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儿童肥胖管理的社会可持续干预措施:对随机对照试验的范围审查
Regiane de Paula1, Vitor de Salles Painelli2,3,4,5, Leonardo Vidal Andreato2,5
1Postgraduate Program in Clean Technologies, Cesumar University (UniCesumar), Maringa 87050-390, PR, Brazil.
Healthcare (Basel, Switzerland)
|November 27, 2025
概括
涉及家庭,学校和社区的社会可持续干预措施可以改善儿童肥胖的人类测量结果. 这些多层次的方法将健康促进纳入儿童的日常生活,加强健康规范和资源.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会科学 社会科学 社会科学
背景情况:
- 儿童肥胖是一个重大的全球健康挑战,需要多方面的解决方案.
- 通过加强家庭,学校和社区的支持系统来提高社会可持续性,对于有效的干预至关重要.
- 本次审查重点关注针对社会可持续性的干预措施,以改善超重和肥胖儿童的人类测量结果.
研究的目的:
- 探索旨在增强社会可持续性的干预措施,以改善超重和肥胖儿童的人类测量结果.
- 确定有效的战略,将健康促进纳入儿童的社会环境.
主要方法:
- 在2025年8月2日至9月1日期间,在多个数据库 (PubMed,Scopus,虚拟健康图书馆,Cochrane图书馆) 进行了全面的文献搜索.
- 纳入标准集中在涉及2至12岁儿童的随机对照试验,儿童肥胖的社会可持续的家庭,社区或以学校为中心的干预措施以及人体测量结果评估.
- 方法质量使用11点的PEDro尺度来评估.
主要成果:
- 包括11项研究 (N = 39,902),干预的平均持续时间为27个月.
- 身体质量指数 (BMI) 的z-score和超重/肥胖的患病率是最常被评估的人类测量结果.
- 大多数研究被评为"公平"或"良好"的质量,这表明学校,社区和以家庭为导向的干预措施可以有效地改善儿科肥胖症中的人类学变量.
结论:
- 涉及家庭,学校和社区的多层次,社会可持续的干预措施在优化儿童肥胖的人类测量结果方面表现有前途.
- 将健康促进纳入儿童的日常社会环境,并加强一致的以健康为导向的规范是关键机制.
- 未来的研究应该优先考虑独立的,盲目的评估,文化敏感的组件,以及关于参与者遵守规则的强有力的报告,以改善实际和临床应用.
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