目的 探索以家庭为基础的运动干预对学龄前儿童超重肥胖身体形态、饮食模式、身体活动、睡眠的影响,以期为肥胖干预提供参考。方法 在PubMed、Scopus和CNKI等数据库检索文献,检索时间截止2022年7月20日,收集以家庭为基础的干预对学龄前儿童超重肥胖影响的文献,数据分析采用STATA 14.0。结果 共纳入24篇文献,其中文献质量A、B级各12篇。Meta分析显示:干预后学龄前儿童BMI(WMD=-0.193)、BMI-Z评分(WMD=-0.241)、BMI%(WMD=-1.258)、体重(WMD=-0.639)、能量摄入(WMD=-139.266)、脂肪摄入(WMD=-1.170)、饱和脂肪摄入(WMD=-0.324)、含糖饮料摄入(WMD=-1.313)、看电视时间(WMD=-0.111)、久坐行为时间(SMD=-1.491)明显下降(P＜0.05),水果蔬菜摄入(WMD=0.592)、水果摄入(WMD=1.052)明显增加(P＜0.05)。结论 以家庭为基础的干预对降低学龄前超重肥胖儿童BMI、Z评分、BMI%和体重,改善饮食模式、减少看电视和久坐时间是有效的。
Abstract
Objective To explore the effect of family-based intervention on the body shape, dietary pattern, physical activity and sleep of preschool children with overweight and obesity, in order to provide refernec for obesity intervention. Methods A literature search was conducted in databases such as PubMed, Scopus, and CNKI up to July 20th, 2022, to collect articles on the impact of family-based interventions on overweight and obesity in preschool children. Data analysis was performed using STATA 14.0. Results A total of 24 articles were included, with 12 articles rated as high-quality(Grade A) and 12 as moderate-quality(Grade B). Meta-analysis results showed that after family-based interventions, there were significant decreases in body mass index(BMI)(WMD=-0.193), BMI-Z score(WMD=-0.241), BMI percentile(WMD=-1.258), weight(WMD=-0.639), energy intake(WMD=-139.266), fat intake(WMD=-1.170), saturated fat intake(WMD=-0.324), sugary beverage consumption(WMD=-1.313), television viewing time(WMD=-0.111), and sedentary behavior time(SMD=-1.491) among preschool children(P<0.05). Additionally, there were significant increases in fruit and vegetable intake (WMD=0.592) and fruit intake (WMD=1.052)(P<0.05). Conclusion Family-based interventions were effective in reducing BMI, BMI-Z score, BMI%, and body weight, improving dietary patterns, and reducing screen time and sedentary time in preschool overweight and obese children.
关键词
家庭 /
学龄前儿童 /
超重肥胖 /
联合干预 /
Meta分析
Key words
family /
preschool children /
overweight and obesity /
joint intervention /
Meta-analysis
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基金
国家社科基金项目青年项目(23CTY018);国家体育总局科技创新项目(23KJCX061);江苏省社会科学基金课题(22TYD010)
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