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Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis

机译:利益攸关方从卫生教育部门优先考虑的校本健康促进干预的有效性:系统审查和荟萃分析

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摘要

Childhood obesity and associated modifiable risk factors exert significant burden on the health care system. The goal of this systematic review and meta-analysis was to examine the effectiveness of school-based intervention types perceived by Canadian stakeholders in health and education as feasible, acceptable and sustainable in terms of improving physical activity (PA), fruit and vegetable intake, and body weight. We searched multiple databases for studies that evaluated school-based interventions to prevent obesity and associated risk factors (i.e., unhealthy diet, physical inactivity, sedentary behaviour) in children aged 4–18 years from January 1, 2012 to January 28, 2020. From 10,871 identified records, we included 83 and 80 studies in our systematic review and meta-analysis, respectively. Comprehensive School Health (CSH) and interventions which focused on modifications to school nutrition policies showed statistically significant positive effects on fruit intake of 0.13 (95% CI: 0.04, 0.23) and 0.30 (95% CI: 0.1, 0.51) servings per day, respectively. No intervention types showed statistically significant effect on vegetable intake. CSH, modifications to physical education (PE) curriculum, and multicomponent interventions showed statistically significant difference in BMI of −0.26 (95% CI: −0.40, −0.12), −0.16 (95% CI: −0.3, −0.02), and −0.18 (95% CI: −0.29, −0.07), respectively. CSH interventions showed positive effect on step-count per day, but no other types of interventions showed significant effect on any of PA outcome measures. Thus, the results of this systematic review and meta-analysis suggest that decision-makers should carefully consider CSH, multicomponent interventions, modifications to PE curricula and school nutrition policies to prevent childhood obesity.
机译:儿童肥胖和相关的可修改风险因素对医疗保健系统发挥了重大负担。该系统审查和荟萃分析的目的是审查加拿大利益攸关方认为的基于学校的干预类型的有效性,以改善身体活动(PA),水果和蔬菜摄入量的可行性,可接受和可持续的可行性,可接受和可持续的和体重。我们搜索了多个数据库进行研究,以便在2012年1月1日至2020年1月28日起预防4-18岁儿童的肥胖和相关的危险因素(即不健康的饮食,身体不活跃,久坐行为,久坐行为,久坐行为)。来自10,871次确定的记录,我们分别包括83和80项在我们的系统审查和荟萃分析中的研究。综合学校卫生(CSH)和侧重于对学校营养政策的修改的干预措施对每天0.13(95%CI:0.04,0.23)和0.30(95%CI:0.1,0.51)的水果摄入有统计学显着的积极影响。分别。没有干预类型对植物摄入量显示出统计学显着的影响。 CSH,对体育(PE)课程的修改和多组分干预差异在-0.26(95%Ci:-0.40,-0.12),-0.16(95%CI:-0.3,-0.02)和-0.18(95%CI:-0.29,-0.07)。 CSH干预措施对每天的阶梯计数表现出积极影响,但没有其他类型的干预措施对任何PA结果措施表现出显着影响。因此,这种系统审查和荟萃分析的结果表明,决策者应仔细考虑CSH,多组分干预,对体育课程和学校营养政策的修改,以防止儿童肥胖。

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