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在学校的儿童肥胖预防干预中识别行为改变技术:系统性审查的二次分析
Daniel C W Lee1,2,3,4, Serene Yoong5,6, Sam McCrabb7,5,8,9
1Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia. danielchunwei.lee@uon.edu.au.
BMC public health
|July 3, 2025
概括
当健康饮食组件包括与目标,社会支持和行为比较相关的行为改变技术 (BCT) 时,学校的儿童肥胖预防干预更有效. 身体活动干预措施没有显示出与儿童体重结果的显著关联.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 行为科学 行为科学
背景情况:
- 儿童超重和肥胖是一个日益增长的全球健康挑战,具有长期后果.
- 学校是预防肥胖的一个关键环境,但干预措施往往是复杂的.
- 在这些干预措施中,确定有效的行为改变技术 (BCT) 是至关重要的.
研究的目的:
- 确定用于学校健康饮食 (HE) 和体力活动 (PA) 干预措施中的BCT,适用于6-18岁儿童.
- 探索特定的BCT与儿童体重结果之间的关联.
主要方法:
- 从2022年Cochrane审查更新中对124个基于学校的随机对照试验进行了二次分析.
- 使用BCT分类学v1.1进行HE和PA干预组件的编码.
- 进行元回归分析,以评估BCT与儿童体重之间的关系.
主要成果:
- 在干预中,在14个领域中确定了55个BCT.
- 从"目标和规划"",社会支持"和"行为比较"领域纳入BCT的高等教育干预措施显示,与儿童体重有显著的积极关联.
- 对于PA干预组件,没有发现显著的关联.
结论:
- 在"目标和规划"",社会支持"和"行为比较"领域使用BCT的学校教育干预措施与儿童体重的改善有关.
- 建议优先考虑BCT,如目标设定 (结果),社会支持 (未指明) 和行为表现.
- 需要进一步的研究来确定PA组件的有效BCT以及所有肥胖预防干预措施的广泛性.
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