Lindsay Ana Cristina, Sitthisongkram Somporn, Greaney Mary L, Wallington Sherrie F, Ruengdej Praewrapee
Department of Exercise and Health Sciences, University of Massachusetts-Boston, Boston, MA 02125, USA.
Department of Nutrition, Harvard School of Public Health, Boston, MA 02125, USA.
Int J Environ Res Public Health. 2017 Apr 19;14(4):436. doi: 10.3390/ijerph14040436.
Childhood obesity is increasing dramatically in many Southeast Asian countries, and becoming a significant public health concern. This review summarizes the evidence on associations between parental feeding practices, child eating behaviors, and the risk of overweight and obesity in Southeast Asian children 2-12 years old. We systematically searched five electronic academic/research (PubMed, PsycINFO, ProQuest Nursing, Medline, and CINAHL) databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for peer-reviewed studies published in English between January 2000 and December 2016. Fourteen observational studies met the inclusion criteria and were reviewed. Reviewed studies were examined separately for preschool- and school-aged children and revealed that non-responsive parental feeding practices and unhealthy child eating behaviors were associated with a risk of child overweight and obesity in several Southeast Asian countries. Nonetheless, due to the small number of identified studies ( = 14) and because only about half of the Southeast Asian countries (Thailand, Vietnam, Singapore, the Philippines, and Malaysia) were represented (5/11) in the examined studies, additional research is needed to further understand the factors associated with childhood obesity among children in Southeast Asia to develop interventions that are tailored to the specific needs of Southeast Asian countries and designed to address practices and behaviors that may promote childhood obesity.
在许多东南亚国家,儿童肥胖现象急剧增加,已成为一个重大的公共卫生问题。本综述总结了2至12岁东南亚儿童的父母喂养方式、儿童饮食行为与超重和肥胖风险之间关联的证据。我们使用系统评价和Meta分析的首选报告项目(PRISMA)声明,在五个电子学术/研究数据库(PubMed、PsycINFO、ProQuest Nursing、Medline和CINAHL)中系统检索了2000年1月至2016年12月期间以英文发表的同行评审研究。十四项观察性研究符合纳入标准并接受了综述。针对学龄前儿童和学龄儿童分别对综述研究进行了审查,结果显示,在几个东南亚国家,父母无反应性的喂养方式和儿童不健康的饮食行为与儿童超重和肥胖风险相关。尽管如此,由于已识别研究数量较少(n = 14),且在所审查的研究中仅涵盖了约一半的东南亚国家(泰国、越南、新加坡、菲律宾和马来西亚)(5/11),因此需要进一步开展研究,以更深入地了解东南亚儿童肥胖的相关因素,从而制定出符合东南亚国家特定需求、旨在解决可能促进儿童肥胖的行为和做法的干预措施。