Willis T A, George J, Hunt C, Roberts K P J, Evans C E L, Brown R E, Rudolf M C J
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Pediatr Obes. 2014 Oct;9(5):339-50. doi: 10.1111/j.2047-6310.2013.00183.x. Epub 2013 Jul 2.
One-quarter of children in England are overweight/obese at school entry. We investigated the impact of a programme designed to provide parents of infants and preschool children with the skills required for a healthier family lifestyle.
A cohort of families was followed across the 8-week HENRY (Health Exercise Nutrition for the Really Young) parent course at nine locations in England. Seventy-seven parents enrolled on the course, of which 71 agreed to complete questionnaires addressing eating behaviours, dietary intake and parental self-efficacy. Pre- and post-course data was available from 60 (84.5%) parents (8-week follow-up data from 58 parents) and was analysed using repeated measures analyses.
Significant changes were observed, with most sustained at follow-up. Parents reported increased self-efficacy and ability to encourage good behaviour (P < 0.001). Increased consumption of fruits and vegetables was reported in both children and adults, together with reduced consumption of sweets, cakes and fizzy drinks in adults (all P < 0.01). There were also positive changes in eating behaviours (e.g., frequency of family mealtimes and eating while watching television or in response to negative emotion [P < 0.01] ) and reduced screen time in adults (P < 0.001).
The results build upon earlier evaluation, indicating that the HENRY intervention has a beneficial impact upon the families of infants and preschool children. Furthermore, the findings suggest that positive changes inspired by the programme can be maintained beyond its completion. Such changes may serve to protect against later obesity.
在英国，四分之一的儿童在入学时超重或肥胖。我们调查了一项旨在为婴幼儿和学龄前儿童的家长提供更健康家庭生活方式所需技能的项目的影响。
在英国九个地点，对一组家庭进行了为期8周的HENRY（针对幼儿的健康、运动与营养）家长课程跟踪。77名家长报名参加了该课程，其中71名同意填写关于饮食行为、饮食摄入量和家长自我效能感的问卷。60名（84.5%）家长提供了课程前后的数据（58名家长提供了8周随访数据），并使用重复测量分析进行了分析。
观察到显著变化，大多数变化在随访时得以维持。家长报告自我效能感增强，鼓励良好行为的能力提高（P < 0.001）。儿童和成人都报告增加了水果和蔬菜的摄入量，同时成人减少了糖果、蛋糕和碳酸饮料的摄入量（均P < 0.01）。饮食行为也有积极变化（如家庭用餐频率以及边看电视或因负面情绪而进食的情况[P < 0.01]），成人的屏幕使用时间减少（P < 0.001）。
这些结果基于早期评估，表明HENRY干预对婴幼儿和学龄前儿童的家庭有有益影响。此外，研究结果表明该项目激发的积极变化在项目结束后仍能维持。此类变化可能有助于预防后期肥胖。
