PDF(Pubmed)
Abstract：
Childhood malnutrition is one of the foremost community health problems in the world, particularly in developing countries like India. This current review was conducted to evaluate the effectiveness of various school-centered nutrition interventions/intervention programs developed in recent years, and their impact on the nutritional status, dietary habits, food preferences, lifestyle, and dietary behaviors in relation to diet, as well as physical activities for school children, especially adolescents. This review included studies found in the PubMed/Medline, SCOPUS, and Web of Science (WOS) databases, published from July 2017 to 2023. They were analyzed for eligibility criteria defined for this study, including school children and adolescents, school-based nutrition interventions/strategies/policies/initiatives, nutritional status, physical activity, dietary habits, and lifestyle. The Risk of Bias assessment was conducted using Review Manager version 5.4. Among 1776 potentially related studies, 108 met the eligibility criteria. Following this review, 62 studies were identified as eligible for this study, in which 38 intervention programs were discussed. A total of 13 studies were considered comprehensive and multi-component, 15 were nutrition education interventions, six were identified as physical activity interventions, and four focused on lifestyle and dietary behavior-related interventions. Another 24 of the 62 studies reviewed (approximately 39%) were either original articles, review articles, or articles pertaining to nutritional program guidelines, protocols, and/or reports. These studies uncovered a possible relationship between a decrease in BMI and school children\'s engagement in diet and/or physical activity. Results also suggest that these programs can be effective, although evidence for the long-term sustainability of changes in BMI was less evident and not fully substantiated/supported. Most of these findings are based on self-reported program data and may consist of biases linked to recall, selection of participants, and the desire to report favorable final measures (physical activity, lifestyle, and dietary habits). This study has the potential for use in public health programs devoted to healthy nutrition behavior and lifestyle practices. This research was primarily conducted by clinical researchers and did not receive any standardized institutional or organization-derived grant funding and support.
摘要：
儿童营养不良是世界上最重要的社区健康问题之一，尤其是像印度这样的发展中国家。本综述旨在评估近年来开发的各种以学校为中心的营养干预/干预计划的有效性。以及它们对营养状况的影响，饮食习惯，食物偏好,生活方式,以及与饮食相关的饮食行为，以及学校儿童的体育活动，尤其是青少年。这篇综述包括在PubMed/Medline中发现的研究，Scopus,和WebofScience(WOS)数据库，于2017年7月至2023年出版。他们被分析为这项研究定义的资格标准，包括学校儿童和青少年，学校营养干预/战略/政策/举措，营养状况,身体活动,饮食习惯，和生活方式。偏差风险评估使用审查管理器版本5.4进行。在1776项潜在相关研究中，108符合资格标准。在此审查之后，62项研究被确定为符合这项研究的条件，其中讨论了38项干预计划。共有13项研究被认为是综合的和多成分的，15是营养教育干预措施，六个被确定为身体活动干预措施，四个关注生活方式和饮食行为相关干预措施。在所审查的62项研究中，另有24项(约39%)是原创文章，评论文章,或有关营养计划指南的文章，协议,和/或报告。这些研究揭示了BMI下降与学龄儿童参与饮食和/或体力活动之间的可能关系。结果还表明，这些方案可以是有效的，尽管BMI变化的长期可持续性的证据不太明显,也没有得到充分证实/支持.这些发现大多是基于自我报告的程序数据，可能包括与回忆相关的偏见，选择参与者，以及报告有利的最终措施的愿望(身体活动，生活方式,和饮食习惯)。这项研究有可能用于致力于健康营养行为和生活方式的公共卫生计划。这项研究主要由临床研究人员进行，没有获得任何标准化的机构或组织衍生的资助和支持。
