Kim Min Jeong, Sung Eunju, Choi Eun Young, Ju Young-Su, Park Eal-Whan, Cheong Yoo-Seock, Yoo Sunmi, Park Kyung Hee, Choi Hyung Jin, Kim Seolhye
Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea.
Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Fam Med. 2017 Sep;38(5):284-290. doi: 10.4082/kjfm.2017.38.5.284. Epub 2017 Sep 22.
The prevalence of childhood obesity in South Korea has increased owing to economic improvement and the prevailing Westernized dietary pattern. As the incidence of chronic diseases caused by obesity is also expected to increase, effective interventions to prevent childhood obesity are needed. Therefore, we conducted a Delphi study to determine the priorities of a potential intervention research on childhood obesity prevention and its adequacy and feasibility.
The two-round Delphi technique was used with a panel of 10 childhood obesity experts. The panelists were asked to rate "priority populations," "methods of intervention," "measurement of outcomes," "future intervention settings," and "duration of intervention" by using a structured questionnaire. Finally, a portfolio analysis was performed with the adequacy and feasibility indexes as the two axes.
For priority populations, the panel favored "elementary," "preschool," and "middle and high school" students in this order. Regarding intervention settings, the panelists assigned high adequacy and feasibility to "childcare centers" and "home" for preschool children, "school" and "home" for elementary school children, and "school" for adolescents in middle and high school. As the age of the target population increased, the panelists scored increasing numbers of anthropometric, clinical, and intermediate outcomes as highly adequate and feasible for assessing the effectiveness of the intervention.
According to the results of the Delphi survey, the highest-priority population for the research on childhood obesity prevention was that of elementary school students. Various settings, methods, outcome measures, and durations for the different age groups were also suggested.
由于经济改善和普遍的西式饮食模式，韩国儿童肥胖症的患病率有所上升。由于肥胖引起的慢性病发病率预计也会增加，因此需要有效的干预措施来预防儿童肥胖。因此，我们进行了一项德尔菲研究，以确定预防儿童肥胖潜在干预研究的优先事项及其充分性和可行性。
采用两轮德尔菲技术，由10名儿童肥胖专家组成专家小组。要求专家小组成员使用结构化问卷对“优先人群”、“干预方法”、“结果测量”、“未来干预环境”和“干预持续时间”进行评分。最后，以充分性和可行性指标为两个轴进行了组合分析。
对于优先人群，专家小组按此顺序倾向于“小学”、“学前”和“初高中”学生。关于干预环境，专家小组成员认为“日托中心”和“家庭”对学龄前儿童、“学校”和“家庭”对小学生、“学校”对初高中青少年具有较高的充分性和可行性。随着目标人群年龄的增加，专家小组成员对越来越多的人体测量、临床和中间结果进行评分，认为这些结果对于评估干预效果具有高度的充分性和可行性。
根据德尔菲调查结果，预防儿童肥胖研究的最高优先人群是小学生。还针对不同年龄组提出了各种环境、方法、结果测量和持续时间。
