Ismaeel Ahmed, Weems Suzy, McClendon Megan, Morales Flor Elisa
Nutrition Sciences, Family and Consumer Sciences, Baylor University, One Bear Place #97346, Waco, TX, 76798, USA.
Department of Health, Human Performance and Recreation, Baylor University, Waco, TX, 76706, USA.
J Immigr Minor Health. 2018 Oct;20(5):1288-1293. doi: 10.1007/s10903-017-0672-7.
The prevalence of obesity is higher among Hispanic children than among all other ethnicities, and recent efforts have been focused on addressing this growing disparity. The objective of this review was to examine the evidence for interventions designed to reduce obesity in Hispanic children in the first 1000 days of life and to assess and summarize the effectiveness of the interventions. A literature search was conducted using MEDLINE, Scopus, and PubMed. Included in the review were published studies that evaluated an intervention designed to prevent or reduce obesity in Hispanic children in the first 1000 days of life. Quality was assessed using the GRADE system. Out of 134 citations that were retrieved, 11 articles underwent full-text review, and 5 articles met study inclusion criteria. Only one study was of high quality, and the rest were of low or moderate quality. Three of the studies were lifestyle interventions, and two were educational interventions. Four out of the five interventions led to significant improvements in the outcome measures assessed. Very few published studies tested interventions in the population of Hispanic children ages 0-2 years. Limited evidence does suggest that these interventions may improve behaviors related to factors known to increase the risk for obesity. Future research should focus on designing interventions using common themes observed among successful studies. Further, these studies should also include clinical measures of obesity to further establish their effectiveness.
西班牙裔儿童的肥胖患病率高于所有其他种族，最近的努力都集中在解决这一日益扩大的差距上。本综述的目的是研究旨在降低西班牙裔儿童生命最初1000天肥胖率的干预措施的证据，并评估和总结这些干预措施的有效性。使用MEDLINE、Scopus和PubMed进行了文献检索。纳入综述的是已发表的研究，这些研究评估了旨在预防或降低西班牙裔儿童生命最初1000天肥胖率的干预措施。使用GRADE系统评估质量。在检索到的134篇文献中，11篇进行了全文审查，5篇符合研究纳入标准。只有一项研究质量高，其余的质量低或中等。其中三项研究是生活方式干预，两项是教育干预。五项干预措施中有四项在评估的结果指标上有显著改善。很少有已发表的研究在0至2岁的西班牙裔儿童群体中测试干预措施。有限的证据确实表明，这些干预措施可能会改善与已知增加肥胖风险因素相关的行为。未来的研究应专注于利用成功研究中观察到的共同主题设计干预措施。此外，这些研究还应包括肥胖的临床测量指标，以进一步确定其有效性。
