Institute of Health and Biomedical Innovation, Centre for Children's Health Research, Queensland University of Technology, Brisbane, Australia.
NHMRC Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Sydney School of Public Health, Level 6, Charles Perkins Centre, University of Sydney, Sydney, Australia.
Obes Rev. 2019 Mar;20(3):432-447. doi: 10.1111/obr.12801. Epub 2018 Nov 23.
Valid and reliable tools for measuring obesity-related behaviours in young children that are brief and can be administered quickly and cost-effectively in large-scale population studies are needed. The objectives of this systematic review were to describe brief tools that measure dietary intake, physical activity, sedentary behaviour, and sleep in young children.
A systematic review of studies published in English in six databases (CINAHL, Medline, Embase, PsycINFO, HaPI, and Cochrane) prior to April 2018 was undertaken using the PROSPERO protocol and PRISMA guidelines. Included studies were those reporting the psychometric properties of brief (≤15 items) tools that measure dietary, activity, or sleep-related behaviours, alone or in combination, in children birth to 4.9 years of age.
The search identified 11 379 papers, 200 full-text articles were screened for eligibility, and 12 met the inclusion criteria. Three studies measured two behavioural domains, while most assessed a single behaviour (three diet, five physical activity, one sleep, and none sedentary behaviour). Only two (one diet, one sleep) focused on the under 2 age group. Few studies assessed reliability, and validity and findings were mixed.
There is a need to develop brief tools to measure early life obesity-related behaviours, particularly those assessing sedentary behaviour and sleep and tools that cover multiple domains.
需要有效的、可靠的工具来测量幼儿肥胖相关行为，这些工具要简短，能够在大规模人群研究中快速、经济地进行测量。本系统综述的目的是描述用于测量幼儿饮食摄入、身体活动、久坐行为和睡眠的简短工具。
我们对截至 2018 年 4 月前在六个数据库（CINAHL、Medline、Embase、PsycINFO、HaPI 和 Cochrane）中发表的英文研究进行了系统回顾，使用 PROSPERO 方案和 PRISMA 指南。纳入的研究报告了简短（≤15 项）工具的心理测量学特性，这些工具单独或组合使用，可测量儿童出生至 4.9 岁时的饮食、活动或睡眠相关行为。
搜索共确定了 11379 篇论文，对 200 篇全文文章进行了筛选以确定其是否符合纳入标准，其中 12 篇符合纳入标准。三项研究测量了两个行为领域，而大多数研究评估了单一行为（三项饮食、五项身体活动、一项睡眠，没有一项是久坐行为）。只有两项（一项饮食，一项睡眠）关注 2 岁以下的儿童。很少有研究评估可靠性和有效性，且研究结果存在差异。
需要开发用于测量生命早期肥胖相关行为的简短工具，特别是那些评估久坐行为和睡眠以及涵盖多个领域的工具。
