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针对肥胖儿童及其家长的多式健康行为改变干预措施
Juan Va Franco1, Yang Guo1, Brenda Bongaerts1
1Institute of General Practice, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
The Cochrane database of systematic reviews
|December 16, 2025
概括
针对儿童肥胖的多式健康行为干预措施对健康和BMI的影响有限. 它们可能稍微改善客观评估的体力活动和HRQoL,但长期的结果仍然不确定.
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:
- 儿童肥胖是一个重要的全球健康问题,需要有效的干预措施.
- 目前的一线干预侧重于与健康相关的行为,但长期可持续性不确定.
- 评估多模式干预措施的有效性对于改善儿童健康结果至关重要.
研究的目的:
- 评估多式联络健康行为改变干预措施对10岁以下肥胖儿童及其父母的影响.
- 综合来自随机对照试验 (RCT) 关于与儿童肥胖相关的关键结果的证据.
主要方法:
- 通过全面的数据库搜索确定RCT的系统审查和元分析.
- 包括的研究涉及10岁以下的肥胖儿童,重点关注饮食,体育活动和行为改变干预措施.
- 评估的结果包括身体/精神健康,体力活动,HRQoL和人体测量 (BMI z-score).
主要成果:
- 基于医疗保健的干预措施在12个月后在身体/精神健康和HRQoL方面几乎没有差异.
- 这些干预措施可能会改善客观评估的身体活动,但对BMI z-score产生不确定的影响.
- 基于社区的干预措施也对大多数结果产生了有限的影响,在24个月后,HRQoL的潜在益处很小.
结论:
- 多式干预措施对儿童肥胖的关键结果的影响有限,对改善体力活动和HRQoL有一定的潜力.
- 未来的研究应该专注于创新的方法,并包括多样化的人口和环境.
- 这些干预措施的长期有效性和可持续性需要进一步研究.
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