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利用健康教育解决学生的身体活动和营养问题:推进实践的证据和影响。

Using Health Education to Address Student Physical Activity and Nutrition: Evidence and Implications to Advance Practice.

机构信息

Division of Population Health, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA.

Division of Adolescent and School Health, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA.

出版信息

J Sch Health. 2023 Sep;93(9):788-798. doi: 10.1111/josh.13372.

Abstract

BACKGROUND

School-based health education can provide students with learning experiences that improve knowledge, attitudes, and perceptions (KAP) and behaviors regarding physical activity and nutrition.

METHODS

We conducted a 2-phase systematic review. Phase 1 was a review of reviews (ie, systematic reviews or meta-analyses) that were published 2010-2018. Phase 2 was a search for individual articles published 2010-2020 addressing topics relevant to our review; we searched for articles that had not been part of a sufficiently relevant or recent review or that had been part of a review that concluded that too few articles were available to assert sufficient evidence.

RESULTS

Forty-three studies were assessed: 20 randomized controlled trials and 23 quasi-experimental designs. Collectively, interventions had a favorable impact on students' PA and nutrition KAP, but behavioral and secondary outcome results (eg, body mass index) were mixed.

CONCLUSIONS

Using the evidence-based health education strategies identified in this review can help contribute to improvements in students' KAP and behaviors.

摘要

背景

以学校为基础的健康教育可以为学生提供学习体验,从而提高他们对体育活动和营养的知识、态度和观念(KAP)以及行为。

方法

我们进行了两阶段系统评价。第一阶段是对 2010 年至 2018 年发表的综述(即系统评价或荟萃分析)进行了综述。第二阶段是对 2010 年至 2020 年发表的与我们的综述相关的个别文章进行搜索;我们搜索了那些没有包含在足够相关或最近的综述中的文章,或者那些包含在结论为可获得的证据不足的综述中的文章。

结果

评估了 43 项研究:20 项随机对照试验和 23 项准实验设计。总体而言,干预措施对学生的体育活动和营养知识、态度和观念有积极影响,但行为和次要结果(如体重指数)的结果喜忧参半。

结论

使用本综述中确定的基于证据的健康教育策略可以有助于提高学生的 KAP 和行为。

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