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一项关于口腔健康专业人员促使儿童和家长改变饮食以预防儿童肥胖和减少含糖饮料摄入所需技能与工具的范围综述。

A scoping review of skills and tools oral health professionals need to engage children and parents in dietary changes to prevent childhood obesity and consumption of sugar-sweetened beverages.

作者信息

Mallonee Lisa F, Boyd Linda D, Stegeman Cynthia

机构信息

Caruth School of Dental Hygiene, Texas A&M University College of Dentistry, Dallas, TX, USA.

Forsyth School of Dental Hygiene, Mass College of Pharmacy & Health Sciences, Boston, MA, USA.

出版信息

J Public Health Dent. 2017 Jun;77 Suppl 1:S128-S135. doi: 10.1111/jphd.12237. Epub 2017 Jul 25.

DOI:10.1111/jphd.12237
PMID:28742239
Abstract

OBJECTIVES

Increased consumption of sugar-sweetened beverages (SSBs) has been linked to obesity. Obesity now affects one in six children in the United States. The purpose of this scoping review is to identify and review published studies that discuss skills and tools oral health professionals can use with children (under age 12) and their parents to encourage dietary changes to aid in preventing childhood obesity and reducing consumption of SSBs.

METHODS

Key search terms were identified and used to examine selected databases via PubMed, EMBASE, CINAHL, and Cochrane Database of Systematic Reviews. A total of 637 records were identified. After duplicates were removed and records were screened for eligibility, 33 remained. Six met established inclusion/exclusion criteria and were included in the review.

RESULTS

Only two full-text articles included dental-office-based weight interventions. Patient response to education on healthy habits and weight maintenance in the dental setting was favorable. Literature supports oral health professionals expanding their role in health care delivery by offering nutrition and physical activity recommendations to prevent and/or reduce chronic disease. Active listening and motivational interviewing were techniques identified to promote beneficial lifestyle changes.

CONCLUSIONS

There is limited research on behavior modification tools and skills that have been effectively implemented in the dental setting to decrease risk of obesity. Oral health professionals are uniquely positioned to address consumption of SSBs and promote positive dietary habits for improved weight management. Future studies are needed to identify effective techniques that techniques that oral health professionals can integrate into preventive patient care.

摘要

目的

含糖饮料(SSB)摄入量的增加与肥胖有关。在美国,现在每六个孩子中就有一个受到肥胖影响。本范围综述的目的是识别和综述已发表的研究,这些研究讨论了口腔健康专业人员可用于12岁以下儿童及其父母的技能和工具,以鼓励饮食改变,帮助预防儿童肥胖并减少含糖饮料的消费。

方法

确定了关键检索词,并通过PubMed、EMBASE、CINAHL和Cochrane系统评价数据库对选定的数据库进行检索。共识别出637条记录。在去除重复项并筛选记录的合格性后,剩下33条。其中6条符合既定的纳入/排除标准,被纳入综述。

结果

只有两篇全文文章包含基于牙科诊所的体重干预措施。患者对牙科环境中关于健康习惯和体重维持教育的反应良好。文献支持口腔健康专业人员通过提供营养和身体活动建议来预防和/或减少慢性病,从而扩大其在医疗服务中的作用。积极倾听和动机性访谈是被确定为促进有益生活方式改变的技术。

结论

关于在牙科环境中有效实施以降低肥胖风险的行为改变工具和技能的研究有限。口腔健康专业人员在解决含糖饮料消费问题并促进积极的饮食习惯以改善体重管理方面具有独特的地位。未来需要开展研究以确定口腔健康专业人员可纳入预防性患者护理的有效技术。

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