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[格拉纳达学龄儿童的肥胖问题:一项教育干预效果评估]

[Obesity in a school children population from Granada: assessment of the efficacy of an educational intervention].

作者信息

Aguilar Cordero Ma J, González Jiménez E, García García C J, García López P A, Álvarez Ferre J, Padilla López C A, González Mendoza J L, Ocete Hita E

机构信息

Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, Granada, España.

出版信息

Nutr Hosp. 2011 May-Jun;26(3):636-41. doi: 10.1590/S0212-16112011000300029.

Abstract

OBJECTIVES

The objective of this research was to study the prevalence of obesity and excess weight in a population of school children and adolescents, and to verify the effectiveness of an educational intervention, as reflected in the variation of their body mass index values.

MATERIALS

The population sample was composed of 977 school children and adolescents from 9 to 17 years of age, belonging to 13 public elementary schools and high schools in the city and province of Granada (Spain).

METHODOLOGY

This longitudinal cohort study was analytical, muticentric, and observational. It was carried out in three phases. The first phase involved the evaluation of the nutritional state of the sample population by means of anthropometric measurements (weight, height, body mass index, six skin folds and four body perimeters) as well as arterial blood pressure. The second phase entailed an educational intervention focusing on good nutritional habits and physical exercise. The third and final phase evaluated the effectiveness of the intervention.

RESULTS

A higher obesity prevalence (15.1%) was found in school girls between 12 and 13. In the case of boys, obesity prevalence was lower up to age 13 though afterwards, it progressively increased (12.6%). The educational intervention produced an important reduction in body mass index values in both sexes though this reduction was more significant in young females.

CONCLUSIONS

There is a currently an alarming increase in obesity and overweight prevalence among the population evaluated in this study. The significant reduction in body mass index values resulting from this research confirmed the effectiveness of the educational intervention to reduce excess weight.

摘要

目的

本研究的目的是调查学龄儿童和青少年群体中的肥胖及超重患病率,并通过他们体重指数值的变化来验证一项教育干预措施的有效性。

材料

研究样本包括来自西班牙格拉纳达市及省的13所公立小学和中学的977名9至17岁的学龄儿童和青少年。

方法

本纵向队列研究具有分析性、多中心性和观察性。研究分三个阶段进行。第一阶段通过人体测量(体重、身高、体重指数、六个皮褶厚度和四个身体周长)以及动脉血压来评估样本人群的营养状况。第二阶段是一项聚焦于良好营养习惯和体育锻炼的教育干预。第三阶段也是最后阶段评估了干预措施的有效性。

结果

在12至13岁的女生中发现了更高的肥胖患病率(15.1%)。在男生中,13岁之前肥胖患病率较低,但此后逐渐上升(12.6%)。教育干预使男女两性体重指数值均显著降低,不过在年轻女性中这种降低更为明显。

结论

在本研究评估的人群中,目前肥胖和超重患病率正出现惊人的上升。本研究中体重指数值的显著降低证实了教育干预措施在减轻超重方面的有效性。

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