一个健康促进计划对小学 (BeE-school) 弱势儿童超重的有效性:一个集群随机对照试验
Juliana Martins1,2,3,4, Cláudia Augusto1,2,3, Maria José Silva1,3
1School of Nursing, University of Minho, Braga, Portugal.
International journal of obesity (2005)
|November 9, 2024
概括
一个以学校为基础的健康促进计划显著降低了弱势儿童的肥胖指标. 这项涉及教师和家庭的干预措施在一年后对身体组成产生了持久的积极影响.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 促进健康 促进健康
背景情况:
- 肥胖是一个日益严重的全球健康问题,不成比例地影响来自较低社会经济背景的儿童.
- 针对弱势学龄人群的肥胖预防非常重要,因为它对健康的长期影响.
- 贫困地区的小学是实施有效卫生干预措施的关键环境.
研究的目的:
- 评估基于学校的健康促进计划对弱势小学儿童超重和肥胖的有效性.
- 评估干预措施对身体组成措施的短期和长期影响.
主要方法:
- 一个集群随机对照试验,涉及葡萄牙10所小学的735名儿童.
- 干预组接受了16周的健康促进,课堂实施和每两周一次的家庭挑战教师培训.
- 测量结果包括身体质量指数z-score (BMIz),腰与身高比,腰与体重比在基线,干预后和一年后的随访.
主要成果:
- 干预后,干预组儿童的BMIz,腰与身高的比率和腰与体重的比率显著降低.
- 在干预结束一年后,BMIz的减少在统计学上仍然显著.
- 该干预措施对目标人群中关键脂肪性指标产生了积极影响.
结论:
- 一个以学校为基础的健康促进计划有效地改善了社会脆弱儿童的身体组成.
- 教师和家庭的参与是成功提供干预和持续结果的关键组成部分.
- 这种干预模式提供了一种有前途的策略,可以在有风险的社区中打击儿童肥胖.
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