来自"生活得好"的结果,这是一个随机控制的基于社区的参与性干预,旨在预防新移民母婴双人团的肥胖
Christina D Economos1, Alison Tovar2, Silvina Choumenkovitch3
1Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA. christina.economos@tufts.edu.
BMC public health
|October 2, 2023
概括
一项以社区为基础的参与性研究 (CBPR) 干预措施显示,有望减少移民母亲的超重和肥胖. 更高的出席率与显著的BMI降低相关,突出了改善参与策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 社区健康 社区健康
背景情况:
- 新移民的超重和肥胖率往往低于美国本地人,但随着居住时间的延长,这种情况可能会增加.
- 活得好项目研究了一种文化适应的,基于社区的参与式研究 (CBPR) 方法,以减轻移民母子双重体的体重增加.
研究的目的:
- 评估CBPR生活方式干预措施在新移民母婴双中减轻体重增加的有效性.
- 评估干预剂量 (参与) 对体重变化结果的影响.
主要方法:
- 在一到两年的CBPR生活方式干预中,招募了390名海地人,拉丁裔和巴西人,这些人是美国新来的母婴二合体.
- 在多个时间点 (基线至24个月) 收集人口统计,人体统计和共同变量数据.
- 利用线性混合回归模型分析母亲和儿童的身体质量指数 (BMI) 和BMI z-score的变化.
主要成果:
- 基线超重/肥胖的患病率很高:在母亲中约为75%,在儿童中约为50%.
- 对于母亲或儿童来说,没有观察到对体重变化的重大整体干预效应.
- 与出席所有12次会议的母亲相比,与出席率较低的组相比,18个月和24个月的BMI显著降低.
结论:
- 该CBPR方法显示了解决移民母亲超重和肥胖问题的潜力.
- 比预期更高的超重/肥胖患病率和较低的母亲参与率需要进一步的研究.
- 未来的研究应侧重于最佳干预时间,保留策略和联合母婴体重支持.
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