Vangeepuram Nita, Angeles Jesenia, Lopez-Belin Patricia, Arniella Guedy, Horowitz Carol R
Departments of Pediatrics and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place Box 1202A, New York, NY, 10029, United States.
Departments of Pediatrics and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place Box 1077, New York, NY 10029, United States.
Eval Program Plann. 2020 Dec;83:101871. doi: 10.1016/j.evalprogplan.2020.101871. Epub 2020 Sep 28.
The prevalence of obesity remains high among school age children and continues to rise among adolescents in the United States. One strategy to address this challenge is to use peer rather than professional leaders to run weight management programs. Youth peer-led lifestyle interventions have become increasingly common over the last few decades, but there is a lack of review and synthesis of these programs. The purpose of this manuscript was to critically review and synthesize results and lessons learned from evaluated youth peer-led lifestyle modification and weight management programs. We searched the PubMed/MEDLINE database to identify articles published between March 2002 and December 2015. We identified 29 interventions including children from kindergarten to 12th grade from different settings and racial/ethnic and economic backgrounds. We first summarized descriptive information about the interventions and then compared outcomes based on intervention type, peer leader characteristics and training, and other related factors. Our review indicated that youth peer-led interventions of varying structure and content can result in positive changes in behavioral influences, diet, physical activity, body measures and other clinical outcomes. We used information from our analysis to formulate recommendations for design of future youth peer-led lifestyle interventions.
在美国，肥胖症在学龄儿童中的患病率仍然很高，且在青少年中持续上升。应对这一挑战的一种策略是利用同龄人而非专业领导者来开展体重管理项目。在过去几十年里，由青少年同龄人主导的生活方式干预措施越来越普遍，但对这些项目缺乏综述和总结。本手稿的目的是对已评估的青少年同龄人主导的生活方式改变和体重管理项目的结果及经验教训进行批判性综述和总结。我们在PubMed/MEDLINE数据库中进行检索，以识别2002年3月至2015年12月期间发表的文章。我们确定了29项干预措施，涉及来自不同环境、种族/民族和经济背景的幼儿园至12年级的儿童。我们首先总结了关于这些干预措施的描述性信息，然后根据干预类型、同龄人领导者的特征和培训以及其他相关因素对结果进行了比较。我们的综述表明，结构和内容各异的青少年同龄人主导的干预措施可以在行为影响、饮食、身体活动、身体测量及其他临床结果方面产生积极变化。我们利用分析所得信息为未来青少年同龄人主导的生活方式干预措施的设计制定建议。
