35%），很少有研究针对产前期（8%）或14-17岁儿童（7%）。家庭（28%）、初级卫生保健（27%）和社区（33%）是最常见的干预环境。饮食（90%）和身体活动（82%）比媒体使用（55%）和睡眠（20%）更经常成为干预措施的目标。只有16%的干预针对所有四个行为领域。除了在发展中国家进行的研究外，少数种族和非传统家庭的人数也不足。西班牙裔/拉丁裔和社会经济地位较低的家庭的比例很高。针对不同人群和饮食和身体活动以外的肥胖风险行为的干预措施数量有限，抑制了全面、量身定制的干预措施的发展。为了确保有广泛的证据基础，在发展中国家实施更多的干预措施，针对少数民族、年龄谱两端的儿童以及媒体和睡眠行为，将是有益的。这项研究可以帮助为未来的决策提供信息，围绕以家庭为基础的干预措施的设计和资金，以预防儿童肥胖。本文的在线版本（doi:10.1186/s12966-017- 0572 -2）包含补充材料，可供授权用户使用。
A wide range of interventions has been implemented and tested to prevent obesity in children. Given parents’ influence and control over children’s energy-balance behaviors, including diet, physical activity, media use, and sleep, family interventions are a key strategy in this effort. The objective of this study was to profile the field of recent family-based childhood obesity prevention interventions by employing systematic review and quantitative content analysis methods to identify gaps in the knowledge base. Using a comprehensive search strategy, we searched the PubMed, PsycIFO, and CINAHL databases to identify eligible interventions aimed at preventing childhood obesity with an active family component published between 2008 and 2015. Characteristics of study design, behavioral domains targeted, and sample demographics were extracted from eligible articles using a comprehensive codebook. More than 90% of the 119 eligible interventions were based in the United States, Europe, or Australia. Most interventions targeted children 2–5 years of age (43%) or 6–10 years of age (35%), with few studies targeting the prenatal period (8%) or children 14–17 years of age (7%). The home (28%), primary health care (27%), and community (33%) were the most common intervention settings. Diet (90%) and physical activity (82%) were more frequently targeted in interventions than media use (55%) and sleep (20%). Only 16% of interventions targeted all four behavioral domains. In addition to studies in developing countries, racial minorities and non-traditional families were also underrepresented. Hispanic/Latino and families of low socioeconomic status were highly represented. The limited number of interventions targeting diverse populations and obesity risk behaviors beyond diet and physical activity inhibit the development of comprehensive, tailored interventions. To ensure a broad evidence base, more interventions implemented in developing countries and targeting racial minorities, children at both ends of the age spectrum, and media and sleep behaviors would be beneficial. This study can help inform future decision-making around the design and funding of family-based interventions to prevent childhood obesity. The online version of this article (doi:10.1186/s12966-017-0571-2) contains supplementary material, which is available to authorized users.
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影响因子：
2.6
作者：
Birch, LL;Davison, KK
通讯作者：
Davison, KK
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
11.4
作者：
Gibson, Lisa Y.;Byrne, Susan M.;Zubrick, Stephen R.
通讯作者：
Zubrick, Stephen R.
影响因子：
--
作者：
Golan, Moria
通讯作者：
Golan, Moria
DOI：
10.1001/archpedi.1996.02170290022003
发表时间：
1996-04-01
影响因子：
--
作者：
Gortmaker, SL;Must, A;Dietz, WH
通讯作者：
Dietz, WH