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基准水平较高的皮质醇调节了健康生活方式干预中的一些影响
Jiying Ling1, Monica R Ordway2, Nanhua Zhang3
1Michigan State University College of Nursing, 1355 Bogue St., C241, East Lansing, MI 48824, USA.
Psychoneuroendocrinology
|April 18, 2024
概括
慢性压力会影响儿童的健康生活方式干预. 父母和孩子的较高压力水平会阻碍饮食和体育活动的积极变化,影响干预的成功.
科学领域:
- 儿科健康 儿科健康
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 社会经济上边缘化的家庭面临着严重的慢性压力,与肥胖等健康差异有关.
- 慢性压力对儿童肥胖干预措施的缓解作用仍未得到充分研究.
- 了解压力调节因子对于定制有效干预措施至关重要.
研究的目的:
- 为了研究慢性压力 (通过头发皮质醇测量) 如何影响健康生活方式干预的有效性.
- 检查父母和儿童慢性压力对行为和人体测量结果的缓解效应.
- 确定在高压力人群中干预成功的潜在障碍.
主要方法:
- 集群随机对照试验涉及10个Head Start中心的95个社会经济边缘化父母-孩子二元组.
- 干预的重点是促进健康的生活方式.
- 头发皮质醇分析用于测量父母和孩子的慢性压力.
- 统计分析探讨了水果摄入量和自我有效性等结果的适度效应.
主要成果:
- 父母的头发皮质醇调节干预效应:较高的皮质醇降低了孩子的水果摄入量,但增加了父母营养的自我有效性.
- 儿童发皮质醇与儿童水果摄入量下降有关.
- 儿童的头发皮质醇调节干预对父母体育活动自我效能和支持的影响,皮质醇较高会减少改善.
结论:
- 慢性压力显著减轻了健康生活方式干预措施对学龄前儿童及其家庭的影响.
- 干预策略可能需要考虑不同程度的父母和儿童慢性压力.
- 需要进一步的研究,为边缘化社区开发压力知情干预措施,以改善健康结果.
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