Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT 59718, USA.
Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI 02881, USA.
Nutrients. 2021 Sep 16;13(9):3227. doi: 10.3390/nu13093227.
Parents substantially influence children's diet and physical activity behaviors, which consequently impact childhood obesity risk. Given this influence of parents, the objective of this umbrella review was to synthesize evidence on effects of parent involvement in diet and physical activity treatment and prevention interventions on obesity risk among children aged 3-12 years old. Ovid/MEDLINE, Elsevier/Embase, Wiley/Cochrane Library, Clarivate/Web of Science, EBSCO/CINAHL, EBSCO/PsycInfo, and Epistemonikos.org were searched from their inception through January 2020. Abstract screening, full-text review, quality assessment, and data extraction were conducted independently by at least two authors. Systematic reviews and meta-analyses of diet and physical activity interventions that described parent involvement, included a comparator/control, and measured child weight/weight status as a primary outcome among children aged 3-12 years old were included. Data were extracted at the level of the systematic review/meta-analysis, and findings were narratively synthesized. Of 4158 references identified, 14 systematic reviews and/or meta-analyses (eight treatment focused and six prevention focused) were included and ranged in quality from very low to very high. Our findings support the inclusion of a parent component in both treatment and prevention interventions to improve child weight/weight status outcomes. Of note, all prevention-focused reviews included a school-based component. Evidence to define optimal parent involvement type and duration and to define the best methods of involving parents across multiple environments (e.g., home, preschool, school) was inadequate and warrants further research. PROSPERO registration: CRD42018095360.
父母对儿童的饮食和身体活动行为有重大影响，进而影响儿童肥胖的风险。鉴于父母的这种影响，本伞状评价的目的是综合评估父母参与饮食和身体活动治疗和预防干预对 3-12 岁儿童肥胖风险的影响。从各数据库建库开始，通过 Ovid/MEDLINE、Elsevier/Embase、Wiley/Cochrane Library、Clarivate/Web of Science、EBSCO/CINAHL、EBSCO/PsycInfo 和 Epistemonikos.org 进行检索。由至少两名作者独立进行摘要筛选、全文评价、质量评估和数据提取。纳入了描述父母参与情况、包含对照组/对照措施、且以儿童体重/体重状况为主要结局的饮食和身体活动干预的系统评价和荟萃分析，纳入的研究对象为 3-12 岁儿童。在系统评价/荟萃分析水平提取数据，并进行叙述性综合。在 4158 条参考文献中，纳入了 14 项系统评价和/或荟萃分析（8 项治疗性研究，6 项预防性研究），质量从极低到极高不等。我们的研究结果支持在治疗和预防干预中纳入父母这一组成部分，以改善儿童的体重/体重状况。值得注意的是，所有以预防为重点的综述都包含了基于学校的组成部分。关于确定最佳父母参与类型和时间，以及确定在多个环境（如家庭、学前、学校）中最有效的父母参与方法的证据不足，需要进一步研究。PROSPERO 注册号：CRD42018095360。
