对儿童疾病管理中的饮食遵守干预措施的系统审查
Elizabeth K Towner1, Heather D Gibbs2, Ella Hu3
1Division of Behavioral Sciences, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States.
Journal of pediatric psychology
|February 11, 2025
概括
饮食干预表明在儿科慢性疾病中适度至高的坚持. 需要更多的研究来了解影响坚持的因素,并制定儿童疾病管理的最佳实践.
科学领域:
- 儿童慢性疾病管理
- 营养科学 营养科学
- 行为心理学 行为心理学
背景情况:
- 坚持饮食是管理儿科慢性疾病的关键.
- 以前对饮食坚持干预措施的评论已经有20多年了.
- 需要进行更新的审查,以评估当前的干预措施并确定差距.
研究的目的:
- 系统地审查儿童慢性疾病管理中的饮食坚持干预措施的有效性.
- 确定这些干预措施的研究和实践中的现有差距.
- 提供有关饮食坚持干预措施当前状态的最新信息.
主要方法:
- 随机对照试验和临床试验的系统审查至2023年7月1日.
- 搜索了多个数据库,包括PubMed,MEDLINE,Embase,CENTRAL,PsychINFO,Web of Science和Scopus. 在这些数据库中进行了搜索.
- 包括针对患有慢性疾病 (不包括肥胖症) 的年轻人 (0-18岁) 的研究,重点关注营养教育和行为支持,并报告饮食遵守结果.
主要成果:
- 确定了15份手稿,涵盖了4种饮食类型,10种儿科疾病和1110名参与者.
- 干预措施通常导致大多数饮食类型中适度至高的坚持.
- 常见的干预方法包括饮食计划,目标设定,监测和反;五项试验具有潜在偏差.
结论:
- 在儿科慢性疾病中,适应饮食的干预措施有限.
- 需要进一步的研究来探索所有相关儿科条件的坚持.
- 确定影响遵守的因素和建立最佳实践是关键的下一步.
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