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一个基于家庭的儿童肥胖预防计划的随机对照试验:"Abriendo Caminos"和BMI的影响
Margarita Teran-Garcia1, Amber J Hammons2, Norma Olvera3
1University of Illinois Extension, Division of Nutritional Sciences, Family Resilience Center, College of Agricultural, Consumer and Environmental Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Champaign, IL, United States.
Frontiers in pediatrics
|June 23, 2023
概括
这项研究评估了西班牙裔儿童的基于家庭的儿童肥胖干预措施. 阿布里恩多卡米诺斯计划在预防不健康的体重增加方面取得了短期成功,但缺乏长期影响.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 健康差异 在健康上的差异
背景情况:
- 西班牙裔人口面临更高的肥胖和慢性疾病的风险.
- 儿童肥胖是一个重大的公共卫生问题,特别是在少数民族社区.
- 初级预防策略对于早期解决儿童肥胖问题至关重要.
研究的目的:
- 在社区环境中评估基于家庭的,文化定制的儿童肥胖干预措施的有效性.
- 评估短期和干预后6个月对西班牙裔儿童的BMIz分数的影响.
- 确定可能从干预中获益更多的特定人口群体.
主要方法:
- 一个多站点随机对照试验 (RCT),涉及墨西哥或波多黎各遗产的家庭.
- 干预组每周接受2小时的研讨会;对照组获得通用健康信息.
- 身体质量指数 (BMI) z-分数在基线,计划后和6个月后续测量.
主要成果:
- 在基线时,群体之间BMIz-score没有显著差异.
- 在干预小组中观察到BMIz-score的统计学显著下降,该小组在计划后立即进行干预 (T1).
- 体重指数z分数的这种降低在6个月的随访 (T2) 中没有持续.
结论:
- 阿布里恩多卡米诺斯干预措施在预防西班牙裔儿童不健康体重增加方面表现出短期的有效性.
- 行为变化的长期可持续性需要进一步调查和潜在的增强策略.
- 文化定制的干预措施可以为家庭提供初始健康行为改变的知识.
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