基于家庭干预研究对儿童肥胖效果分析

目的:探索基于家庭健康管理的综合干预方法,降低学龄前儿童单纯性肥胖症的发生率。方法:从上海青浦区夏阳街道和盈浦街道各随机整群选取1所幼儿园,以全园的3～5岁儿童为研究对象,1所为干预组,另1所为对照组。采用WHO身高标准体重值为肥胖判断标准。对干预组的所有儿童、家长进行为期1年以家庭健康管理为主的综合干预。干预措施以社区团队进入家庭进行个性化健康教育、运动膳食指导为主。对照组除与干预组同期体检外不接受任何干预措施。结果:经过1年的干预,干预组儿童的肥胖发生率从4.9%下降到3.7%,对照组儿童的肥胖发生率从5.4%上升到8.8%,两组儿童肥胖发生率比较,差异有统计学意义(X2=6.004,P<0.05)。结论:基于家庭健康管理的综合干预措施有助于学龄前儿童肥胖发生率的控制。

Objective：To evaluate the impact of familybased intervention program to childhood obesity and to reduee the preva- lence of obesity among preschool children. Methods-According to cluster sample method, one intervention and one control kindergartens were selected from Xiayang and Yingpu streets of Shanghai Qingpu,to attend the field trial. Children of 3 to 5 years old in the kindergarten were involved the study. Obesity was defined by WHO standard weight for height. The children and children＇ s parents in intervention kindergarten would participate in a family -based intervention program for one year. The program focused on personalized health education, exercise and dietary guidance through community teams entering the family. Outcomes were assessedusing pre - intervention and follow - up measures. Results ：The prevalence of obesity among the children in intervention group was reduced from 4. 9% to 3.7% over the 1 year intervention periods. The obesity prevalence among the children in control group increased from 5.4% to 8.8% over the one year. The prevalence of obesity in intervention group was lower than control group after intervention （ X2 = 6.004, P 〈 0. 05 ）. Conclusion ：The family - based intervention program is effective in controlling the prevalence of obesity.