基于社区的饮食和与肥胖相关的政策,系统和环境干预措施,用于在最初的1000天内预防肥胖:范围审查
Chelsea L Kracht1,2, Cody D Neshteruk3,4, Kameron J Moding5
1Pennington Biomedical Research Center, Baton Rouge, LA, USA.
概括
针对早期肥胖风险因素的社区干预措施是有前途的,特别是在怀孕和婴儿期. 需要更多的研究来确保通过幼儿时期的覆盖和可持续性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 卫生政策 卫生政策
背景情况:
- 基于社区的政策,系统和环境 (PSE) 干预措施可以减轻早期肥胖的风险因素.
- 最初的1000天,从怀孕到24个月,对于发育和干预影响至关重要.
研究的目的:
- 在最初的1000天内对基于社区的饮食和肥胖PSE干预措施进行范围审查.
- 描述干预的范围,普遍性 (覆盖范围,有效性,采用,实施,维护) 和方法质量.
主要方法:
- 搜索了八个数据库,包括83项研究 (122个参考).
- 使用唐斯和黑名单提取了有关干预特征,概括性指标和研究质量的数据.
主要成果:
- 系统和环境方法占主导地位 (>80%),而政策方法较少 (39%).
- 干预主要集中在产前期和婴儿早期 (0-3个月),评估母乳养或儿童生长/肥胖 (53%).
- 许多干预报告儿童饮食,母乳养和养实践的积极结果 (>62%),通常包括低收入 (80%) 和少数群体 (63%).
结论:
- 干预措施主要针对怀孕和婴儿早期,仅限于幼儿期.
- 很少有研究报告说干预维持或持续时间跨越全1000天.
- 需要进一步进行严格的研究,以提高干预的覆盖范围,可持续性和适用于幼儿时期.
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