GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, C/Corona de Aragon, Zaragoza, Spain.
Obes Rev. 2012 Mar;13 Suppl 1:42-55. doi: 10.1111/j.1467-789X.2011.00958.x.
Valid and reliable measures of energy balance-related behaviours are required when evaluating the effectiveness of public health interventions aiming at prevention of childhood obesity. A structured descriptive review was performed to appraise food intake, physical activity and sedentary behaviour assessment tools used in obesity intervention strategies targeting mainly preschool children across Europe. In total, 25 papers are described, addressing energy balance-related behaviours as study outcomes and targeting individuals or clusters of individuals at school- or home-based environment. Parentally reported food records and 24-h recalls were commonly used to assess food intake. Subjective levels of physical activity and sedentary behaviour were commonly accessed via parentally reported questionnaires. Accelerometry was used to obtain objective measures of physical activity. Insufficient evidence of tool evaluation was provided. When feasible, food records and accelerometry are recommended as the most appropriate methods to assess food intake in young children. Sedentary behaviour could be assessed via questionnaires that include key indicators of sedentarism and are able to differentiate individual practices. The choice of methodology for the assessment of specific intervention effects should be equally balanced between required accuracy levels and feasibility, and be guided by the intervention targets.
在评估旨在预防儿童肥胖的公共卫生干预措施的有效性时，需要使用与能量平衡相关行为相关的有效且可靠的测量方法。进行了一项结构描述性综述，以评估在欧洲主要针对学龄前儿童的肥胖干预策略中使用的食物摄入、身体活动和久坐行为评估工具。总共描述了 25 篇论文，这些论文将与能量平衡相关的行为作为研究结果，并针对学校或家庭环境中的个人或个人群体。父母报告的食物记录和 24 小时回忆通常用于评估食物摄入量。主观的身体活动和久坐行为水平通常通过父母报告的问卷来获取。加速度计用于获得身体活动的客观测量。没有提供工具评估的充分证据。在可行的情况下，食物记录和加速度计被推荐为评估幼儿食物摄入的最适当方法。久坐行为可以通过包含久坐行为关键指标且能够区分个体行为的问卷进行评估。评估特定干预效果的方法选择应在所需的准确性水平和可行性之间保持平衡，并根据干预目标进行指导。
