Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Victoria, Australia.
Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S27-35. doi: 10.1038/oby.2009.429.
The small number and recency of the early childhood obesity-prevention literature identified in a previous review of interventions to prevent obesity, promote healthy eating, physical activity, and/or reduce sedentary behaviors in 0-5 year olds suggests this is a new and developing research area. The current review was conducted to provide an update of the rapidly emerging evidence in this area and to assess the quality of studies reported. Ten electronic databases were searched to identify literature published from January 1995 to August 2008.
interventions reporting child anthropometric, diet, physical activity, or sedentary behavior outcomes and focusing on children aged 0-5 years of age.
focusing on breastfeeding, eating disorders, obesity treatment, malnutrition, or school-based interventions. Two reviewers independently extracted data and assessed study quality. Twenty-three studies met all criteria. Most were conducted in preschool/childcare (n = 9) or home settings (n = 8). Approximately half targeted socioeconomically disadvantaged children (n = 12) and three quarters were published from 2003 onward (n = 17). The interventions varied widely although most were multifaceted in their approach. While study design and quality varied most studies reported their interventions were feasible and acceptable, although impact on behaviors that contribute to obesity were not achieved by all. Early childhood obesity-prevention interventions represent a rapidly growing research area. Current evidence suggests that behaviors that contribute to obesity can be positively impacted in a range of settings and provides important insights into the most effective strategies for promoting healthy weight from early childhood.
在先前对预防肥胖、促进健康饮食、体育活动和/或减少 0-5 岁儿童久坐行为的干预措施进行的综述中，仅发现了少数几项针对幼儿肥胖预防的早期文献，这表明这是一个新的和正在发展的研究领域。本次综述旨在提供该领域迅速涌现的新证据，并评估所报告研究的质量。10 个电子数据库被用于检索 1995 年 1 月至 2008 年 8 月期间发表的文献。
报告儿童人体测量、饮食、体育活动或久坐行为结果并聚焦于 0-5 岁儿童的干预措施。
关注母乳喂养、饮食失调、肥胖治疗、营养不良或学校为基础的干预措施。两名审查员独立提取数据并评估研究质量。23 项研究符合所有标准。大多数研究是在学前/儿童保育（n = 9）或家庭环境中进行（n = 8）。大约一半的研究针对社会经济地位不利的儿童（n = 12），四分之三的研究发表于 2003 年以后（n = 17）。干预措施差异很大，尽管大多数都采取了多方面的方法。尽管研究设计和质量各不相同，但大多数研究报告称其干预措施是可行和可接受的，尽管并非所有研究都能实现对导致肥胖的行为的影响。幼儿肥胖预防干预措施代表了一个快速发展的研究领域。现有证据表明，在一系列环境中可以积极影响导致肥胖的行为，并为促进幼儿健康体重提供了重要的见解。
