Collie-Akers V L, Schultz J A, Fawcett S B, Obermeier S M, Pate R R, John L V, Weber S A, Logan A, Arteaga S S, Loria C M, Webb K
Center for Community Health and Development, University of Kansas, Lawrence, KS, USA.
Department of Exercise Science, University of South Carolina, Columbia, SC, USA.
Pediatr Obes. 2018 Oct;13 Suppl 1:64-71. doi: 10.1111/ijpo.12475. Epub 2018 Oct 1.
This manuscript describes the prevalence and attributes of community programmes and policies (CPPs) to address childhood obesity documented as occurring in 130 diverse US communities.
Key informant interviews (N = 1420) and document abstraction were used to identify and characterize CPPs to promote physical activity and healthy nutrition occurring during a 10-year retrospective study period. Data were collected in 2013-2015 and analysed in 2016.
Across all 130 communities, 9681 distinct CPPs were reported as occurring by key informants. Of these, 5574 (58%) focused on increasing physical activity, 2596 (27%) on improving nutrition and 1511 (16%) on both behaviours. The mean number of CPPs per community was 74.0, with a range of 25 to 295 across all communities. Most CPPs occurred more than once (63%) and on average lasted 6.1 years. The greatest number of reported CPPs occurred in school settings (44%).
Communities showed a wide range of investment in the amount of CPPs occurring in settings that affect opportunities for children to engage in physical activity and healthy nutrition. The pattern of implementation of CPPs showed variation over time, with an increase in more recent years. This observational study provides new and valuable information about what US communities are doing to prevent childhood obesity.
本手稿描述了美国130个不同社区中记录的旨在解决儿童肥胖问题的社区计划和政策（CPPs）的流行情况及特点。
在一项为期10年的回顾性研究期间，通过关键信息人访谈（N = 1420）和文件摘要来识别和描述旨在促进身体活动和健康营养的CPPs。数据于2013 - 2015年收集，并于2016年进行分析。
在所有130个社区中，关键信息人报告了9681个不同的CPPs。其中，5574个（58%）侧重于增加身体活动，2596个（27%）侧重于改善营养，1511个（16%）同时关注这两种行为。每个社区的CPPs平均数量为74.0个，所有社区的范围为25至295个。大多数CPPs不止实施一次（63%），平均持续6.1年。报告的CPPs数量最多的是在学校环境中（44%）。
社区在影响儿童进行身体活动和健康营养机会的环境中对CPPs的投入程度差异很大。CPPs的实施模式随时间有所变化，近年来有所增加。这项观察性研究提供了关于美国社区为预防儿童肥胖所采取措施的新的有价值信息。
