Alexandrov A, Isakova G, Maslennikova G, Shugaeva E, Prokhorov A, Olferiev A, Kulikov S
Institute of Preventive Cardiology, USSR Academy of Medical Sciences, Moscow.
Health Psychol. 1988;7 Suppl:247-52.
A total of 4,213 boys and girls 11 years of age were screened in two Moscow administrative districts. Preventive measures were conducted in one district and were directed at excess body mass, systolic blood pressure, blood lipids (only among boys), cigarette smoking, and physical inactivity. A reference group of peers, who did not receive advice on prevention, was selected from another district. The intervention was targeted to three groups--schoolchildren, their parents, and teaching staff. It included round-table discussions, lectures, and the distribution of health-education materials relating to dietary habits and smoking. Over a 3-year period, these measures resulted in nonsignificant decline in the age-specific increase in body mass compared to the reference group. The intervention group had smaller subscapular skinfold thickness measurements than the reference group. These differences were significant. Mean systolic blood pressure increased with age in both groups. The increase was less in the intervention group than in the reference group and affected boys less than girls. A significant decrease in lipids (cholesterol and triglycerides) was observed in the intervention district. We conclude that additional study is needed to evaluate more precisely the effectiveness of such prevention efforts.
在莫斯科的两个行政区，对总共4213名11岁的男孩和女孩进行了筛查。在其中一个区采取了预防措施，针对的是超重、收缩压、血脂（仅针对男孩）、吸烟和缺乏体育锻炼等问题。从另一个区选取了一组未接受预防建议的同龄参照人群。干预措施针对三组人群——学童、他们的父母和教师。干预措施包括圆桌讨论、讲座以及分发与饮食习惯和吸烟有关的健康教育材料。在3年期间，与参照组相比，这些措施使特定年龄的体重增加量出现了不显著的下降。干预组的肩胛下皮褶厚度测量值低于参照组。这些差异具有显著性。两组的平均收缩压均随年龄增长而升高。干预组的升高幅度小于参照组，且对男孩的影响小于女孩。在干预区观察到血脂（胆固醇和甘油三酯）显著下降。我们得出结论，需要进一步研究以更准确地评估此类预防措施的效果。
