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对初级保健中全国儿童肥胖监测项目数据使用情况的系统评价:概念性综合分析

Systematic review of the use of data from national childhood obesity surveillance programmes in primary care: a conceptual synthesis.

作者信息

Henderson E J, Ells L J, Rubin G P, Hunter D J

机构信息

Centre for Public Policy and Health, School of Medicine, Pharmacy and Health, Durham University, Stockton-on-Tees, UK.

Fuse, the Centre for Translational Research in Public Health, Newcastle upon Tyne, UK.

出版信息

Obes Rev. 2015 Nov;16(11):962-71. doi: 10.1111/obr.12319. Epub 2015 Aug 28.

DOI:10.1111/obr.12319
PMID:26317845
Abstract

This study reviewed the use in primary care of national surveillance data for children to determine the data's potential utility to inform policy and practice decisions on how to prevent and treat childhood obesity. We reviewed the 28 countries identified by the World Obesity Federation as having high-quality comparable body mass index data for children. Literature published from any period up to December 2013 was included. Peer review literature was searched using Web of Science (Core Collection, MEDLINE). Grey literature was searched using the Internet by country name, programme name and national health and government websites. We included studies that (i) use national surveillance obesity data in primary care, or (ii) explore practitioner or parent perspectives about the use of such data. The main uses of national surveillance data in primary care were to identify and recruit obese children and their parents to participate in school and general practice-based research and/or interventions, and to inform families of children's measurements. Findings indicate a need for school staff and practitioners to receive additional training and support to sensitively communicate with families. Translation of these findings into policy and practice could help to improve current uses of national child obesity surveillance data in primary care.

摘要

本研究回顾了儿童国家监测数据在初级保健中的应用情况,以确定这些数据在为有关如何预防和治疗儿童肥胖的政策及实践决策提供信息方面的潜在效用。我们对世界肥胖联合会认定的拥有高质量儿童可比体重指数数据的28个国家进行了回顾。纳入了截至2013年12月任何时期发表的文献。使用科学网(核心合集、医学期刊数据库)检索同行评审文献。通过按国家名称、项目名称以及国家卫生和政府网站在互联网上检索灰色文献。我们纳入了以下研究:(i)在初级保健中使用国家监测肥胖数据的研究,或(ii)探讨从业者或家长对使用此类数据的看法的研究。国家监测数据在初级保健中的主要用途是识别并招募肥胖儿童及其家长参与基于学校和全科医疗的研究及/或干预措施,并将儿童的测量结果告知家长。研究结果表明,学校工作人员和从业者需要接受额外的培训和支持,以便能以恰当方式与家长沟通。将这些研究结果转化为政策和实践,有助于改善目前国家儿童肥胖监测数据在初级保健中的应用情况。

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