行为因素对儿童肥胖的影响：系统评价和荟萃分析。
Behavioral factors influencing childhood obesity: a systematic review and meta-analysis.
机构信息
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran; Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran; Modeling of Noncommunicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
Obes Res Clin Pract. 2020 Mar-Apr;14(2):109-118. doi: 10.1016/j.orcp.2020.03.002. Epub 2020 Mar 19.
BACKGROUND
This report provides information on 14 behavioral and nutritional factors that can be addressed in childhood overweight/obesity prevention programs.
METHODS
Web of Science, PubMed, and Scopus were searched through November 2018. Reference lists were also screened for additional references. Observational studies addressing the associations between overweight/obesity in children/adolescents aged between 5 to 19 years and associated risk factors were analyzed. Between-studies heterogeneity was assessed by χ, τ, and I statistics. The likelihood of publication bias was evaluated using the Begg and Egger tests and trim & fill analysis. Effect sizes were expressed as odds ratios (ORs) with 95% confidence intervals (CIs) using a random-effects model.
RESULTS
Of 34,537 retrieved studies, 199 including 1,636,049 participants were eligible. The ORs (95% CI) of factors associated with childhood overweight/obesity were as follows: sufficient physical activity 0.70 (0.66, 0.75); eating breakfast every day 0.66 (0.59, 0.74); sufficient consumption of fruits/vegetables 0.92 (0.84, 1.01); breastfeeding <4 months 1.24 (1.16, 1.33); inadequate sleep 1.26 (1.13, 1.40); watching TV >1-2 h/day 1.42 (1.35, 1.49); playing computer games >2 h/day 1.08 (0.95, 1.23); eating sweets ≥3 times/week 0.78 (0.71, 0.85); eating snack ≥4 times/week 0.84 (0.71, 1.00); drinking sugar-sweetened beverages ≥4 times/week 1.24 (1.07, 1.43); eating fast-food ≥3 times/week 1.03 (0.89, 1.18); eating fried-food ≥3 times/week 1.09 (0.90, 1.33); smoking 1.17 (1.07, 1.29); and drinking alcohol 1.05 (0.95, 1.16).
CONCLUSIONS
This meta-analysis provided a clear picture of the behavioral and nutritional factors associated with weight gain in children.
背景
本报告提供了可用于儿童超重/肥胖预防计划的 14 种行为和营养因素的信息。
方法
通过 Web of Science、PubMed 和 Scopus 检索至 2018 年 11 月的相关文献，同时也对参考文献进行了筛选以获取更多相关文献。分析了儿童和青少年（5 至 19 岁）超重/肥胖与相关危险因素之间的关联的观察性研究。采用 χ²、τ² 和 I² 统计量评估研究间异质性。采用 Begg 和 Egger 检验以及修剪填充分析评估发表偏倚的可能性。使用随机效应模型，以比值比（ORs）和 95%置信区间（CIs）表示效应大小。
结果
在检索到的 34537 项研究中，有 199 项研究（包括 1636049 名参与者）符合纳入标准。与儿童超重/肥胖相关的因素的 ORs（95%CI）如下：足够的身体活动 0.70（0.66，0.75）；每天吃早餐 0.66（0.59，0.74）；足够摄入水果/蔬菜 0.92（0.84，1.01）；母乳喂养<4 个月 1.24（1.16，1.33）；睡眠不足 1.26（1.13，1.40）；每天看电视>1-2 小时 1.42（1.35，1.49）；每天玩电脑游戏>2 小时 1.08（0.95，1.23）；每周吃甜食≥3 次 0.78（0.71，0.85）；每周吃零食≥4 次 0.84（0.71，1.00）；每周喝含糖饮料≥4 次 1.24（1.07，1.43）；每周吃快餐≥3 次 1.03（0.89，1.18）；每周吃油炸食品≥3 次 1.09（0.90，1.33）；吸烟 1.17（1.07，1.29）；饮酒 1.05（0.95，1.16）。
结论
本荟萃分析清楚地描绘了与儿童体重增加相关的行为和营养因素。
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