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哪些以学校为基础的干预措施更有效地对抗儿童肥胖? 一个网络元分析
Bahareh Nikooyeh1, Zahra Yari1, Zahra Hariri2
1Department of Nutrition Research, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Instituteand, Shahid Beheshti University of Medical Sciences , Tehran, Iran.
Systematic reviews
|June 10, 2025
概括
基于学校的干预措施通过改善BMI和z-BMI有效地减少了儿童肥胖. 结合体育活动,健康教育和学校政策是长期管理最有效的方法.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 基于证据的医学基于证据的医学.
背景情况:
- 青少年肥胖增加了成人肥胖和慢性疾病的风险.
- 基于学校的干预措施对于预防儿童肥胖至关重要.
- 营养教育和体育活动是这些干预措施的关键组成部分.
研究的目的:
- 评估学校对青少年肥胖的干预措施的有效性.
- 使用网络元分析,比较不同干预组件的疗效.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Cochrane Library) 中进行系统的文献搜索.
- 使用随机效应模型进行网络元分析 (NMA).
- 在累积排名曲线 (SUCRA) 下面的表面用于排名干预的有效性.
主要成果:
- 分析了61项研究,显示BMIz-score和BMI显著降低.
- 综合干预措施 (体育活动+健康教育+学校政策) 比单独的健康教育更有效.
- 身体活动+健康教育+学校政策和单独的身体活动在降低BMI和z-BMI方面排名最高.
结论:
- 基于学校的干预措施是有效的长期策略,用于管理儿童肥胖.
- 身体活动,健康教育和学校政策的结合在降低BMI方面表现出最高的有效性.
- 需要对干预时间和家长参与进行进一步的研究.
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