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学校饮用水促进和获取计划的有效性,用于预防超重
Anisha I Patel1, Laura A Schmidt2,3, Charles E McCulloch4
1Department of Pediatrics, Stanford University, Palo Alto, California.
在15个月的时间里,水第一计划成功地防止了小学学生中超重率的增加. 然而,这项干预措施并没有显著影响这项基于学校的研究中的肥胖率.
科学领域:
- 儿科健康 儿科健康
- 公共卫生干预 公共卫生干预
- 营养科学 营养科学
背景情况:
- 儿童超重和肥胖是严重的公共卫生问题.
- 基于学校的干预措施显示了促进健康习惯的潜力.
- "水第一"计划的目的是增加水消耗,减少含糖饮料的摄入量.
研究的目的:
- 评估水第一干预措施对小学学生超重患病率的影响.
- 为了评估15个月的身体质量指数 (BMI) 变化,根据年龄和性别的百分位数.
- 确定干预措施是否影响肥胖患病率.
主要方法:
- 一个集群随机对照试验在加利福尼亚州的低收入,种族多样化的小学中进行.
- 干预措施包括课堂课程,获得水站,并在整个学校推广饮用水的消费.
- 超重的流行率 (BMI-for-age-and-sex≥85百分位) 在基线,7个月和15个月对1249名学生进行了测量.
主要成果:
- 从基线到15个月,干预组的超重患病率增加了0.5%,而对照组的患病率增加了3.7%.
- 干预学生在15个月后,超重患病率的变化明显较低 (赔率比率的调整比率:0.1,P = .017).
- 对于肥胖患病率,没有观察到显著的干预效应.
结论:
- "首先用水"的干预措施有效地防止了小学儿童中超重率的增加.
- 该计划没有证明它对减少或预防肥胖患病率有显著影响.
- 促进获得和消费水的基于学校的战略可以成为解决儿童超重问题的宝贵工具.
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