中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2011年
10期
944-948
,共5页
阳赣萍%王一任%左双燕%曾小敏
暘贛萍%王一任%左雙燕%曾小敏
양공평%왕일임%좌쌍연%증소민
肥胖%小学生%干预%健康教育%Meta分析[文献类型]
肥胖%小學生%榦預%健康教育%Meta分析[文獻類型]
비반%소학생%간예%건강교육%Meta분석[문헌류형]
Obesity%Pupil%Intervention%Health education%Meta-analysis [ Publication type]
目的 综合分析中国小学生肥胖干预措施及其效果。方法 计算机检索中国期刊全文数据库、重庆维普数据库、万方数据库、PubMed、荷兰《医学文摘》(the Excerpta Medica Database,EMBASE)数据库，收集1979-2010年公开发表的关于中国小学生肥胖干预研究的文献，初筛获得相关文献215篇，其中中文文献211篇、英文文献4篇。选择肥胖率率差（RD）作为效应指标进行综合定量分析。结果 根据统一的纳入和剔除标准，纳入17篇文献进行Meta分析。结果显示，干预组的肥胖率在干预后RD为3％（95％ CI:1％ ～ 5％），而对照组的肥胖率RD为-2％（95％ CI:- 4％ ～-1％），分层分析结果为，当干预组采取全面的综合干预方式（健康教育+体育锻炼+营养干预）、适中的干预时间（1～2年），干预前后的RD(95％ CI)值分别是5％（2％～8％）、3％（1％～4％），差异有统计学意义(P＜0.05)。干预组和对照组两组基线肥胖率一致的，在干预后干预组的肥胖率比对照组的低（RD= -4％，95％ CI:-7％～- 1％）。结论 在我国对小学生实施以健康教育为主的肥胖综合干预措施，能获得一定的效果；全面的综合干预方式和适中的干预时间（1～2年）是提高小学生肥胖干预效果的两个有利因素。
目的 綜閤分析中國小學生肥胖榦預措施及其效果。方法 計算機檢索中國期刊全文數據庫、重慶維普數據庫、萬方數據庫、PubMed、荷蘭《醫學文摘》(the Excerpta Medica Database,EMBASE)數據庫，收集1979-2010年公開髮錶的關于中國小學生肥胖榦預研究的文獻，初篩穫得相關文獻215篇，其中中文文獻211篇、英文文獻4篇。選擇肥胖率率差（RD）作為效應指標進行綜閤定量分析。結果 根據統一的納入和剔除標準，納入17篇文獻進行Meta分析。結果顯示，榦預組的肥胖率在榦預後RD為3％（95％ CI:1％ ～ 5％），而對照組的肥胖率RD為-2％（95％ CI:- 4％ ～-1％），分層分析結果為，噹榦預組採取全麵的綜閤榦預方式（健康教育+體育鍛煉+營養榦預）、適中的榦預時間（1～2年），榦預前後的RD(95％ CI)值分彆是5％（2％～8％）、3％（1％～4％），差異有統計學意義(P＜0.05)。榦預組和對照組兩組基線肥胖率一緻的，在榦預後榦預組的肥胖率比對照組的低（RD= -4％，95％ CI:-7％～- 1％）。結論 在我國對小學生實施以健康教育為主的肥胖綜閤榦預措施，能穫得一定的效果；全麵的綜閤榦預方式和適中的榦預時間（1～2年）是提高小學生肥胖榦預效果的兩箇有利因素。
목적 종합분석중국소학생비반간예조시급기효과。방법 계산궤검색중국기간전문수거고、중경유보수거고、만방수거고、PubMed、하란《의학문적》(the Excerpta Medica Database,EMBASE)수거고，수집1979-2010년공개발표적관우중국소학생비반간예연구적문헌，초사획득상관문헌215편，기중중문문헌211편、영문문헌4편。선택비반솔솔차（RD）작위효응지표진행종합정량분석。결과 근거통일적납입화척제표준，납입17편문헌진행Meta분석。결과현시，간예조적비반솔재간예후RD위3％（95％ CI:1％ ～ 5％），이대조조적비반솔RD위-2％（95％ CI:- 4％ ～-1％），분층분석결과위，당간예조채취전면적종합간예방식（건강교육+체육단련+영양간예）、괄중적간예시간（1～2년），간예전후적RD(95％ CI)치분별시5％（2％～8％）、3％（1％～4％），차이유통계학의의(P＜0.05)。간예조화대조조량조기선비반솔일치적，재간예후간예조적비반솔비대조조적저（RD= -4％，95％ CI:-7％～- 1％）。결론 재아국대소학생실시이건강교육위주적비반종합간예조시，능획득일정적효과；전면적종합간예방식화괄중적간예시간（1～2년）시제고소학생비반간예효과적량개유리인소。
ObjectiveTo comprehensively evaluate the effect of interventions on obesity in Chinese pupils. Methods A literature research was carried out in China National Knowledge Infrastructure,Wanfang Data,VIP Database for Chinese Technical Periodicals, PubMed and the Excerpta Medica Database (EMBASE) databases to collect articles published between 1979 and 2010 concerning the effect of interventions for preventing obesity in Chinese pupils. Rate difference (RD) of the rate of obesity as the evaluation indicator was selected to Meta-analyze the effect of interventions on obesity. There are total 215 articles, in which 211 articles were written in Chinese and other articles were written in English.Results 17 literatures were used for Meta-analysis by the uniform inclusion and exclusion criteria. The results showed that the RD of obesity rate for the students in the intervention group was 3 ％ (95％ CI:1％ -5％ ) after the intervention. However,the RD of obesity rate for the students in the control group was -2％(95％ CI: -4％ - - 1％ ) after the intervention. Results of stratified analysis for the RD of obesity rate showed that the obesity rate for the students in the intervention group were decreased significantly after the intervention of combined programs with health education, physical exercise and nutrition interventions with moderate intervention time( 1 to 2 years) ,the RD(95％ CI) of obesity rate were 5％ (2％ -8％ ) ,3％ ( 1％-4％ ), respectively. For the studies whose baseline obesity rates was insignificant difference between the intervention group and the control group, the obesity rate for the students in the intervention group was 4％(95％CI: - 7％ - - 1％ ) lower than the obesity rate for the students in the control group after the intervention. ConclusionHealth-education-based comprehensive intervention is effective on obesity prevention in Chinese pupils; combined intervention programs with moderate intervention time( 1 to 2 years)were effective in improving efficiency of obesity prevention in pupils.
