Abstract：
OBJECTIVE: The purpose of this systematic review and meta-analysis was to investigate the effects of family-based health promotion interventions on child-level risk factors for type 2 diabetes in vulnerable families.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for systematic reviews formed the methodological framework. CINAHL, Embase, MEDLINE, PsycINFO, and Web of Science were searched on January 12, 2024. The NTP-OHAT Risk of Bias Assessment Tool was used to assess the risk of bias in the individual studies, and meta-analyses were performed.
RESULTS: The 4723 studies were identified, and 55 studies met the inclusion criteria. Results showed significant effects on children\'s body mass index (mean difference [MD], -0.18, 95% CI [-0.33 to -0.03], p = 0.02), body fat percentage (MD, -2.00, 95% CI [-3.31 to -0.69], p = 0.003), daily activity (standardized mean difference [SMD], 0.23, 95% CI [0.01; 0.44], p = 0.04), physical activity self-efficacy (SMD, 0.73, 95% CI [0.36 to 1.10], p < 0.01), intake of snacks (MD, -0.10, 95% CI [-0.17 to -0.04], p = 0.002), and sugar-sweetened beverages (SMD, -0.21, 95% CI [-0.42 to -0.01], p = 0.04). Subgroup analyses suggested that interventions aiming to change child and parent behavior simultaneously have larger effect on fasting glucose and nutrition consumption, and that interventions longer than 26 weeks have larger effects on body composition and physical activity behavior than shorter interventions.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for systematic reviews formed the methodological framework. CINAHL, Embase, MEDLINE, PsycINFO, and Web of Science were searched on January 12, 2024. The NTP-OHAT Risk of Bias Assessment Tool was used to assess the risk of bias in the individual studies, and meta-analyses were performed.
RESULTS: The 4723 studies were identified, and 55 studies met the inclusion criteria. Results showed significant effects on children\'s body mass index (mean difference [MD], -0.18, 95% CI [-0.33 to -0.03], p = 0.02), body fat percentage (MD, -2.00, 95% CI [-3.31 to -0.69], p = 0.003), daily activity (standardized mean difference [SMD], 0.23, 95% CI [0.01; 0.44], p = 0.04), physical activity self-efficacy (SMD, 0.73, 95% CI [0.36 to 1.10], p < 0.01), intake of snacks (MD, -0.10, 95% CI [-0.17 to -0.04], p = 0.002), and sugar-sweetened beverages (SMD, -0.21, 95% CI [-0.42 to -0.01], p = 0.04). Subgroup analyses suggested that interventions aiming to change child and parent behavior simultaneously have larger effect on fasting glucose and nutrition consumption, and that interventions longer than 26 weeks have larger effects on body composition and physical activity behavior than shorter interventions.
摘要：
目的：本系统评价和荟萃分析的目的是调查基于家庭的健康促进干预措施对弱势家庭中2型糖尿病儿童水平危险因素的影响。
方法：系统评价的首选报告项目和荟萃分析（PRISMA）清单形成了方法学框架。CINAHL,Embase,MEDLINE,PsycINFO,和WebofScience于2024年1月12日进行了搜索。NTP-OHAT偏差风险评估工具用于评估个体研究中的偏差风险。并进行了荟萃分析。
结果：确定了4723项研究，55项研究符合纳入标准.结果显示对儿童体重指数有显著影响(平均差[MD]，-0.18，95%CI[-0.33至-0.03]，p=0.02),体脂百分比（MD，-2.00，95%CI[-3.31至-0.69]，p=0.003),日常活动(标准化平均差[SMD]，0.23，95%CI[0.01；0.44]，p=0.04),身体活动自我效能感(SMD，0.73，95%CI[0.36至1.10]，p<0.01),零食的摄入量(MD，-0.10，95%CI[-0.17至-0.04]，p=0.002),和含糖饮料(SMD，-0.21，95%CI[-0.42至-0.01]，p=0.04)。亚组分析表明，旨在同时改变儿童和父母行为的干预措施对空腹血糖和营养消耗有较大影响。超过26周的干预措施对身体成分和身体活动行为的影响大于较短的干预措施。
方法：系统评价的首选报告项目和荟萃分析（PRISMA）清单形成了方法学框架。CINAHL,Embase,MEDLINE,PsycINFO,和WebofScience于2024年1月12日进行了搜索。NTP-OHAT偏差风险评估工具用于评估个体研究中的偏差风险。并进行了荟萃分析。
结果：确定了4723项研究，55项研究符合纳入标准.结果显示对儿童体重指数有显著影响(平均差[MD]，-0.18，95%CI[-0.33至-0.03]，p=0.02),体脂百分比（MD，-2.00，95%CI[-3.31至-0.69]，p=0.003),日常活动(标准化平均差[SMD]，0.23，95%CI[0.01；0.44]，p=0.04),身体活动自我效能感(SMD，0.73，95%CI[0.36至1.10]，p<0.01),零食的摄入量(MD，-0.10，95%CI[-0.17至-0.04]，p=0.002),和含糖饮料(SMD，-0.21，95%CI[-0.42至-0.01]，p=0.04)。亚组分析表明，旨在同时改变儿童和父母行为的干预措施对空腹血糖和营养消耗有较大影响。超过26周的干预措施对身体成分和身体活动行为的影响大于较短的干预措施。
