改善学龄前儿童饮食摄入量的干预措施的系统地图:范围审查
Jacqueline Chan1, Patrick Conroy2, Philayrath Phongsavan3
1Nutrition and Dietetics Group, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Preventive medicine
|October 17, 2023
概括
改善幼儿营养干预措施需要解决多个食品系统层面的问题. 专注于家庭食品的可用性和可访问性,这是一个高度优先的领域,可以显著提高儿童的健康.
科学领域:
- 公共卫生与营养
- 童年发展 儿童发展
- 食品系统分析 食品系统分析
背景情况:
- 幼儿营养干预面临着持续影响的挑战.
- 需要一种系统方法来理解和解决儿童饮食摄入量和饮食行为的决定因素.
- 营养和饮食的决定因素 (DONE) 框架提供了对这些因素的全面了解.
研究的目的:
- 综合早期儿童营养干预措施的证据,使用系统方法.
- 根据DONE框架对干预进行分类,并评估解决的决定因素.
- 识别缺口和潜在的杆点,为未来的干预.
主要方法:
- 在高收入国家 (2000年后) 针对学龄前儿童 (2-5岁) 的干预研究的文献综述.
- 使用411个因素的DONE框架对干预措施进行分类.
- 分析所涉及的决定因素及其研究优先级等级.
主要成果:
- 审查了160项研究,主要针对人际关系和个人层面的决定因素.
- 父母资源和风险因素以及儿童食品知识是最常见的问题.
- 家庭食品的可用性和可访问性,尽管有很高的研究优先级,但仅在15项干预中得到解决.
结论:
- 目前的干预措施往往忽视了优先考虑的环境决定因素,例如家庭食品的可用性.
- 未来的干预措施应优先考虑家庭食品的可用性和可访问性,以改善儿童营养.
- 系统层面的方法对于有效和可持续的幼儿营养计划至关重要.
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