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一个多层次的干预措施,以解决农村西班牙裔社区儿童肥胖问题
Linda K Ko1,2, Eileen Rillamas-Sun3, Mario Kratz3
1Department of Family Medicine Keck School of Medicine University of Southern California Alhambra California USA.
Obesity science & practice
|January 26, 2026
概括
针对农村西班牙裔儿童儿童肥胖的社区干预措施对BMI没有整体影响. 然而,增加对干预组件的参与与BMI减少相关,突出显示了承诺和挑战.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 基于社区的研究.
背景情况:
- 儿童肥胖症不成比例地影响着服务不足的人群,包括农村地区的人群.
- 社会和身体环境显著影响儿童肥胖.
- 很少有社区参与的干预措施专门针对农村儿童肥胖.
研究的目的:
- 测试基于社区的多层次肥胖预防干预措施的有效性.
- 评估干预对农村社区西班牙裔儿童体质指数 (BMI) z-分数的影响.
- 探索参与干预组件和BMI变化之间的关系.
主要方法:
- 一项基于社区的试验,涉及653名8至12岁的西班牙裔儿童.
- 一个为期13个月的多层次干预,包括教育材料,营养和体力活动 (PA) 课程,媒体素养,PA休息以及社区计划 (Ciclovía).
- 主要结局:在基线,6个月和18个月测量BMIz-score的差异.
主要成果:
- 在6个月或18个月的随访期间,BMIz-分数没有观察到群体之间的显著差异.
- 干预组和对照组的平均BMIz分数差异在6个月后为-0.02 (p=0.31) 和18个月后为-0.03 (p=0.32).
- 随着干预组分暴露的增加,BMI z-分数逐渐下降 (p趋势<0.01).
结论:
- 基于社区的多层次干预没有显示出对BMIz-分数的整体影响.
- 对干预组件的更大参与与BMI z-分数的更大降低有关.
- 调查结果强调了在农村环境中实施基于社区的肥胖预防的潜力和困难.
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