WHO Collaborating Centre for Obesity Prevention Deakin University Geelong Australia.
Am J Clin Nutr. 2010 Apr;91(4):831-40. doi: 10.3945/ajcn.2009.28826. Epub 2010 Feb 10.
There is growing evidence that community-based interventions can reduce childhood obesity in older children.
We aimed to determine the effectiveness of the Romp & Chomp intervention in reducing obesity and promoting healthy eating and active play in children aged 0-5 y.
Romp & Chomp was a community-wide, multisetting, multistrategy intervention conducted in Australia from 2004 to 2008. The intervention occurred in a large regional city (Geelong) with a target group of 12,000 children and focused on community capacity building and environmental (political, sociocultural, and physical) changes to increase healthy eating and active play in early-childhood care and educational settings. The evaluation was repeat cross-sectional with a quasiexperimental design and comparison sample. Main outcome measures were body mass index (BMI), standardized BMI (zBMI; according to the Centers for Disease Control and Prevention 2000 reference charts), and prevalence of overweight/obesity and obesity-related behaviors in children aged 2 and 3.5 y.
After the intervention there was a significantly lower mean weight, BMI, and zBMI in the 3.5-y-old subsample and a significantly lower prevalence of overweight/obesity in both the 2- and 3.5-y-old subsamples (by 2.5 and 3.4 percentage points, respectively) than in the comparison sample (a difference of 0.7 percentage points; P < 0.05) compared with baseline values. Intervention child-behavioral data showed a significantly lower intake of packaged snacks (by 0.23 serving), fruit juice (0.52 serving), and cordial (0.43 serving) than that in the comparison sample (all P < 0.05).
A community-wide multisetting, multistrategy intervention in early-childhood settings can reduce childhood obesity and improve young children's diets. This trial was registered with the Australian Clinical Trials Registry at anzctr.org.au as ACTRN12607000374460.
越来越多的证据表明，基于社区的干预措施可以减少大龄儿童的肥胖问题。
我们旨在确定 Romp & Chomp 干预措施在减少肥胖、促进 0-5 岁儿童健康饮食和积极玩耍方面的有效性。
Romp & Chomp 是一项在澳大利亚于 2004 年至 2008 年开展的、基于社区的、多环境、多策略的干预措施。该干预措施在一个大型区域城市（吉朗）开展，目标人群为 12000 名儿童，重点是社区能力建设和环境（政治、社会文化和物理）变化，以增加幼儿保育和教育环境中的健康饮食和积极玩耍。评估采用重复横断面研究，采用准实验设计和对照样本。主要结局指标为体重指数（BMI）、标准化 BMI（zBMI；根据 2000 年美国疾病控制与预防中心参考图表）以及 2 岁和 3.5 岁儿童超重/肥胖和肥胖相关行为的流行率。
干预后，3.5 岁儿童亚组的平均体重、BMI 和 zBMI 显著降低，2 岁和 3.5 岁儿童亚组的超重/肥胖流行率也显著降低（分别降低 2.5 和 3.4 个百分点），与对照样本相比（差异为 0.7 个百分点；P<0.05），与基线值相比。干预后儿童行为数据显示，包装零食（减少 0.23 份）、果汁（减少 0.52 份）和甜饮料（减少 0.43 份）的摄入量明显低于对照样本（均 P<0.05）。
在幼儿环境中开展基于社区的多环境、多策略干预可以减少儿童肥胖，并改善幼儿的饮食。本试验在澳大利亚临床试验注册处 anzctr.org.au 注册，注册号为 ACTRN12607000374460。
