Pediatric Obesity Program, Department of Pediatrics, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN 38103, USA.
Nutrients. 2020 May 14;12(5):1425. doi: 10.3390/nu12051425.
Pediatric overweight and obesity are significant individual and public health issues that require an innovative approach. While evidence suggests that intensive family-based behavioral lifestyle modification can improve weight status, practical and logistical realities limit the ability of primary healthcare providers to intervene effectively. MEALs (Multidisciplinary Engagement and Learning/Mindful Eating and Active Living) is a family-based mindfulness intervention developed to address pediatric overweight and obesity, while improving healthy lifestyle behaviors through cooking classes. The incorporation of mindfulness, a psychological strategy associated with increased awareness of internal experiences, allows for a focus on the importance of healthy eating along with safe and efficacious kitchen practices. The Template for Intervention Description and Replication (TIDieR) checklist and guide is used to describe the intervention with the intention of providing necessary details to implement the intervention in clinical practice or replicate the intervention for further study. Lessons learned from pilot iterations of the intervention are provided.
儿科超重和肥胖是严重的个人和公共卫生问题，需要创新的方法。虽然有证据表明，强化以家庭为基础的行为生活方式改变可以改善体重状况，但实际和后勤现实限制了初级保健提供者有效干预的能力。MEALs（多学科参与和学习/正念饮食和积极生活）是一种以家庭为基础的正念干预措施，旨在解决儿科超重和肥胖问题，同时通过烹饪课程改善健康的生活方式行为。正念的融入，一种与增加对内部体验的认识相关的心理策略，可以让人们关注健康饮食以及安全有效的厨房实践的重要性。模板用于描述干预措施，目的是提供必要的细节，以便在临床实践中实施干预措施或复制干预措施进行进一步研究。提供了干预措施试点迭代中的经验教训。
