全县范围学校体重管理干预的效果。

Efficacy of a county-wide schools weight management intervention.

机构信息

Carnegie School of Sport, Leeds Beckett University, Fairfax Hall Rm 230, Headingley Campus, Leeds LS6 3QS, UK.

Carnegie School of Sport, Leeds Beckett University, Leeds, UK.

出版信息

Perspect Public Health. 2022 Nov;142(6):319-327. doi: 10.1177/17579139211006738. Epub 2021 May 15.

DOI:10.1177/17579139211006738

PMID:33998330

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9720709/

Abstract

AIMS

This study aimed to evaluate the effectiveness of the Local Authority commissioned large-scale public health service that provided a 6-week school-based weight management intervention for children aged 4-19 years.

METHODS

A quantitative retrospective cohort study identified participants from 130 schools consisting of 8550 potential children aged 4-19 years across a mixture of Lower Super Output Area (LSOA) deprivation groups. Participants were invited to take part in a 5- to 12-week Healthy Lifestyles intervention with a focus on weight management delivered by OneLife Suffolk between 1 January 2017 and 1 January 2020. This resulted in a final sample of 5163 participants. The following information for each child was collected anonymously: (1) age, (2) gender, (3) preprogramme body mass index (BMI), (4) postprogramme BMI, (5) weight category and (6) LSOA category.

RESULTS

Following the 6-week school-based intervention, there was a significant decrease in mean ΔBMI SDS (standardised body mass index) of -0.07 (-14.89%) among participants. Wilcoxon signed-rank test showed a significant change in weight status post 6-week weight management programme (WMP): BMI ( = -15.87, < .001), BMI SDS ( = -21.54, < .001), centile ( = -20.12, < .01) and weight category ( = -7.89, < .001), whereas Mann-Whitney test showed no statistically significant difference in mean BMI SDS change between gender groups ( = .24) and Kruskal-Wallis test revealed no statistically significant differences in mean BMI SDS change between child LSOA groups (c(4) = 1.67, = .796), school LSOA groups (c(4) = 4.72, = .317), ethnic groups (c(4) = 2.53, = .640) and weight category at the start of the intervention (c(3) = 6.20, = .102).

CONCLUSIONS

This study contributes to the growing body of evidence demonstrating the efficacy of multicomponent school-based weight management interventions and demonstrates that such interventions can be successfully implemented as part of a wider healthy lifestyles service, without widening health inequalities.

摘要

目的

本研究旨在评估地方当局委托的大型公共卫生服务的效果，该服务为 4-19 岁儿童提供为期 6 周的基于学校的体重管理干预。

方法

一项定量回顾性队列研究从 130 所学校中确定了参与者，这些学校由混合低超级输出区域（LSOA）贫困群体中的 8550 名潜在 4-19 岁儿童组成。参与者被邀请参加 2017 年 1 月 1 日至 2020 年 1 月 1 日期间由 OneLife Suffolk 提供的为期 5-12 周的健康生活方式干预，重点是体重管理。这导致了最终的 5163 名参与者样本。每个孩子的以下信息是匿名收集的：（1）年龄，（2）性别，（3）项目前身体质量指数（BMI），（4）项目后 BMI，（5）体重类别和（6）LSOA 类别。

结果

在基于学校的 6 周干预后，参与者的平均 ΔBMI SDS（标准化体重指数）显著下降-0.07（-14.89%）。Wilcoxon 符号秩检验显示，6 周体重管理计划（WMP）后体重状况发生显著变化：BMI（ = -15.87， < .001）、BMI SDS（ = -21.54， < .001）、百分位数（ = -20.12， < .01）和体重类别（ = -7.89， < .001），而 Mann-Whitney 检验显示，性别组之间 BMI SDS 变化的平均差异无统计学意义（ = .24），Kruskal-Wallis 检验显示，儿童 LSOA 组之间 BMI SDS 变化的平均差异无统计学意义（c（4） = 1.67， = .796），学校 LSOA 组（c（4） = 4.72， = .317），族裔群体（c（4） = 2.53， = .640）和干预开始时的体重类别（c（3） = 6.20， = .102）。