预防儿童肥胖的数字健康行为干预:绿灯加随机临床试验
William J Heerman1, Russell L Rothman2, Lee M Sanders3
1Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA
|November 3, 2024
概括
通过改善婴儿体重轨迹, 添加到标准儿科护理中的数字干预有效降低了儿童肥胖率. 这种方法在不同的人群中取得了成功,
科学领域:
- 儿童健康
- 预防肥胖
- 数字卫生干预措施
背景情况:
- 婴儿的成长是长期肥胖和心血管疾病的预测因素.
- 早期儿童肥胖干预 (前2年) 历史上表现出有限的成功.
- 在种族和少数民族中, 肥胖的发病率不成比例.
研究的目的:
- 将数字儿童肥胖预防干预添加到小儿初级保健医生提供的标准健康行为咨询的有效性进行比较.
主要方法:
- 在6个美国医疗中心进行了个别随机并行组试验.
- 参与者包括英语或西班牙语的父母和34周后出生的婴儿.
- 干预组接受短信和网络仪表板,对照组接受临床辅导书籍.
主要成果:
- 数字干预组的体重与长度的平均轨迹较低 (-0.33 kg/ m),体重与长度的z分数较低 (-0.19) 和BMI的z分数较低 (-0.19).
- 在24个月后,数字干预组的肥胖率较低 (7. 4%),而仅在临床组 (12. 7%).
- 这项干预措施在种族和种族多样性的人群中表现出有效性.
结论:
- 一项以健康素养为基础的数字化干预措施显著改善了儿童体重与身长的轨迹,并在生命的前24个月减少了肥胖症.
- 这种数字方法在不同人群中有效,包括儿童肥胖风险较高的人群.
- 这些研究结果表明,在初级保健机构中预防儿童肥胖是一种有希望的新策略.
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