Gombosi Russell L, Olasin Regina M, Bittle Jason L
Susquehanna Internal Medicine and Pediatric Associates, Williamsport, PA 17701, USA.
Clin Pediatr (Phila). 2007 Sep;46(7):592-600. doi: 10.1177/0009922807299315. Epub 2007 May 23.
Pediatric obesity, which has reached epidemic proportions in the United States in the past 10 years, translates directly into rising rates of adult obesity. This study assessed the impact of a school, family, community, and industry-based primary intervention project on the rates of overweight and obesity in a rural countywide cohort of children in grades kindergarten through 8. It included classroom education, student/ family wellness booklets, point source healthy menus, occupational health analyses, and community health fairs. A 5-year longitudinal analysis of grade-specific rates of overweight and obesity of the participating children showed that overweight and obesity rates increased for all cohorts. Key elements contribute to increasing rates of pediatric obesity. Inadequate penetration of education/information dissemination and lag time represent 2 explanations for the lack of obesity reduction during the program implementation period. Strategies for successful engagement of multiple groups are essential to effectively reverse the pediatric obesity epidemic.
在过去十年里，儿童肥胖问题在美国已达到流行程度，这直接导致成人肥胖率上升。本研究评估了一个基于学校、家庭、社区和行业的初级干预项目对一个农村全县范围内幼儿园至8年级儿童超重和肥胖率的影响。该项目包括课堂教育、学生/家庭健康手册、定点健康菜单、职业健康分析和社区健康集市。对参与项目儿童按年级划分的超重和肥胖率进行的5年纵向分析表明，所有队列的超重和肥胖率都有所上升。关键因素导致儿童肥胖率上升。教育/信息传播的不足以及延迟时间是项目实施期间肥胖率未能降低的两个原因。成功让多个群体参与的策略对于有效扭转儿童肥胖流行趋势至关重要。
