Wang Xiran, Ammerman Alice, Orr Colin J
Department of Nutrition University of North Carolina at Chapel Hill Gillings School of Public Health Chapel Hill North Carolina USA.
Health Promotion and Disease Prevention University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Obes Sci Pract. 2021 Dec 10;8(3):371-386. doi: 10.1002/osp4.578. eCollection 2022 Jun.
This scoping review aimed to synthesize the published literature on family-based childhood obesity prevention interventions from 2015 to 2021 that focused on children 2-5 years of age from racial and/or ethnic minority households.
A PICOS (population, intervention, comparison, outcome, and setting) framework was used to guide the development of the research question, search strategy, and inclusion/exclusion criteria. To be included, the study must have been a randomized controlled trial or quasi-experimental trial that enrolled participants 2-5 years of age and their caregivers who identified as being from a racial and/or ethnic minority group in the United States. The study must have also examined a family-based intervention that incorporated components to prevent childhood obesity (i.e., fruits and vegetable intake, parental responsive feeding, physical activity), be conducted in a remote (i.e., online, text, mail), home, community, primary care setting, or early childhood education institution setting, and report on body mass index (BMI, kg/m), BMI z-score, anthropometric measures (weight, waist circumference, fat mass, etc.), changes in health behaviors, or increase in nutritional knowledge.
Fourteen individual studies were identified. Most interventions used multiple components for promoting nutritional knowledge and behavioral changes among families. Eight interventions included culturally tailored components targeting four aspects: (1) language barriers, (2) food choices, (3) relationships between family members, and (4) rapport building.
There is limited research in this field focusing on children from racial and/or ethnic minority groups. Future efforts should invest in developing culturally appropriate interventions for these groups.
本范围综述旨在综合2015年至2021年发表的关于以家庭为基础的儿童肥胖预防干预措施的文献，这些干预措施针对的是来自种族和/或少数民族家庭的2至5岁儿童。
采用PICOS（人群、干预措施、对照、结局和环境）框架来指导研究问题的制定、搜索策略以及纳入/排除标准。要纳入研究，该研究必须是一项随机对照试验或准实验性试验，纳入年龄在2至5岁的参与者及其照顾者，这些照顾者在美国被认定为来自种族和/或少数民族群体。该研究还必须考察一项包含预防儿童肥胖成分（即水果和蔬菜摄入量、父母响应式喂养、体育活动）的家庭干预措施，在远程（即在线、文本、邮件）、家庭、社区、初级保健机构或幼儿教育机构环境中进行，并报告体重指数（BMI，kg/m）、BMI z评分、人体测量指标（体重、腰围、脂肪量等）、健康行为的变化或营养知识的增加。
共确定了14项独立研究。大多数干预措施使用多种成分来促进家庭中的营养知识和行为改变。八项干预措施包括针对四个方面的文化定制成分：（1）语言障碍，（2）食物选择，（3）家庭成员之间的关系，以及（4）建立融洽关系。
该领域针对种族和/或少数民族儿童的研究有限。未来的努力应致力于为这些群体开发适合文化背景的干预措施。
