Tamayo Milicen C, Dobbs Page D, Pincu Yair
Health Sciences Department, Universidad San Francisco de Quito, Cumbayá, Diego de Robles Y Vía Interoceánica, Quito, 170901, Ecuador.
Health and Exercise Science Department, University of Oklahoma, 1401 Asp Ave, Norman, OK, 73019, USA.
J Community Health. 2021 Jun;46(3):635-643. doi: 10.1007/s10900-020-00897-7.
The recent increases in childhood obesity rate among the Hispanics living in the US is a major public health concern. To date, interventions seeking to reduce childhood obesity often target the youth or the parents; however, few engage both groups within the intervention. This systematic review explores current studies that aim to control obesity in Hispanic children through family-centered interventions and assesses the effects and outcomes of these interventions in Hispanic children (2-12 years old). Data bases (PubMed, Cochrane, and EBSCO) were used to search for articles published from 2013 to 2019 that used interventions to prevent or reduce childhood obesity in Hispanic populations. Out of the initial 110 articles, only nine articles met the inclusion criteria and were included in the analysis. The majority of the current interventions included in this systematic analysis were effective in controlling Hispanic childhood obesity. Shorter interventions (i.e. 8-36 weeks) found changes in health behaviors (e.g. sugary drink consumption, screen time) and health outcomes (e.g. health-related quality of life), but many did not see changes in anthropometric variables (e.g. body mass index [BMI], blood pressure). However, interventions measured over longer timeframes (i.e. 48-144 weeks) found some decreases in sustained behaviors (e.g. caloric intake) and anthropometric measures. There is a lack of literature pertaining to culturally relevant, family-centered interventions for Hispanic youth and their families. Future studies should use culturally tailored strategies to develop interventions specifically made for Hispanic youth and education to engage their families within the program.
美国西班牙裔儿童肥胖率近期的上升是一个重大的公共卫生问题。迄今为止，旨在降低儿童肥胖率的干预措施通常针对青少年或家长；然而，很少有干预措施能同时涉及这两个群体。本系统综述探讨了旨在通过以家庭为中心的干预措施控制西班牙裔儿童肥胖的现有研究，并评估了这些干预措施对西班牙裔儿童（2至12岁）的效果和结果。使用数据库（PubMed、Cochrane和EBSCO）搜索2013年至2019年发表的文章，这些文章使用干预措施预防或降低西班牙裔人群的儿童肥胖率。在最初的110篇文章中，只有9篇符合纳入标准并被纳入分析。本系统分析中纳入的大多数现有干预措施在控制西班牙裔儿童肥胖方面是有效的。较短时间的干预措施（即8至36周）发现健康行为（如含糖饮料消费、屏幕使用时间）和健康结果（如与健康相关的生活质量）有变化，但许多干预措施未观察到人体测量变量（如体重指数[BMI]、血压）的变化。然而，在较长时间框架（即48至144周）内进行测量的干预措施发现持续行为（如热量摄入）和人体测量指标有所下降。目前缺乏有关针对西班牙裔青少年及其家庭的具有文化相关性、以家庭为中心的干预措施的文献。未来的研究应采用文化定制策略，开发专门针对西班牙裔青少年的干预措施，并开展教育活动，使他们的家庭参与到项目中来。
