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儿童肥胖预防的营养策略

Nutritional Strategies for Childhood Obesity Prevention.

作者信息

Fornari Elena, Brusati Marco, Maffeis Claudio

机构信息

Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, 37126 Verona, Italy.

Department of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy.

出版信息

Life (Basel). 2021 Jun 8;11(6):532. doi: 10.3390/life11060532.

Abstract

BACKGROUND

Reducing the spread of obesity represents a challenge for clinicians in which obesity prevention plays a key role in achieving this purpose. The aim of this review is to analyze the nutritional interventions that can be implemented to prevent childhood obesity.

METHODS

Searching PubMed and Cochrane Library between 2019 and 2021. Further searching with no date range for articles selected for their specific relevance in the pediatric area or for their scientific relevance. A total of 871 articles were identified and 90 were included.

RESULTS

We organized the results of the selected articles into age groups, and according to the subjects targeted for interventions or to the site of interventions, reserving an in-depth analysis on specific nutritional aspects. Promotion of breastfeeding, reduction of protein content of formulated milks, and diet of the first 12-24 months, involving family and schools in interventions that promote physical activity and healthy diet, are promising strategies for reduction of the risk of obesity. To increase the efficacy of interventions, a multidimensional approach is crucial.

CONCLUSIONS

A multidimensional approach, which takes into consideration different areas of intervention, is pivotal for childhood obesity prevention. Integrated programs involving several components (nutrition and physical activity at first) at different levels (individual, family, school, and institutional) are crucial.

摘要

背景

减少肥胖的传播对临床医生来说是一项挑战,其中肥胖预防在实现这一目标中起着关键作用。本综述的目的是分析可用于预防儿童肥胖的营养干预措施。

方法

检索2019年至2021年期间的PubMed和Cochrane图书馆。进一步检索无日期范围的文章,这些文章因其在儿科领域的特定相关性或科学相关性而被选中。共识别出871篇文章,纳入90篇。

结果

我们将所选文章的结果按年龄组进行了整理,并根据干预目标对象或干预地点进行了分类,同时对特定营养方面进行了深入分析。促进母乳喂养、降低配方奶中的蛋白质含量以及12至24个月大婴儿的饮食,让家庭和学校参与促进身体活动和健康饮食的干预措施,是降低肥胖风险的有前景的策略。为提高干预效果,多维度方法至关重要。

结论

考虑不同干预领域的多维度方法对预防儿童肥胖至关重要。涉及不同层面(个人、家庭、学校和机构)多个组成部分(首先是营养和身体活动)的综合项目至关重要。

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