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“有趣家庭研究”:减少儿童看电视干预措施。

The Fun Families Study: intervention to reduce children's TV viewing.

机构信息

Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas, USA.

出版信息

Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S99-101. doi: 10.1038/oby.2009.438.

Abstract

Media consumption may contribute to childhood obesity. This study developed and evaluated a theory-based, parent-focused intervention to reduce television and other media consumption to prevent and reduce childhood obesity. Families (n = 202) with children ages 6-9 were recruited from a large, urban multiethnic population into a randomized controlled trial (101 families into the intervention group and 101 into the control group), and were followed for 6 months. The intervention consisted of a 2-hour workshop and six bimonthly newsletters. Behavioral objectives included: (i) reduce TV watching; (ii) turn off TV when nobody is watching; (iii) no TV with meals; (iv) no TV in the child's bedroom; and (v) engage in fun non-media related activities. Parents were 89% female, 44% white, 28% African American, 17% Latino, and 11% Asian, mean age 40 years (s.d. = 7.5); 72% were married. Children were 49% female, mean age 8 years (s.d. = 0.95). Sixty-five percent of households had three or more TVs and video game players; 37% had at least one handheld video game, and 53% had three or more computers. Average children's weekday media exposure was 6.1 hours. At 6 months follow-up, the intervention group was less likely to report the TV being on when nobody was watching (adjusted odds ratio (AOR) = 0.23, P < 0.05), less likely to report eating snacks while watching TV (AOR = 0.47, P < 0.05), and less likely to have a TV in the child's bedroom (AOR = 0.23, P < 0.01). There was a trend toward reducing actual media consumption but these outcomes did not reach statistical significance. Effective strategies to reduce children's TV viewing were identified.

摘要

媒体消费可能导致儿童肥胖。本研究制定并评估了一项基于理论、以家长为中心的干预措施,旨在减少儿童看电视和其他媒体的时间,以预防和减少儿童肥胖。研究从一个大型城市多民族人群中招募了 202 名 6-9 岁儿童的家庭,将他们随机分为干预组(101 个家庭)和对照组(101 个家庭),并进行了 6 个月的随访。干预措施包括 2 小时的研讨会和六期双月刊通讯。行为目标包括:(i)减少看电视时间;(ii)无人观看时关闭电视;(iii)吃饭时不看电视;(iv)儿童卧室不放置电视;(v)开展有趣的非媒体相关活动。家长中 89%为女性,44%为白人,28%为非裔美国人,17%为拉丁裔,11%为亚裔,平均年龄为 40 岁(标准差=7.5);72%为已婚。儿童中 49%为女性,平均年龄为 8 岁(标准差=0.95)。65%的家庭拥有三台或更多电视机和视频游戏机;37%至少有一个手持视频游戏机,53%拥有三台或更多电脑。儿童平均工作日媒体接触时间为 6.1 小时。在 6 个月的随访中,干预组报告无人观看时电视开着的情况较少(调整后的优势比(AOR)=0.23,P<0.05),报告边看电视边吃零食的情况较少(AOR=0.47,P<0.05),且儿童卧室中放置电视的情况较少(AOR=0.23,P<0.01)。儿童实际媒体消费有减少的趋势,但这些结果没有达到统计学意义。本研究确定了减少儿童看电视时间的有效策略。

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