Nemet Dan, Geva Dganit, Pantanowitz Michal, Igbaria Narmen, Meckel Yoav, Eliakim Alon
BMC Pediatr. 2013 Apr 1;13:45. doi: 10.1186/1471-2431-13-45.
Obesity is the most common chronic pediatric disease in westernized, especially low socioeconomic societies. We previously demonstrated the beneficial effects of a randomized prospective school-based health education program for low socioeconomic status Arab-Israeli kindergarten children.
To examine whether the effects of our program on nutrition and physical activity knowledge and preferences, anthropometric measures, and fitness persisted one year after the end of intervention.
At one year following the intervention BMI and BMI percentiles approached baseline level in both the intervention (16.4 ± 0.2 kg/m2 and 61.5 ± 2.4%, respectively) and control group participants (16.5 ± 0.2 kg/m2 and 58.5 ± 3.3%, respectively). Yet, a year after the end of the intervention, the decrease in BMI%ile from baseline was significantly greater in the intervention group (-7.8 ± 1.5 vs. -1.9 ± 1.9, p<0.012). Nutritional and physical activity knowledge and preferences, and physical fitness remained significantly elevated in the intervention compared to the control group participants.
The beneficial effects of a kindergarten dietary-physical activity intervention applied by the kindergarten teachers, on nutrition and physical activity knowledge and preferences, fitness, and BMI percentile were evident one year after the end of intervention. This promising program may play a role in health promotion, prevention and treatment of childhood obesity.
肥胖是西方化社会尤其是社会经济地位较低社会中最常见的儿童慢性疾病。我们之前证明了一项针对社会经济地位较低的阿拉伯裔以色列幼儿园儿童的随机前瞻性校内健康教育项目的有益效果。
为了检验我们的项目在干预结束一年后对营养和身体活动知识及偏好、人体测量指标和体能的影响是否持续存在。
干预后一年，干预组（分别为16.4±0.2kg/m²和61.5±2.4%）和对照组参与者（分别为16.5±0.2kg/m²和58.5±3.3%）的BMI及BMI百分位数均接近基线水平。然而，干预结束一年后，干预组BMI百分位数较基线的下降幅度显著大于对照组（-7.8±1.5对-1.9±1.9，p<0.012）。与对照组参与者相比，干预组的营养和身体活动知识及偏好以及体能仍显著提高。
幼儿园教师实施的幼儿园饮食 - 身体活动干预对营养和身体活动知识及偏好、体能和BMI百分位数的有益效果在干预结束一年后仍很明显。这个有前景的项目可能在儿童肥胖的健康促进、预防和治疗中发挥作用。
