Characteristics of Effective Interventions Promoting Healthy Eating for Pre-Schoolers in Childcare Settings: An Umbrella Review.
Characteristics of Effective Interventions Promoting Healthy Eating for Pre-Schoolers in Childcare Settings: An Umbrella Review.
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DOI：
10.3390/nu10030293
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发表时间：
2018-03-01
期刊：
影响因子：
5.9
通讯作者：
Coveney J
中科院分区：
文献类型：
--
作者：
Matwiejczyk L;Mehta K;Scott J;Tonkin E;Coveney J
幼儿教育和护理（ECEC）环境通过提供儿童养成这些行为的情境环境，在塑造儿童饮食习惯方面发挥着关键作用。本研究对(1)干预措施促进2-5岁儿童健康饮食的有效性进行了系统评价；(2)与促进健康饮食有关的干预特征；(3)关于儿童保健政策和做法的建议。在10个数据库中使用标准化搜索策略对系统评价进行了伞式审查。使用经过验证的关键评估和数据提取工具检查了12个系统评价。儿童的膳食食物摄入量和食物选择受到显著影响。预防肥胖的干预措施并没有显著改变儿童的人体测量值，结果好坏参半。如果干预措施是多成分的，针对身体活动和饮食，针对个人层面和环境层面的决定因素，并让父母参与进来，证据就更有说服力。积极的结果主要是由研究人员/外部专家促成的，如果没有这种支持，这些结果在ECEC提供者在中心实施时无法复制。将专家主导的干预措施转化为实践，需要进一步探索实施的驱动因素和障碍。根据审查的证据，提出建议，为儿童健康指导的做法和政策提供信息。
Early Childhood Education and Care (ECEC) settings have a pivotal role in shaping children’s dietary food habits by providing the contextual environment within which they develop these behaviours. This study examines systematic reviews for (1) the effectiveness of interventions to promote healthy eating in children aged 2–5 years attending centre-based childcare; (2) intervention characteristics which are associated with promoting healthy eating and; (3) recommendations for child-health policies and practices. An Umbrella review of systematic reviews was undertaken using a standardized search strategy in ten databases. Twelve systematic reviews were examined using validated critical appraisal and data extraction tools. Children’s dietary food intake and food choices were significantly influenced. Interventions to prevent obesity did not significantly change children’s anthropometric measures or had mixed results. Evidence was more convincing if interventions were multi-component, addressed physical activity and diet, targeted individual-level and environmental-level determinants and engaged parents. Positive outcomes were mostly facilitated by researchers/external experts and these results were not replicated when implemented in centres by ECEC providers without this support. The translation of expert-led interventions into practice warrants further exploration of implementation drivers and barriers. Based on the evidence reviewed, recommendations are made to inform child-health directed practices and policies.
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影响因子：
6.4
作者：
Birch, Leann L.;Anzman, Stephanie L.
通讯作者：
Anzman, Stephanie L.
影响因子：
6.3
作者：
Bayer, Otmar;von Kries, Ruediger;Koletzko, Berthold V.
通讯作者：
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DOI：
10.1111/j.1365-2753.2006.00790.x
发表时间：
2007-12-01
影响因子：
2.4
作者：
Connelly, James B.
通讯作者：
Connelly, James B.
影响因子：
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作者：
Bastian H;Glasziou P;Chalmers I
通讯作者：
Chalmers I
影响因子：
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作者：
Bandura, A
通讯作者：
Bandura, A