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咨询学校教师对健康生活方式对减少儿童肥胖计划的影响

[Effect of counselling school teachers on healthy lifestyle on the impact of a program to reduce childhood obesity].

作者信息

Kain Juliana, Leyton Bárbara, Concha Fernando, Salazar Gabriela, Lobos Luz, Vio Fernando

机构信息

Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago, Chile.

出版信息

Rev Med Chil. 2010 Feb;138(2):181-7. Epub 2010 Mar 30.

Abstract

BACKGROUND

In 2007, a preventive strategy for childhood obesity, that included food education and an increase in physical activity, was implemented in seven public schools located in Santiago. In four of these schools, a counseling program about healthy lifestyles for teachers was also carried out.

AIM

To test if counseling had an effect in the intervention for children.

MATERIAL AND METHODS

Anthropometric measures were assessed in children at baseline and after two years of intervention. Teachers were also evaluated with anthropometry and a blood sample was obtained to measure blood glucose and serum lipids.

RESULTS

Four hundred twelve children from schools whose teachers had counseling and 237 children from schools whose teachers did not have it were evaluated. Twenty-eight teachers with and 19 with no counseling were assessed. In children, the overall prevalence of obesity decreased from 20.2 to 18.3% (p = 0.03). This reduction was only significant among females. BMIZ score decreased significantly in children of both genders. No effect of counseling was observed on weight reduction. Among teachers that received counseling, the prevalence of obesity decreased from 25 to 22.4%, with significant improvements in blood glucose and HDL cholesterol.

CONCLUSIONS

Counseling directed at teachers did not improve the effect of a program to reduce obesity among schoolchildren.

摘要

背景

2007年,在圣地亚哥的七所公立学校实施了一项儿童肥胖预防策略,其中包括食品教育和增加体育活动。在其中四所学校,还开展了针对教师的健康生活方式咨询项目。

目的

测试咨询是否对儿童干预有效果。

材料与方法

在基线时以及干预两年后对儿童进行人体测量评估。还对教师进行人体测量评估,并采集血样以测量血糖和血脂。

结果

对来自教师接受咨询的学校的412名儿童和来自教师未接受咨询的学校的237名儿童进行了评估。对28名接受咨询的教师和19名未接受咨询的教师进行了评估。在儿童中,肥胖总体患病率从20.2%降至18.3%(p = 0.03)。这种下降仅在女性中显著。两种性别的儿童的BMIZ评分均显著下降。未观察到咨询对体重减轻有影响。在接受咨询的教师中,肥胖患病率从25%降至22.4%,血糖和高密度脂蛋白胆固醇有显著改善。

结论

针对教师的咨询并未提高减少学童肥胖项目的效果。

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