支持世卫组织关于儿童早期身体活动,久坐和睡眠的指导方针的证据有多强大?
Alessandro Bianconi1, Matteo Fiore1, Enrico Zauli2
1Section of Hygiene and Preventive Medicine, University of Bologna, Bologna, Italy.
European journal of clinical investigation
|August 1, 2024
概括
世界卫生组织 (WHO) 关于儿童体育活动,久坐行为和睡眠的指导方针缺乏确的证据. 大多数建议没有得到有关健康结果的重大分析的支持.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 基于证据的医学 基于证据的医学
背景情况:
- 世界卫生组织 (WHO) 制定了关于幼儿体力活动,久坐行为和睡眠的指导方针.
- 本研究批判性地评估了支持这些世卫组织建议的证据基础.
研究的目的:
- 分析证据的数量和质量,以支持世卫组织关于儿童早期生活方式行为的建议.
- 评估对公共卫生干预具体门的科学支持.
主要方法:
- 从237项研究 (37项实验性,200项观察性) 系统提取数据,为世卫组织的指导方针提供信息.
- 应用GRADE方法来对暴露与结果关联进行结果分类和研究结果.
- 对920个暴露结果关联的分析,重点关注相关结果和统计学意义.
主要成果:
- 世界卫生组织十项建议中有五项没有得到任何关于相关健康结果的有意义结果的分析的支持.
- 大多数建议是基于与肥胖相关的分析.
- 十个指导值中的八个缺乏对临床相关结果的重大分析的支持.
结论:
- 目前支持早期儿童公共卫生干预建议门的证据有限.
- 研究结果并不质疑健康习惯的好处,但强调需要更强大的数据.
- 未来的干预措施应该平衡促进一般健康行为与实现缺乏高质量证据的目标.
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