Wijtzes Anne I, van de Gaar Vivian M, van Grieken Amy, de Kroon Marlou L A, Mackenbach Johan P, van Lenthe Frank J, Jansen Wilma, Raat Hein
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Department of Social Development, City of Rotterdam, The Netherlands, Rotterdam.
Eur J Public Health. 2017 Apr 1;27(2):240-247. doi: 10.1093/eurpub/ckw136.
Unhealthy lifestyle behaviors and childhood overweight are more common among children from families with a low socioeconomic position and ethnic minority children (referred to as social disadvantaged children). : This systematic review evaluates the effectiveness of interventions aimed to improve lifestyle behaviours and/or prevent overweight among socially disadvantaged children in Europe. : Six major databases were searched for studies reporting intervention effects on adiposity measures, sedentary behaviours, physical activity behaviours or dietary behaviours. Studies were included when the study sample consisted of at least 50% socially disadvantaged children or when results were presented for subgroups of socially disadvantaged children separately. Methodological quality assessment was based on Cochrane criteria. In total, 11 studies reporting on eight interventions (one among infants 0-2 years, one among preschoolers 2-6 years, six among school-aged children 6-12 years) were identified. Of these eight interventions, five interventions primarily aimed to improve at least one adiposity measure and three primarily aimed to improve a specific lifestyle behaviour. In general, modest positive effects were found but interventions were limited by a short follow-up duration. Despite an urgent need for effective interventions to improve lifestyle behaviours and prevent overweight among socially disadvantaged children, research on the effectiveness of interventions in Europe is still scarce. Those interventions that have been evaluated show modest effects on lifestyle behaviours and adiposity measures, but long-term follow-up is needed to establish whether these effects are sustained over a longer period of time.
不健康的生活方式行为和儿童超重现象在社会经济地位较低家庭的儿童以及少数族裔儿童（以下简称社会弱势儿童）中更为常见。：本系统评价旨在评估旨在改善欧洲社会弱势儿童生活方式行为和/或预防超重的干预措施的有效性。：检索了六个主要数据库，以查找报告干预措施对肥胖指标、久坐行为、身体活动行为或饮食行为影响的研究。当研究样本中至少50%为社会弱势儿童，或分别呈现社会弱势儿童亚组的结果时，纳入研究。方法学质量评估基于Cochrane标准。总共确定了11项报告八项干预措施的研究（一项针对0至2岁婴儿，一项针对2至6岁学龄前儿童，六项针对6至12岁学龄儿童）。在这八项干预措施中，五项主要旨在改善至少一项肥胖指标，三项主要旨在改善特定的生活方式行为。总体而言，发现了适度的积极效果，但干预措施受到随访时间短的限制。尽管迫切需要有效的干预措施来改善社会弱势儿童的生活方式行为并预防超重，但欧洲关于干预措施有效性的研究仍然很少。那些已经评估过的干预措施对生活方式行为和肥胖指标显示出适度的效果，但需要长期随访来确定这些效果是否能在更长时间内持续。
