基于学校的干预对预防儿童超重的长期影响:R世代研究队列中的倾向性得分匹配分析
Famke J M Mölenberg1,2, Michel S Smit1,2, Daan Nieboer1
1Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Pediatric obesity
|January 6, 2025
概括
"的适合!"的"的适合!" 生活方式干预没有对儿童肥胖产生直接影响,但在14岁时导致更高的BMI和脂肪质量. 这凸显了在小学之外需要扩大肥胖预防计划的必要性.
科学领域:
- 儿科肥胖症研究的研究.
- 公共卫生干预措施 公共卫生干预措施
- 改变生活方式的研究.
背景情况:
- 研究了基于小学"Lekker Fit!"的长期影响. (LF) 多元组件的生活方式干预.
- 检查了各种人口子组之间干预影响的潜在差异.
研究的目的:
- 评估"Lekker Fit!"的长期影响. (LF) 对儿童肥胖相关结果的干预.
- 为了确定干预的影响是否因性别,干预前的体重状况,种族或收入而有所不同.
主要方法:
- 利用了来自荷兰鹿特丹R世代研究的数据.
- 与对照组相比,暴露于LF6年的儿童 (年龄在6/7至12/13) 与对照组相比.
- 在10岁 (干预后4年) 和14岁 (干预后1.5年) 评估的BMI和DXA衍生的脂肪量.
- 员工倾向分数匹配分析干预对BMI-z-score和脂肪质量百分比的影响,测试子组差异.
主要成果:
- 在干预4年后 (10岁时) 没有观察到BMI-z-score或百分比脂肪质量的显著影响.
- 经过6年的暴露 (干预后1.5年,14岁),LF组的BMI-z-score和百分比脂肪质量显著更高.
- 根据性别,干预前体重状况,种族背景或收入,在各小组中没有发现干预效应的显著差异.
结论:
- 这些发现表明,以小学为基础的生活方式干预可能不会立即减少肥胖.
- 干预后观察到的BMI和脂肪质量的增加表明需要持续或延长的肥胖预防策略.
- 预防肥胖的计划应该考虑扩展到小学教育之外,以实现持久的效果.
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