Stea Tonje Holte, Vettore Mario Vianna, Øvrebø Bente, Abildsnes Eirik
Department of Health and Nursing Science, University of Agder, Kristiansand, Norway.
Department of Health and Inequalities, Norwegian Institute of Public Health, Oslo, Norway.
Food Nutr Res. 2023 Dec 12;67. doi: 10.29219/fnr.v67.9617. eCollection 2023.
Effective prevention programs to address the high prevalence of childhood overweight and obesity and the concomitant health consequences have been warranted.
To improve dietary habits and weight status among Norwegian children with overweight/obesity in the primary care setting.
A 6-month non-randomized cluster-controlled intervention among 137 children, aged 6-12 years, with overweight/obesity and their parents. Intervention and control groups were recruited by public health nurses and followed-up by 12 Healthy Life Centers across Norway. The intervention group received individual family counseling and participated in nutrition courses and physical activity groups. A frequency questionnaire assessing sociodemographic characteristics and dietary habits was completed by the parents. Trained public health nurses measured height and weight using standardized methods to calculate body mass index (BMI) and BMI -scores.
The intervention resulted in an increased odds of consuming evening meals (OR: 3.42), a decreased availability of salty snacks (β = -0.17), a decreased intake of salty snacks (-0.18), an increased consumption of water (β = 0.20), and a decreased estimated total intake of energy (β = -0.17), carbohydrates (β = -0.17), mono- and disaccharides (β = -0.21), sucrose (β = -0.24), and saturated fatty acids (β = -0.17). The intervention directly predicted lower BMI -score (β = -0.17), and post-treatment levels of energy (β = -0.65), saturated fat (β = 0.43), and total carbohydrates (β = 0.41) were directly linked to BMI -score after intervention. Age and sex were indirectly associated with BMI after intervention through energy and saturated fat intake.
The intervention had a beneficial impact on nutrient intake and weight status among children with overweight/obesity. These findings provide support for implementing complex intervention programs tailored to local primary care settings.
Clinicaltrials.gov, NCT02290171. Registered 13. November 2014, https://clinicaltrials.gov/ct2/show/NCT02290171.
需要有效的预防计划来应对儿童超重和肥胖的高患病率及其伴随的健康后果。
改善挪威初级保健机构中超重/肥胖儿童的饮食习惯和体重状况。
对137名6至12岁超重/肥胖儿童及其父母进行为期6个月的非随机整群对照干预。干预组和对照组由公共卫生护士招募，并由挪威各地的12个健康生活中心进行随访。干预组接受了个体家庭咨询，并参加了营养课程和体育活动小组。父母完成了一份评估社会人口学特征和饮食习惯的频率问卷。经过培训的公共卫生护士使用标准化方法测量身高和体重，以计算体重指数（BMI）和BMI评分。
干预导致晚餐食用几率增加（比值比：3.42），咸味零食的可得性降低（β = -0.17），咸味零食的摄入量减少（-0.18），水的消耗量增加（β = 0.20），估计总能量摄入量降低（β = -0.17），碳水化合物摄入量降低（β = -0.17），单糖和双糖摄入量降低（β = -0.21），蔗糖摄入量降低（β = -0.24），饱和脂肪酸摄入量降低（β = -0.17）。干预直接预测较低的BMI评分（β = -0.17），干预后能量（β = -0.65）、饱和脂肪（β = 0.43）和总碳水化合物（β = 0.41）的治疗后水平与BMI评分直接相关。干预后，年龄和性别通过能量和饱和脂肪摄入量与BMI间接相关。
该干预对超重/肥胖儿童的营养摄入和体重状况产生了有益影响。这些发现为实施针对当地初级保健机构的综合干预计划提供了支持。
Clinicaltrials.gov，NCT02290171。于2014年11月13日注册，https://clinicaltrials.gov/ct2/show/NCT02290171。
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