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基于学校的干预措施对儿童肥胖的影响:一项系统综述

Impact of School-Based Interventions on Pediatric Obesity: A Systematic Review.

作者信息

Klein Dhadon H, Mohamoud Iman, Olanisa Olawale O, Parab Panah, Chaudhary Priti, Mukhtar Sonia, Moradi Ali, Kodali Athri, Okoye Chiugo, Arcia Franchini Ana P

机构信息

Internal Medicine, Saint James School of Medicine, Park Ridge, USA.

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2023 Aug 8;15(8):e43153. doi: 10.7759/cureus.43153. eCollection 2023 Aug.

Abstract

Childhood obesity is a global public health problem with significant implications for the health and well-being of children. The prevalence of childhood obesity is increasing every decade, making it a recognized public health concern. This systematic review aims to explore and evaluate the impact of school-based interventions on reducing pediatric obesity among school-aged children. A systematic review of literature according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 was conducted. Google Scholar, PubMed, and Cochrane were the databases used. After screening for bias, inclusion and exclusion criteria, and quality, 27 studies were included in the systematic review, and data were synthesized. The results show that physical activity reduces obesity and improves cardiovascular health. The nutritional change reduces the risk of obesity more than physical activity alone. When blended, the two provide the most benefits for participants. Motivation, self-efficacy, and behavioral change could help maintain the improvements. Schools should adopt a blend of physical activity and nutritional change to reduce prevent, reduce, and manage obesity.

摘要

儿童肥胖是一个全球性的公共卫生问题,对儿童的健康和幸福有着重大影响。儿童肥胖的患病率每十年都在上升,这使其成为一个公认的公共卫生问题。本系统评价旨在探讨和评估基于学校的干预措施对减少学龄儿童肥胖的影响。根据《系统评价和Meta分析的首选报告项目》(PRISMA)2020的建议对文献进行了系统评价。使用的数据库有谷歌学术、PubMed和Cochrane。在筛选偏倚、纳入和排除标准以及质量后,27项研究被纳入系统评价,并对数据进行了综合分析。结果表明,体育活动可减少肥胖并改善心血管健康。营养改变比单纯的体育活动更能降低肥胖风险。当两者结合时,对参与者的益处最大。动机、自我效能和行为改变有助于维持改善效果。学校应采用体育活动和营养改变相结合的方式来预防、减少和管理肥胖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfb/10484325/7a746138c303/cureus-0015-00000043153-i01.jpg

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