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体重状况决定了一项基于学校的营养教育干预措施对儿童生活方式行为的影响。

Weight Status Determines the Impact of a School-Based Nutrition Education Intervention on Lifestyle Behaviors in Children.

作者信息

Miguel-Berges María L, Larruy-García Alicia, De Miguel-Etayo Pilar, Jimeno-Martinez Andrea, Torres Antonio, Moreno Luis A

机构信息

Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.

Instituto Agroalimentario de Aragón (IA2), C/Miguel Servet 177, 50013 Zaragoza, Spain.

出版信息

Children (Basel). 2024 Sep 6;11(9):1093. doi: 10.3390/children11091093.

Abstract

BACKGROUND/OBJECTIVES: This study investigated the impact of the FLUYE school-based intervention on children's lifestyle behaviors, Mediterranean diet adherence, and emotional well-being in Spain. The objective was to promote healthy habits through nutrition education, physical activity, and emotional support within the school environment, with a focus on addressing the needs of both normal-weight and overweight/obese children.

METHODS

A total of 552 children aged 3 to 12 years participated in the study, with data collected at baseline (T0) and follow-up (T1). The intervention was designed to integrate health education into the school curriculum, emphasizing the development of personal competencies in diet, physical activity, and emotional well-being. The analysis included changes in dietary habits, screen time, physical activity, and psychosocial outcomes, with comparisons made between the normal-weight and overweight/obese groups.

RESULTS

Significant improvements were observed in water consumption and reductions in sugar-sweetened beverage intake across both weight groups. However, an increase in screen time, particularly among normal-weight children, highlighted ongoing challenges in reducing sedentary behavior. Adherence to the Mediterranean diet improved more significantly in the overweight/obese group, suggesting the program's effectiveness in promoting healthier eating patterns among at-risk children. Emotional well-being and self-esteem also saw significant enhancements, with children reporting increased feelings of pride and positivity post-intervention.

CONCLUSIONS

The FLUYE program effectively improved various aspects of children's lifestyle behaviors, particularly in dietary habits and emotional well-being. These findings underscore the importance of comprehensive, school-based interventions that address both physical and psychosocial aspects of health, especially for children at higher risk for obesity.

摘要

背景/目的:本研究调查了西班牙FLUYE学校干预措施对儿童生活方式行为、地中海饮食依从性和情绪健康的影响。目的是通过学校环境中的营养教育、体育活动和情感支持来促进健康习惯,重点关注满足正常体重和超重/肥胖儿童的需求。

方法

共有552名3至12岁的儿童参与了该研究,在基线(T0)和随访(T1)时收集数据。该干预措施旨在将健康教育融入学校课程,强调在饮食、体育活动和情绪健康方面个人能力的发展。分析包括饮食习惯、屏幕时间、体育活动和心理社会结果的变化,并在正常体重组和超重/肥胖组之间进行比较。

结果

两个体重组的饮水量均有显著改善,含糖饮料摄入量减少。然而,屏幕时间增加,尤其是在正常体重儿童中,这突出了减少久坐行为方面持续存在的挑战。超重/肥胖组对地中海饮食的依从性改善更为显著,表明该项目在促进高危儿童形成更健康的饮食模式方面有效。情绪健康和自尊也有显著提高,儿童报告干预后自豪感和积极情绪增加。

结论

FLUYE项目有效改善了儿童生活方式行为的各个方面,特别是在饮食习惯和情绪健康方面。这些发现强调了全面的、基于学校的干预措施的重要性,这些措施要兼顾健康的身体和心理社会方面,尤其是对于肥胖风险较高的儿童。

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Child and adolescent obesity.儿童和青少年肥胖。
Nat Rev Dis Primers. 2023 May 18;9(1):24. doi: 10.1038/s41572-023-00435-4.

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