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观看电视时进食与儿童和青少年超重/肥胖的关系:观察性研究的系统评价和荟萃分析。

Association of eating while television viewing and overweight/obesity among children and adolescents: a systematic review and meta-analysis of observational studies.

机构信息

Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, School of Nutrition and Food Sciences, University of Medical Sciences, Shiraz, Iran.

出版信息

Obes Rev. 2018 Mar;19(3):313-320. doi: 10.1111/obr.12637. Epub 2017 Dec 19.

DOI:10.1111/obr.12637
PMID:29266643
Abstract

The objective of this systematic review and meta-analysis was to examine the association between eating while television viewing (TVV) and overweight or obesity in children (<18 years). A systematic search of PubMed, Scopus, Web of science, PreQuest and Embase was conducted up to April 2017; pooled odds ratio (OR) and 95% confidence intervals (CI) were calculated using a random effects model. Of 4,357 articles identified, 20 observational studies met inclusion criteria (n = 84,825) and 8 of these 20 (n = 41,617) reported OR. Eating while TVV was positively associated with obesity-related anthropometric measurements in 15 studies (75%). The meta-analysis revealed that eating while TVV was positively associated with being overweight (OR = 1.28; 95% CI: 1.17, 1.39). Subgroup analyses showed similar positive associations in both girls and boys, as well as in children who ate dinner while TVV. There was no evidence of publication bias. The present systematic review and meta-analysis suggests that eating while TVV could be a risk factor for being overweight or obese in childhood and adolescents.

摘要

本系统评价和荟萃分析的目的是研究儿童(<18 岁)边看电视边进食(TVV)与超重或肥胖之间的关联。截至 2017 年 4 月,对 PubMed、Scopus、Web of science、PreQuest 和 Embase 进行了系统检索;使用随机效应模型计算汇总优势比(OR)和 95%置信区间(CI)。在确定的 4357 篇文章中,有 20 项观察性研究符合纳入标准(n=84825),其中 8 项研究(n=41617)报告了 OR。15 项研究(75%)表明,边看电视边进食与肥胖相关的人体测量指标呈正相关。荟萃分析显示,边看电视边进食与超重呈正相关(OR=1.28;95%CI:1.17,1.39)。亚组分析表明,这种正相关在女孩和男孩中以及在边吃晚餐边看电视的儿童中都存在。没有发表偏倚的证据。本系统评价和荟萃分析表明,儿童和青少年边看电视边进食可能是超重或肥胖的一个危险因素。

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