对父母压力和儿童肥胖风险的正念干预:一项随机试验
Nia Fogelman1, Heather Bernstein2,3, Tara Bautista4
1Yale School of Medicine, Yale Stress Center, New Haven, Connecticut.
Pediatrics
|March 5, 2026
概括
一项新的干预措施,将家长压力管理与营养教育相结合,有效地降低了儿童早期肥胖风险. 这种方法也改善了孩子的积极育儿和健康食物摄入.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 儿童早期肥胖是一个日益严重的公共卫生问题.
- 父母的养育习惯和父母的压力显著影响孩子的体重状况.
- 现有的干预措施往往只关注营养或体力活动,忽视了父母压力的作用.
研究的目的:
- 为了评估一种新型干预措施的有效性,专注于健康的育儿 (PMH+N),该干预方案将家长压力管理与营养教育相结合.
- 将PMH+N与仅关注营养和体力活动的控制干预 (CTL+N) 进行比较.
- 评估对儿童早期肥胖风险,父母压力,育儿行为和儿童食物摄入的影响.
主要方法:
- 一项为期12周的随机对照试验,涉及114名超重的父母-子女二合体 (2-5岁的儿童).
- 干预措施包括每周的小组会议,营养和体育活动精神教育.
- 主要结局是儿童BMIz-score和父母压力的变化;次要结局包括观察到的育儿和儿童的食物摄入量.
主要成果:
- 与CTL+N组不同的是,PMH+N组的儿童BMIz-score没有显著增加,与CTL+N组不同.
- 父母压力仅在PMH+N组显著下降.
- PMH+N的干预导致了积极的育儿行为增加,并减少了儿童不健康的食物摄入量.
结论:
- 将家长压力管理与营养教育相结合,有效地减轻了短期的儿童早期肥胖风险.
- 在PMH+N干预积极影响育儿行为和儿童饮食模式.
- 需要进一步的研究来确定PMH+N干预的长期影响.
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