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首页> 外文期刊>Childhood obesity >Impact of the Coordinated Approach to Child Health Early Childhood Program for Obesity Prevention among Preschool Children: The Texas Childhood Obesity Research Demonstration Study
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Impact of the Coordinated Approach to Child Health Early Childhood Program for Obesity Prevention among Preschool Children: The Texas Childhood Obesity Research Demonstration Study

机译：学龄前儿童肥胖预防肥胖幼儿计划的协调方法的影响：德克萨斯州儿童肥胖研究示范研究

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Background: This study presents the impact of a 2-year implementation of Coordinated Approach to Child Health Early Childhood (CATCH EC), a preschool-based healthy nutrition and physical activity program, on child BMI z-scores, BMI percentiles, diet, physical activity, and sedentary behaviors among 3- to 5-year old children across Head Start centers in Houston and Austin, Texas. Methods: We used a quasi-experimental study design with serial cross-sectional data collection (Intervention catchment area: n = 12 centers, 353 parent-child dyads in Year 1; n = 12 centers, 365 parent-child dyads; Comparison catchment area: n = 13 centers in year 1, 319 parent child dyads; and n = 12 centers, 483 parent-child dyads in year 2). Child height and weight were measured and parent self-report surveys were conducted at year 1 (fall 2012) and year 2 (spring 2014). Results: In year 1, 34.8% of the children were overweight or obese, 74% were Hispanic, and >80% reported an annual household income of p = 0.041] and BMI percentiles [β = ?6.5 (95% CI: ?12.4 to ?0.69), p = 0.028] from year 1 to 2 follow-up among those in intervention Head Start centers, compared to those in the comparison centers. There were no significant between-group changes in child dietary, physical activity, or screen time behaviors. Conclusion: Implementation of a preschool-based obesity prevention program can be modestly effective in lowering the prevalence of child overweight in low-income populations.
机译：背景：本研究介绍了2年实施协调方法对儿童健康早期儿童（捕获EC）的影响，基于学前教育的健康营养和体育活动计划，儿童BMI Z分数，BMI百分位数，饮食，物理德克萨斯州休斯顿和奥斯汀的3至5岁儿童中的3至5岁儿童中的活动和久坐行为。方法：我们使用了串行横截面数据收集的准实验研究设计（干预集水区：N = 12个中心，第1年的353名父儿童二元; N = 12个中心，365个亲子儿童二元;比较集水区：N = 13岁的中心，319个父母子系统;和N = 12个中心，2年级，283年父母和儿童二元）。测量儿童身高和体重，并在第1年进行母公自我报告调查（2012年秋季）和2年（2014年春季）。结果：1，34.8％的儿童超重或肥胖，74％是西班牙裔，> 80％报告的每年家庭收入为P = 0.041]和BMI百分比[β=？6.5（95％CI：？12.4与比较中心相比，从第1岁到2年度开始于干预头开始中心的后续行动。儿童膳食，身体活动或筛选时间行为中没有显着之间的变化。结论：实施基于学龄前的肥胖预防计划可能适度有效降低低收入人群中儿童超重的普遍性。

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