Interventions that prevent or reduce obesity in children from birth to five years of age: A systematic review.

Interventions that prevent or reduce obesity in children from birth to five years of age: A systematic review.
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预防或减少出生至5岁儿童肥胖的干预措施:一项系统性综述。

DOI:
10.1177/1367493520917863
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发表时间:
2021-06
期刊:
Journal of child health care : for professionals working with children in the hospital and community
影响因子:
--
通讯作者:
Simons J
Simons J
中科院分区:
其他
文献类型:
--
作者:
Narzisi K;Simons J

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全球儿童肥胖影响着5.6%,即3830万五岁以下儿童。儿童超重或肥胖的时间越长,他们就越有可能成为患有相关疾病的肥胖成年人。世界范围内已经开展了大量预防儿童肥胖的干预措施。本文报告了一项针对减少或预防五岁以下儿童肥胖干预措施的系统综述。检索是在六个不同的数据库中进行的:科学引文索引(Web of Science)、心理学信息数据库(PsycINFO)、考克兰图书馆(Cochrane)、美国国立医学图书馆生物医学信息检索系统(PubMed)、医学文献联机数据库(Medline)和护理及相关健康文献累积索引数据库(CINAHL)。符合纳入标准的研究使用乔安娜·布里格斯研究所(Joanna Briggs Institute)的方法进行了独立评估。纳入了涉及9个国家的23185名儿童的30项研究。其中22项是随机对照试验,8项是有对照的准实验前测/后测设计。这些研究分为四个不同类别:有家庭参与的家庭干预(n = 12)、学前/幼儿环境(n = 9)、多环境多成分干预(n = 6)以及医疗环境(n = 3)。未来的研究应侧重于提高贫困家庭获得饮食和体育活动教育的机会,以及提高预防儿童肥胖干预措施的文化可接受性。
Childhood obesity worldwide affects 5.6% or 38.3 million children under five years of age. The longer children are overweight or obese, the more likely they are to become obese adults with all the contingent morbidity involved. An extensive number of preventive interventions to combat childhood obesity have been carried out worldwide. This article reports a systematic review of interventions aimed to reducing or preventing obesity under-fives. The search was performed with six different databases: Web of Science, PsycINFO, Cochrane, PubMed, Medline, and CINAHL. Studies meeting the inclusion criteria were independently assessed using Joanna Briggs Institute methodology. Thirty studies involving 23,185 children across nine countries were included. Twenty-two were randomised controlled trials, and 8 quasi-experimental pretest/post-test design with comparison. These studies fell into four different categories: home-based interventions with family involvement (n = 12), preschool/early childhood settings (n = 9), multicomponent interventions across multiple settings (n = 6) and healthcare setting (n = 3). Future research should focus on increasing the accessibility of education on diet and physical activity for deprived families as well as the cultural acceptability of interventions to prevent childhood obesity.
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