关于学校周边零售食品环境对肥胖相关结果影响的系统评价。
A systematic review of the influence of the retail food environment around schools on obesity-related outcomes.
作者信息
Williams J, Scarborough P, Matthews A, Cowburn G, Foster C, Roberts N, Rayner M
机构信息
British Heart Foundation Health Promotion Research Group, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
出版信息
Obes Rev. 2014 May;15(5):359-74. doi: 10.1111/obr.12142. Epub 2014 Jan 13.
The high prevalence of childhood obesity has led to questions about the influence of 'obesogenic' environments on children's health. Public health interventions targeting the retail food environment around schools have been proposed, but it is unclear if they are evidence based. This systematic review investigates associations between food outlets near schools and children's food purchases, consumption and body weight. We conducted a keyword search in 10 databases. Inclusion criteria required papers to be peer reviewed, to measure retailing around schools and to measure obesity-related outcomes among schoolchildren. Thirty papers were included. This review found very little evidence for an effect of the retail food environment surrounding schools on food purchases and consumption, but some evidence of an effect on body weight. Given the general lack of evidence for association with the mediating variables of food purchases and consumption, and the observational nature of the included studies, it is possible that the effect on body weight is a result of residual confounding. Most of the included studies did not consider individual children's journeys through the food environment, suggesting that predominant exposure measures may not account for what individual children actually experience. These findings suggest that future interventions targeting the food environment around schools need careful evaluation.
儿童肥胖的高发生率引发了关于“致胖环境”对儿童健康影响的诸多问题。针对学校周边零售食品环境的公共卫生干预措施已被提出,但这些措施是否基于证据尚不清楚。本系统综述调查了学校附近食品销售点与儿童食品购买、消费及体重之间的关联。我们在10个数据库中进行了关键词搜索。纳入标准要求论文需经过同行评审,要对学校周边的零售情况进行测量,并要对学童的肥胖相关结果进行测量。共纳入30篇论文。本综述发现,几乎没有证据表明学校周边零售食品环境会对食品购买和消费产生影响,但有一些证据表明会对体重产生影响。鉴于普遍缺乏与食品购买和消费等中介变量相关联的证据,以及所纳入研究的观察性本质,对体重的影响有可能是残余混杂因素导致的。大多数纳入研究未考虑儿童个体在食品环境中的行程,这表明主要的接触测量方法可能无法说明儿童个体实际经历的情况。这些发现表明,未来针对学校周边食品环境的干预措施需要进行仔细评估。