一个随机临床试验:对学龄前儿童的行为干预对体重指数的变化的影响
Shari L Barkin1, William J Heerman2, Evan C Sommer2
1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
JAMA
|August 9, 2018
概括
一个36个月的干预没有改变孩子的体重指数 (BMI) 轨迹在服务不足的学龄前儿童. 然而, 它确实降低了热量摄入量并增加了社区中心的使用,
科学领域:
- 公共卫生
- 儿童医学
- 行为科学
背景情况:
- 儿童肥胖是服务不足的群体的一个关键问题,与更高的慢性疾病风险有关.
- 早期干预对于预防肥胖及其长期健康后果至关重要.
研究的目的:
- 评估36个月多组分行为干预对患肥胖风险的学龄前儿童的体重指数 (BMI) 增长轨迹的影响.
- 评估干预对贫困社区儿童健康行为的影响.
主要方法:
- 这是一项随机临床试验, 涉及到来自田纳西州纳什维尔的贫困社区的610对亲子.
- 干预组接受了为期36个月的以家庭为中心,以社区为中心的健康行为计划.
- 对照组接受了36个月的学校准备课程.
主要成果:
- 干预组和对照组之间在36个月内儿童BMI轨迹的初始结果没有显著差异 (P=. 39).
- 与对照组相比,干预组的平均热量摄入量显著降低 (-99.4 kcal/d;经校正的P=.003).
- 干预组的家长报告了他们与孩子一起使用社区中心的增加 (RR,1.29;修正P=.006).
结论:
- 在36个月的多组分行为干预中,未得到充分服务的学龄前儿童的BMI轨迹没有改变.
- 这项干预措施在减少热量摄入和增加社区中心利用方面表现出有效性.
- 需要进一步的研究来探索不同行为干预或在其他环境中的实施的有效性.
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