Univ. Lille, Inserm, CHU Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, Lille, France.
Univ. Lille, CHU Lille, ULR 2694-METRICS: Evaluation des technologies de santé et des pratiques médicales, Lille, France.
Pediatr Obes. 2021 Jul;16(7):e12761. doi: 10.1111/ijpo.12761. Epub 2020 Dec 17.
Obesity in children is considered the main childhood health problem.
To assess the impact of 7-year community-based interventions on the trend prevalence of overweight and obesity in French preschool children and primary school children between 2008 and 2015.
Two cross-sectional studies were performed in the last grade of every pre-school and primary schools of 6 cities in 2008 and 2015. In 2008 and 2015, 3387 children and 3415 children (aged 5 and 11 years old) participated in the 2 surveys. Interventions consisted to promote physical activity, healthy diet, sleep habits and well-being. Prevalence of overweight and obesity were defined according to age- and sex-specific BMI cut-off points. Priority education area of the schools was also recorded.
Prevalence of overweight and obesity decreased significantly between 2008 and 2015 in children from pre-schools (18.1% vs 13.0%) and primary schools (20.9% vs 16.9%) (P < 0.05). No effects of priority education area and sex were found related to the decrease of prevalence in overweight and obesity.
Our results show that over 7 years period, the community-based intervention has a positive impact on the overweight and obesity prevalence in childhood. These results are promising and encouraging in addressing obesity and related issues in French young boys and girls.
儿童肥胖被认为是儿童主要的健康问题。
评估基于社区的 7 年干预对法国学龄前和小学生超重和肥胖趋势流行率的影响，时间为 2008 年至 2015 年。
在 2008 年和 2015 年，对 6 个城市的每所幼儿园和小学的最后一个年级进行了两项横断面研究。2008 年和 2015 年，共有 3387 名和 3415 名（年龄为 5 岁和 11 岁）儿童参与了这两项调查。干预措施包括促进身体活动、健康饮食、睡眠习惯和幸福感。超重和肥胖的患病率是根据年龄和性别特异性 BMI 切点来定义的。还记录了学校的重点教育领域。
与 2008 年相比，2008 年至 2015 年间，幼儿园（18.1%比 13.0%）和小学（20.9%比 16.9%）儿童的超重和肥胖患病率显著下降（P<0.05）。在超重和肥胖患病率下降方面，未发现重点教育领域和性别有任何影响。
我们的研究结果表明，在 7 年的时间里，基于社区的干预对儿童超重和肥胖的流行率有积极影响。这些结果令人鼓舞，为解决法国年轻男孩和女孩的肥胖及其相关问题提供了希望。
