Kubik Martha Y, Fulkerson Jayne A, Story Mary, Rieland Gayle
University of Minnesota School of Nursing, 6-101 Weaver Densford Hall, 308 Harvard St, SE, Minneapolis, MN 55455, USA.
J Sch Health. 2006 Dec;76(10):496-501. doi: 10.1111/j.1746-1561.2006.00147.x.
School-based body mass index (BMI) screening and parent notification programs have been recommended as a childhood overweight prevention strategy. However, there are little empirical data available to guide decision making about the acceptability and safety of programs. A pilot study was conducted using a quasiexperimental research design. In fall 2004, children in 4 suburban elementary schools (kindergarten to sixth grade) in the St Paul/Minneapolis, MN, metropolitan area completed height/weight screening. The following spring, parents in 2 schools received letters containing height/weight and BMI results. A self-administered post-only survey examined parents' opinions and beliefs regarding school-based BMI screening and parent notification programs (response rate: 790/1133 = 70%). The chi2 test of significance was used to examine differences in program support by treatment condition, child's weight status, and sociodemographic characteristics. Among all parents, 78% believed it was important for schools to assess student's height/weight annually and wanted to receive height, weight, and BMI information yearly. Among parents receiving the letter, 95% read most/all of the letter. Most parents (80%) and children (83%) reported comfort with the information in the letter. Parents of overweight children were more likely to report parental discomfort as well as child discomfort with letter content. There was considerable parental support for school-based BMI screening and parent notification programs. Programs may be a useful overweight prevention tool for children. However, continued attention to how best to support parents and children affected by overweight is required.
以学校为基础的体重指数（BMI）筛查和家长通知计划已被推荐作为预防儿童超重的一项策略。然而，几乎没有实证数据可用于指导有关这些计划的可接受性和安全性的决策。采用准实验研究设计进行了一项试点研究。2004年秋季，明尼苏达州圣保罗/明尼阿波利斯都会区4所郊区小学（幼儿园至六年级）的儿童完成了身高/体重筛查。次年春天，其中2所学校的家长收到了包含身高/体重和BMI结果的信件。一项仅在事后进行的自填式调查考察了家长对以学校为基础的BMI筛查和家长通知计划的意见和看法（回复率：790/1133 = 70%）。使用卡方显著性检验来考察在项目支持方面因治疗条件、孩子的体重状况和社会人口学特征而产生的差异。在所有家长中，78%认为学校每年评估学生的身高/体重很重要，并希望每年收到身高、体重和BMI信息。在收到信件的家长中，95%阅读了大部分/全部信件。大多数家长（80%）和孩子（83%）表示对信件中的信息感到安心。超重孩子的家长更有可能报告家长以及孩子对信件内容感到不安。家长对以学校为基础的BMI筛查和家长通知计划给予了相当大的支持。这些计划可能是预防儿童超重的一项有用工具。然而，需要持续关注如何以最佳方式支持受超重影响的家长和孩子。
