父母参与对儿童肥胖预防和管理的影响：随机对照试验的系统评价和荟萃分析

The Impact of Parental Involvement in the Prevention and Management of Obesity in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

作者信息

Aleid Abdulsalam M, Sabi Noor M, Alharbi Ghaida Saleh, Alharthi Atheer A, Alshuqayfi Sarah M, Alnefiae Nirmeen S, Ismail Gawaher M, Allhybi Abdulaziz K, Alrasheeday Awatif M, Alshammari Bushra, Alabbasi Yasmine, Al Mutair Abbas

机构信息

Department of Surgery, Medical College, King Faisal University, Hofuf 31982, Saudi Arabia.

Department of Medicine, Medical College, Umm Al-Qura University, Makkah 31982, Saudi Arabia.

出版信息

Children (Basel). 2024 Jun 17;11(6):739. doi: 10.3390/children11060739.

DOI:10.3390/children11060739

PMID:38929318

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11201836/

Abstract

BACKGROUND

Obesity in children is a critical public health issue in developed countries and developing countries. The establishment of health-related behaviors in childhood, significantly influenced by parental involvement, underscores the need for effective intervention measures.

AIM

This original research is a systematic review and meta-analysis that aimed to investigate the impact of parental involvement on the prevention and management of childhood obesity, focusing on outcomes such as BMI z-score, exercise levels, screen time, dietary self-efficacy, and percentage body fat.

METHODS

Adhering to the PRISMA guidelines, we conducted a systematic review and meta-analysis of 12 randomized controlled trials (RCTs) identified through comprehensive searches of PubMed, Scopus, Web of Science, and the Cochrane Library, including RCTs involving children aged 2-18 years with parental or caregiver participation, reporting on the specified outcomes. Data analysis was performed using RevMan 5.3, employing a random effects model.

RESULTS

A total of 5573 participants were included. The meta-analysis revealed a significant reduction in BMI z-score (MD = -0.06, 95% CI: -0.09 to -0.02, = 0.005, I = 58%), a non-significant increase in exercise levels (SMD = 0.26, 95% CI: -0.01 to 0.52, = 0.05, I = 52%), and a significant reduction in screen time (MD = -0.36 h per day, 95% CI: -0.61 to -0.11, = 0.005, I = 0%). Dietary self-efficacy also improved significantly (MD = 0.59, 95% CI: 0.12 to 1.05, = 0.01, I = 0%). However, changes in percentage body fat did not reach statistical significance (MD = -1.19%, 95% CI: -2.8% to 0.41%, = 0.15, I = 0%).

CONCLUSION

Parental involvement in childhood obesity interventions significantly impacts BMI z-score, exercise levels, screen time, and dietary self-efficacy but not percentage body fat. These findings highlight the importance of engaging parents in obesity prevention and management strategies.

摘要

背景

儿童肥胖是发达国家和发展中国家的一个关键公共卫生问题。儿童时期健康相关行为的养成受父母参与的显著影响，这凸显了采取有效干预措施的必要性。

目的

这项原创性研究是一项系统评价和荟萃分析，旨在调查父母参与对儿童肥胖预防和管理的影响，重点关注体重指数（BMI）z评分、运动水平、屏幕使用时间、饮食自我效能感和体脂百分比等结果。

方法

遵循PRISMA指南，我们对通过全面检索PubMed、Scopus、科学网和考克兰图书馆确定的12项随机对照试验（RCT）进行了系统评价和荟萃分析，这些试验包括有父母或照顾者参与的、涉及2至18岁儿童的RCT，并报告了指定的结果。使用RevMan 5.3进行数据分析，采用随机效应模型。

结果

共纳入5573名参与者。荟萃分析显示BMI z评分显著降低（MD = -0.06，95%CI：-0.09至-0.02，P = 0.005，I² = 58%），运动水平有不显著的增加（SMD = 0.26，95%CI：-0.01至0.52，P = 0.05，I² = 52%），屏幕使用时间显著减少（MD = 每天-0.36小时，95%CI：-0.61至-0.11，P = 0.005，I² = 0%）。饮食自我效能感也有显著改善（MD = 0.59，95%CI：0.12至1.05，P = 0.01，I² = 0%）。然而，体脂百分比的变化未达到统计学显著性（MD = -1.19%，95%CI：-2.8%至0.41%，P = 0.15，I² = 0%）。