PDF(Pubmed)
Abstract：
BACKGROUND: Obesity in children is a critical public health issue in developed countries and developing countries. The establishment of health-related behaviors in childhood, significantly influenced by parental involvement, underscores the need for effective intervention measures.
OBJECTIVE: This original research is a systematic review and meta-analysis that aimed to investigate the impact of parental involvement on the prevention and management of childhood obesity, focusing on outcomes such as BMI z-score, exercise levels, screen time, dietary self-efficacy, and percentage body fat.
METHODS: Adhering to the PRISMA guidelines, we conducted a systematic review and meta-analysis of 12 randomized controlled trials (RCTs) identified through comprehensive searches of PubMed, Scopus, Web of Science, and the Cochrane Library, including RCTs involving children aged 2-18 years with parental or caregiver participation, reporting on the specified outcomes. Data analysis was performed using RevMan 5.3, employing a random effects model.
RESULTS: A total of 5573 participants were included. The meta-analysis revealed a significant reduction in BMI z-score (MD = -0.06, 95% CI: -0.09 to -0.02, p = 0.005, I2 = 58%), a non-significant increase in exercise levels (SMD = 0.26, 95% CI: -0.01 to 0.52, p = 0.05, I2 = 52%), and a significant reduction in screen time (MD = -0.36 h per day, 95% CI: -0.61 to -0.11, p = 0.005, I2 = 0%). Dietary self-efficacy also improved significantly (MD = 0.59, 95% CI: 0.12 to 1.05, p = 0.01, I2 = 0%). However, changes in percentage body fat did not reach statistical significance (MD = -1.19%, 95% CI: -2.8% to 0.41%, p = 0.15, I2 = 0%).
CONCLUSIONS: Parental involvement in childhood obesity interventions significantly impacts BMI z-score, exercise levels, screen time, and dietary self-efficacy but not percentage body fat. These findings highlight the importance of engaging parents in obesity prevention and management strategies.
OBJECTIVE: This original research is a systematic review and meta-analysis that aimed to investigate the impact of parental involvement on the prevention and management of childhood obesity, focusing on outcomes such as BMI z-score, exercise levels, screen time, dietary self-efficacy, and percentage body fat.
METHODS: Adhering to the PRISMA guidelines, we conducted a systematic review and meta-analysis of 12 randomized controlled trials (RCTs) identified through comprehensive searches of PubMed, Scopus, Web of Science, and the Cochrane Library, including RCTs involving children aged 2-18 years with parental or caregiver participation, reporting on the specified outcomes. Data analysis was performed using RevMan 5.3, employing a random effects model.
RESULTS: A total of 5573 participants were included. The meta-analysis revealed a significant reduction in BMI z-score (MD = -0.06, 95% CI: -0.09 to -0.02, p = 0.005, I2 = 58%), a non-significant increase in exercise levels (SMD = 0.26, 95% CI: -0.01 to 0.52, p = 0.05, I2 = 52%), and a significant reduction in screen time (MD = -0.36 h per day, 95% CI: -0.61 to -0.11, p = 0.005, I2 = 0%). Dietary self-efficacy also improved significantly (MD = 0.59, 95% CI: 0.12 to 1.05, p = 0.01, I2 = 0%). However, changes in percentage body fat did not reach statistical significance (MD = -1.19%, 95% CI: -2.8% to 0.41%, p = 0.15, I2 = 0%).
CONCLUSIONS: Parental involvement in childhood obesity interventions significantly impacts BMI z-score, exercise levels, screen time, and dietary self-efficacy but not percentage body fat. These findings highlight the importance of engaging parents in obesity prevention and management strategies.
摘要：
背景：在发达国家和发展中国家，儿童肥胖是一个严重的公共卫生问题。儿童健康相关行为的建立,受父母参与的显著影响，强调需要采取有效的干预措施。
目的：这项原始研究是一项系统综述和荟萃分析，旨在调查父母参与对儿童肥胖预防和管理的影响。关注诸如BMIz分数之类的结果，运动水平,屏幕时间,饮食自我效能感，和身体脂肪百分比。
方法：遵守PRISMA指南，我们对通过PubMed的全面搜索确定的12项随机对照试验（RCT）进行了系统评价和荟萃分析，Scopus,WebofScience,还有Cochrane图书馆,包括父母或看护者参与的2-18岁儿童的RCT，报告指定的结果。使用RevMan5.3，采用随机效应模型进行数据分析。
结果：共纳入5573名参与者。荟萃分析显示BMIz评分显着降低（MD=-0.06，95％CI：-0.09至-0.02，p=0.005，I2=58％），运动水平的非显着增加（SMD=0.26，95％CI：-0.01至0.52，p=0.05，I2=52％），屏幕时间显着减少（MD=每天-0.36h，95%CI：-0.61至-0.11，p=0.005，I2=0%）。饮食自我效能感也显著提高(MD=0.59,95%CI:0.12~1.05,p=0.01,I2=0%)。然而,体脂百分比的变化没有达到统计学意义(MD=-1.19%，95%CI：-2.8%至0.41%，p=0.15,I2=0%)。
结论：父母参与儿童肥胖干预措施显著影响BMIz评分，运动水平,屏幕时间,和饮食自我效能，但不是身体脂肪百分比。这些发现强调了让父母参与肥胖预防和管理策略的重要性。
目的：这项原始研究是一项系统综述和荟萃分析，旨在调查父母参与对儿童肥胖预防和管理的影响。关注诸如BMIz分数之类的结果，运动水平,屏幕时间,饮食自我效能感，和身体脂肪百分比。
方法：遵守PRISMA指南，我们对通过PubMed的全面搜索确定的12项随机对照试验（RCT）进行了系统评价和荟萃分析，Scopus,WebofScience,还有Cochrane图书馆,包括父母或看护者参与的2-18岁儿童的RCT，报告指定的结果。使用RevMan5.3，采用随机效应模型进行数据分析。
结果：共纳入5573名参与者。荟萃分析显示BMIz评分显着降低（MD=-0.06，95％CI：-0.09至-0.02，p=0.005，I2=58％），运动水平的非显着增加（SMD=0.26，95％CI：-0.01至0.52，p=0.05，I2=52％），屏幕时间显着减少（MD=每天-0.36h，95%CI：-0.61至-0.11，p=0.005，I2=0%）。饮食自我效能感也显著提高(MD=0.59,95%CI:0.12~1.05,p=0.01,I2=0%)。然而,体脂百分比的变化没有达到统计学意义(MD=-1.19%，95%CI：-2.8%至0.41%，p=0.15,I2=0%)。
结论：父母参与儿童肥胖干预措施显著影响BMIz评分，运动水平,屏幕时间,和饮食自我效能，但不是身体脂肪百分比。这些发现强调了让父母参与肥胖预防和管理策略的重要性。
