J Pediatr Health Care. 2018 Mar-Apr;32(2):157-162. doi: 10.1016/j.pedhc.2017.09.006. Epub 2017 Dec 20.
Rising incidence and prevalence of childhood obesity and related costly health consequences suggest the need for an effective training tool at the primary care level. Evidence-based studies show how a healthy diet and physical activity help reduce the incidence of obesity.
The objective for this quality improvement project was to evaluate the effectiveness of an evidence-based educational tool in improving healthy eating and physical activity habits among overweight and obese children in a primary care setting over 3 months.
There was a positive statistically significant change in behavior in eating more fruits and vegetables and decreased intake of sugary drinks and sedentary habits (p < .05).
After receiving education on the importance of healthy lifestyle changes with regard to nutrition and physical activity, pediatric patients adopted better diet and physical activity habits. However, there was little effect on reducing body mass index in a 3-month timeframe.
儿童肥胖症的发病率和患病率不断上升，相关医疗成本也居高不下，这表明我们需要在初级保健层面上拥有一种有效的培训工具。有循证医学研究表明，健康饮食和体育锻炼有助于降低肥胖症的发病率。
本质量改进项目的目标是评估一种基于循证医学的教育工具在改善超重和肥胖儿童的健康饮食习惯和体育锻炼习惯方面的有效性，为期 3 个月。
在 3 个月的时间里，儿童在饮食中增加水果和蔬菜的摄入量，减少含糖饮料的摄入，以及减少久坐不动的习惯方面，行为上有积极的统计学意义上的变化（p<.05）。
在接受了有关营养和体育锻炼方面健康生活方式改变重要性的教育后，儿科患者养成了更好的饮食和体育锻炼习惯。然而，在 3 个月的时间内，体重指数的降低效果甚微。
