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生活方式干预措施对儿童身体组成管理的比较有效性:系统性审查和网络元分析

Xiwen Su¹, Mohamed A Hassan², HyunJoon Kim¹

¹Sargent College of Health & Rehabilitation Sciences, Boston University, Boston, MA 02215, USA.

Journal of sport and health science

|November 7, 2024

概括

多元组件的生活方式干预显著降低儿童的体重指数 (BMI) 和身体脂肪百分比 (BFP). 仅仅体育活动是治疗儿童肥胖症最有效的单一干预措施.

科学领域:

儿科儿科儿科
公共卫生公共卫生
肥胖问题研究研究

背景情况:

儿童肥胖是一个日益严重的全球健康问题.
有效的生活方式干预对于管理儿童的身体组成至关重要.
需要对各种干预措施的比较证据来指导临床实践.

研究的目的:

提供关于各种生活方式干预措施对4-12岁儿童身体组成管理有效性的比较证据.
分析单组件和组合组件生活方式干预措施对儿科肥胖指标的影响.
确定最有效的干预措施,以减少儿童的体重指数 (BMI) 和身体脂肪百分比 (BFP).

主要方法:

使用PubMed,Embase,CINAHL和Web of Science的数据进行了系统的网络元分析.
包括2010年1月至2023年8月期间发表的随机对照试验 (RCT),涉及没有先前存在的疾病的4-12岁儿童.
干预措施被分为单臂 (身体活动,饮食,行为,信息) 和联合臂 (双组件,多组件) 方法.

主要成果:

对包括58,649名儿童在内的91项RCT的分析显示,与通常护理相比,多组分治疗显著降低了BMI,BMIz-score和身体脂肪百分比 (BFP).
双组分治疗还显示,BMI和BMIz-score与通常护理相比显著降低.
身体活动,饮食和行为/信息支持被分析为单组件干预措施.

结论:

多元组件的生活方式干预措施是最有效的减少儿童的BMI和BFP.
在单组件干预中,体育活动显示出最高的疗效.
医生应考虑全面改变生活方式,初始BMI/BFP较高的儿童可能会从中受益更多.

关键词:

身体组成身体组成生活方式干预措施生活方式干预幼儿园年龄的孩子们.学校年龄的孩子们.

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