Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program
Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program
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DOI：
10.3945/ajcn.2009.28826
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发表时间：
2010-04-01
影响因子：
7.1
通讯作者：
Swinburn, Boyd A.
中科院分区：
文献类型：
--
作者：
de Silva-Sanigorski, Andrea M.;Bell, A. Colin;Swinburn, Boyd A.
背景资料：有越来越多的证据表明，以社区为基础的干预措施，可以减少儿童肥胖在大龄children.Objective：我们的目的是确定的Romp & Chomp干预在减少肥胖和促进健康饮食和积极发挥在0-5岁的儿童的有效性y.Design：Romp & Chomp是一个社区范围内，多设置，多策略干预在澳大利亚进行2004年至2008年。干预措施在一个大的区域城市（基隆）进行，目标群体为12 000名儿童，重点是社区能力建设和环境（政治、社会文化和物质）变化，以增加健康饮食和幼儿保育和教育环境中的积极游戏。评估是重复的横截面与准实验设计和比较样本。主要观察指标为体重指数（BMI）、标准化BMI（zBMI;根据疾病控制和预防中心2000年参考图表），以及2岁和3.5岁儿童超重/肥胖和肥胖相关行为的患病率。干预后，平均体重，BMI，在3.5岁的子样本中，与基线值相比，对照样本（差异为0.7个百分点; P < 0.05）的差异（分别为2.5和3.4个百分点）。干预组儿童行为数据显示，包装零食（0.23份）、果汁（0.52份）和饮料（0.43份）的摄入量显著低于对照组（P < 0.05）。结论：在儿童早期环境中实施社区范围的多环境、多策略干预可以减少儿童肥胖，改善幼儿饮食。本试验在澳大利亚临床试验注册中心（anzctr.org.au）注册为ACTRN 12607000374460。美国临床营养杂志2010; 91：831-40。
Background: There is growing evidence that community-based interventions can reduce childhood obesity in older children.Objective: We aimed to determine the effectiveness of the Romp & Chomp intervention in reducing obesity and promoting healthy eating and active play in children aged 0-5 y.Design: Romp & Chomp was a community-wide, multisetting, multistrategy intervention conducted in Australia from 2004 to 2008. The intervention occurred in a large regional city (Geelong) with a target group of 12,000 children and focused on community capacity building and environmental (political, sociocultural, and physical) changes to increase healthy eating and active play in early-childhood care and educational settings. The evaluation was repeat cross-sectional with a quasiexperimental design and comparison sample. Main outcome measures were body mass index (BMI), standardized BMI (zBMI; according to the Centers for Disease Control and Prevention 2000 reference charts), and prevalence of overweight/obesity and obesity-related behaviors in children aged 2 and 3.5 y.Results: After the intervention there was a significantly lower mean weight, BMI, and zBMI in the 3.5-y-old subsample and a significantly lower prevalence of overweight/obesity in both the 2- and 3.5-y-old subsamples (by 2.5 and 3.4 percentage points, respectively) than in the comparison sample (a difference of 0.7 percentage points; P < 0.05) compared with baseline values. Intervention child-behavioral data showed a significantly lower intake of packaged snacks (by 0.23 serving), fruit juice (0.52 serving), and cordial (0.43 serving) than that in the comparison sample (all P < 0.05).Conclusion: A community-wide multisetting, multistrategy intervention in early-childhood settings can reduce childhood obesity and improve young children's diets. This trial was registered with the Australian Clinical Trials Registry at anzctr.org.au as ACTRN12607000374460. Am J Clin Nutr 2010; 91: 831-40.