Strauss A, Herbert B, Mitschek C, Duvinage K, Koletzko B
Dr. von Haunersches Kinderspital, Abt. Stoffwechsel- und Ernährungsmedizin, Lindwurmstrasse 4, Munich, Germany.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Mar;54(3):322-9. doi: 10.1007/s00103-010-1225-6.
The high prevalence of childhood obesity necessitates broadly effective prevention measures. A behavioral program for children in daycare settings was developed, and its effects were assessed in a 2-year cluster randomized controlled trial. A total of 64 daycare settings were cluster randomized in a 2:1 ratio to intervention and control in order to assess the effects of the program. Samples of 1318 and 1340 children were assessed after 5.7±2.6 and 17.6±2.3 months. Main outcome measures were prevalence of high fruit and vegetable consumption and of low consumption of high caloric drinks at home assessed by parental questionnaires. TigerKids achieved a significantly higher prevalence of high home consumption of fruits (66.6 vs. 55.7%, p<0.0001) and vegetables (42.7 vs. 33.6%, p=0.001) as well as a lower frequency of high consumption of energy rich beverages (47.7 vs. 60.4%, p<0.0001). The TigerKids group tended to show a lower prevalence of overweight (13.9 vs. 18.0%, p=0.05) and obesity (3.4 vs. 5.4%, p=0.07) in the first year. TigerKids is a low cost program applied in daycare settings which achieves significant behavioral changes in the home environment.
儿童肥胖的高流行率使得广泛有效的预防措施成为必要。我们开发了一项针对日托机构儿童的行为计划，并在一项为期2年的整群随机对照试验中评估了其效果。总共64个日托机构按2:1的比例整群随机分为干预组和对照组，以评估该计划的效果。在5.7±2.6个月和17.6±2.3个月后对1318名和1340名儿童样本进行了评估。主要结局指标是通过家长问卷评估的在家中高水果和蔬菜消费量以及高热量饮料低消费量的患病率。“虎童计划”实现了在家中高水果消费量（66.6%对55.7%，p<0.0001）和蔬菜消费量（42.7%对33.6%，p=0.001）的显著更高患病率，以及富含能量饮料高消费量的更低频率（47.7%对60.4%，p<0.0001）。在第一年，“虎童计划”组超重（13.9%对18.0%，p=0.05）和肥胖（3.4%对5.4%，p=0.07）的患病率往往较低。“虎童计划”是一项应用于日托机构的低成本计划，可在家庭环境中实现显著的行为改变。
