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改变家庭环境以减少5至12岁儿童看电视及饮用含糖饮料的行为:一项随机试点研究。

Physical changes in the home environment to reduce television viewing and sugar-sweetened beverage consumption among 5- to 12-year-old children: a randomized pilot study.

作者信息

French S A, Sherwood N E, JaKa M M, Haapala J L, Ebbeling C B, Ludwig D S

机构信息

Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota, USA.

HealthPartners Institute for Education and Research, Minneapolis, Minnesota, USA.

出版信息

Pediatr Obes. 2016 Oct;11(5):e12-5. doi: 10.1111/ijpo.12067. Epub 2015 Aug 28.

Abstract

This study evaluated the feasibility of a home-based intervention to reduce sugar-sweetened beverage intake and television viewing among children. Lower income parents of overweight children aged 5-12 years (n = 40) were randomized to a home environment intervention to reduce television viewing with locking devices and displace availability of sugar-sweetened beverages with home delivery of non-caloric beverages (n = 25), or to a no-intervention control group (n = 15) for 6 months. Data were collected at baseline and 6 months. After 6 months, television viewing hours per day was significantly lower in the intervention group compared with the control group (1.7 [SE = .02] vs. 2.6 [SE = .25] hours/day, respectively, P < .01). Sugar-sweetened beverage intake was marginally significantly lower among intervention group compared to control group children (0.21 [SE = .09] vs. 0.45 [SE = .10], respectively, P < .09). Body mass index (BMI) z-score was not significantly lower among intervention compared to control children. Among a lower income sample of children, a home-based intervention reduced television viewing, but not sugar-sweetened beverage intake or BMI z-score.

摘要

本研究评估了一项家庭干预措施在减少儿童含糖饮料摄入量和看电视时间方面的可行性。研究对象为年龄在5至12岁的超重儿童的低收入父母(n = 40),他们被随机分为两组,一组接受家庭环境干预,即使用锁定设备减少看电视时间,并通过提供无热量饮料来取代含糖饮料(n = 25);另一组为无干预对照组(n = 15),干预为期6个月。在基线期和6个月时收集数据。6个月后,干预组儿童每天看电视的时间显著低于对照组(分别为1.7[标准误=0.02]小时/天和2.6[标准误=0.25]小时/天,P < 0.01)。与对照组儿童相比,干预组儿童的含糖饮料摄入量略低,但差异不显著(分别为0.21[标准误=0.09]和0.45[标准误=0.10],P < 0.09)。与对照组儿童相比,干预组儿童的体重指数(BMI)z评分没有显著降低。在低收入儿童样本中,家庭干预减少了看电视时间,但没有降低含糖饮料摄入量或BMI z评分。

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