基于学校的青少年心血管健康促进:一个集群随机临床试验
Gloria Santos-Beneit1,2, Juan M Fernández-Alvira3, Anna Tresserra-Rimbau4,5
1Foundation for Science, Health and Education, 08011 Barcelona, Spain.
JAMA cardiology
|August 2, 2023
概括
基于学校的健康促进策略对青少年心血管健康 (CVH) 没有显著的长期影响. 虽然观察到短期益处,但整体效应在四年后是中性的,因此需要进一步研究.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 促进健康 促进健康
背景情况:
- 基于学校的干预措施对于青少年健康促进至关重要.
- 青春期的心血管健康 (CVH) 是长期福祉的关键决定因素.
研究的目的:
- 评估两种不同的多元组件教育健康促进战略对青少年CVH的影响.
- 为了比较长期干预 (LTI) 与短期干预 (STI) 对CVH结果的影响.
主要方法:
- 这是一项为期四年的集群随机临床试验,涉及西班牙24所中学.
- 参与者被随机分为LTI (4年),STI (2年) 或对照组.
- 心血管健康评分 (0-14分) 是主要结局,评估时间为2年和4年.
主要成果:
- 2年后,与对照组 (P=.04) 相比,LTI组的CVH得分略有增加 (0.44分).
- 2年后,在STI和对照组之间没有观察到CVH得分变化的显著差异.
- 在4年后,无论是LTI还是STI组,与对照组相比,CVH得分都没有显著差异.
结论:
- 测试的基于学校的健康促进策略对青少年CVH具有中性的整体影响.
- 在LTI组的潜在短期益处在4年的随访中没有持续.
- 建议进一步研究基于学校的持续健康促进计划的有效性.
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