生活方式干预解决儿童血压问题:系统性审查
Charlotte H Tiplady1, Jonathan P Mynard2,3,4, Moya Vandeleur2,3,5
1Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.
JAMA pediatrics
|December 1, 2025
概括
基于学校的生活方式的干预可以改善儿科血压. 专注于体育活动和营养的多元组件计划显示了降低儿童高血压的最大前景.
科学领域:
- 儿科健康 儿科健康
- 心血管健康 心血管健康
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 儿童中高血压的患病率不断上升,对长期的健康构成风险.
- 对于治疗高血压的儿科生活方式干预措施的证据有限.
- 早期干预对于预防成人心血管疾病至关重要.
研究的目的:
- 评估学校或社区生活方式干预措施降低儿童 (3-18岁) 高血压的有效性.
- 确定有助于成功降低血压的关键干预组件.
- 综合关于儿科高血压管理策略的证据.
主要方法:
- 随机临床试验和准实验研究的系统审查 (2013年6月至2024年3月).
- 纳入标准:>6个月持续时间,年龄3-18岁,重点关注心脏代谢风险,前后血压测量.
- 排除针对特定患者群体的干预措施;使用Joanna Briggs研究所工具进行质量评估.
主要成果:
- 包括27项研究;13项显示对血压有有益影响.
- 干预措施通常针对体育活动 (24项研究),营养 (15) 和教育 (16).
- 多组件干预 (14项研究) 在9个实例中显示出显著的益处.
结论:
- 生活方式干预对于改善儿科血压是有效的.
- 结合体力活动和营养的多元组件方法是最有希望的.
- 需要进一步研究干预设计,剂量,可行性和长期结果.
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