Eliakim Alon, Nemet Dan, Balakirski Yonit, Epstein Yoram
Child Health and Sports Center, Pediatric Department, Meir General Hospital, Kfar-Saba.
J Pediatr Endocrinol Metab. 2007 Jun;20(6):711-8. doi: 10.1515/jpem.2007.20.6.711.
Obesity is now the most common chronic pediatric disease. Early health education programs could serve to prevent and treat childhood obesity and its numerous complications.
To examine the effects of a randomized prospective school-based intervention on anthropometric measures, body composition, leisure time habits and fitness in preschool children.
Fifty-four preschool children completed a 14-week combined dietary-behavioral-physical activity intervention and were compared to 47 age matched controls (age 5-6 yr).
Daily physical activity was significantly greater in the intervention group compared to the controls (6,927 +/- 364 vs 5,489 +/- 284 steps/ day, respectively; p < 0.003). Favorable changes were observed in weight (0.35 +/- 0.08 vs 0.9 +/- 0.1 kg, p < 0.0005), BMI percentile (-3.8 +/- 1.3 vs 2.9 +/- 1.5 kg/m2, p < 0.001), fat percent (by skinfolds, -0.65 +/- 0.3 vs 1.64 +/- 0.3%, p < 0.028) and fitness (endurance time -3.55 +/- 1.85 vs 3.16 +/- 2.05%, p < 0.017) in the intervention versus control groups.
A preschool, dietary/physical activity intervention may play a role in health promotion, prevention and treatment of childhood obesity.
肥胖现已成为最常见的儿童慢性疾病。早期健康教育项目有助于预防和治疗儿童肥胖及其众多并发症。
研究一项基于学校的随机前瞻性干预措施对学龄前儿童人体测量指标、身体成分、休闲时间习惯和体能的影响。
54名学龄前儿童完成了为期14周的饮食 - 行为 - 体育活动综合干预，并与47名年龄匹配的对照组儿童（5 - 6岁）进行比较。
与对照组相比，干预组儿童的每日身体活动量显著更高（分别为6,927 ± 364步/天和5,489 ± 284步/天；p < 0.003）。干预组在体重（0.35 ± 0.08 vs 0.9 ± 0.1 kg，p < 0.0005）、BMI百分位数（-3.8 ± 1.3 vs 2.9 ± 1.5 kg/m²，p < 0.001）、脂肪百分比（通过皮褶厚度测量，-0.65 ± 0.3 vs 1.64 ± 0.3%，p < 0.028）和体能（耐力时间 -3.55 ± 1.85 vs 3.16 ± 2.05%，p < 0.017）方面均出现了有利变化。
学龄前饮食/体育活动干预可能在儿童肥胖的健康促进、预防和治疗中发挥作用。
