一项基于证据的家庭餐饮计划在头部开始设置中的规模研究:结果,挑战和机会
Carolyn Gunther1, Chyongchiou J Lin1, Heather Schier2
1Martha S. Pitzer for Women, Children, and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA.
Childhood obesity (Print)
|January 9, 2025
概括
简单的晚餐肥胖预防计划的混合交付显示了对幼儿的最佳可行性和成本效益. 这种家庭餐饮计划为更广泛的影响提供了重要的公共卫生潜力.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童早期肥胖是一个重大的公共卫生问题,需要可扩展,具有成本效益的预防计划.
- 基于证据的计划需要适应更广泛的覆盖范围和多样化的人口,包括那些从头部开始.
- 简单的晚餐计划以前显示了对小学年龄儿童和照顾者的饮食产生积极影响.
研究的目的:
- 为了比较简单的晚餐家庭用餐计划的三种配送模式 (面对面,在线,混合) 的可行性和成本效益.
- 适应和测试该计划的年轻儿童 (3-5岁) 在一个头开始设置.
- 确定最佳的交付方式,以在预防儿童肥胖方面产生更广泛的公共卫生影响.
主要方法:
- 一个三臂,测试前和测试后的扩展研究,涉及45个来自Head Start的家庭 (照顾者和3-5岁的儿童).
- 在8周内,每周通过面对面,在线或混合格式提供的团体教育和餐饮.
- 通过出席率,可接受性,忠实性和成本来评估可行性;通过饮食/营养健康指标和腰围来衡量结果.
主要成果:
- 总体上,出席率为51.2%,个人 (72.0%) 和混合 (59.7%) 模式的比率更高.
- 混合模式实现了最高的程序满意度 (93.0%) 和忠诚度 (96.7%),成本最低 (17.09美元/家庭).
- 混合组的儿童与其他组相比,腰围显著减少 (p=0.02).
结论:
- 简单的晚餐计划的混合配送模式是可行的,具有成本效益,并被广泛接受为早期儿童肥胖预防.
- 混合交付证明了扩展和实现更广泛的公共卫生影响的最大潜力.
- 社区参与的原则和方案调整提高了儿童肥胖干预措施的覆盖范围和有效性.
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