Health

Health
  • 文章类型: Journal Article
    背景:医疗保健高档化是指社区内医疗保健资源的分配影响居民获得医疗保健服务的过程。了解医疗服务的复杂性,并考虑影响医疗服务公平的社会结构因素,我们的目的是探讨如何在科学文献中描述医疗保健的中产阶级化,并记录报告的中产阶级化与医疗保健之间的关系。
    方法:我们将根据Arksey和O\'Malley(2005)开发并由Levac等人(2010)改进的方法,从开始到2024年9月发布的数据进行范围审查。我们将搜索以下数据库:MEDLINE(OVID)、Embase(embase.com),CINAHLPlus与全文(EBSCO),WebofScienceandGeobase(工程村)。审查将于2024年2月至2024年9月进行。搜索策略将与专业图书馆员一起制定。标题和摘要的筛选和全文筛选将重复进行。第三位审查人员将在筛选过程中对差异进行仲裁。我们将叙述我们的结果。
    背景:此范围审查不需要道德批准,因为它将从公开可用的文件中收集。这次范围审查的结果也将作为科学文章提交,科学会议,研究网络研讨会也在社交媒体上,由医疗机构或学术机构或在任何适当平台上组织的研讨会和会议。
    BACKGROUND: Healthcare gentrification is the process in which the distribution of healthcare resources within a neighbourhood affects residents\' access to healthcare services. To understand the complexity of healthcare access and to consider the socio-structural dimensions affecting equity in access to care, we aim to explore how healthcare gentrification has been described in the scientific literature and to document the reported relations between gentrification and healthcare access.
    METHODS: We will conduct a scoping review from data published from inception to September 2024 based on the methodology developed by Arksey and O\'Malley (2005) and improved by Levac et al (2010). We will search the following databases: MEDLINE (OVID), Embase (embase.com), CINAHL Plus with Full Text (EBSCO), Web of Science and Geobase (Engineering Village). The review will be conducted from February 2024 to September 2024. The search strategy will be elaborated in conjunction with a professional librarian. Screening of titles and abstracts and full-text screening will be done in duplicates. A third reviewer will arbitrate discrepancies during the screening process. We will present our results narratively.
    BACKGROUND: This scoping review does not require ethical approval since it will be collected from publicly available documents. The results of this scoping review will also be presented as a scientific article, scientific conferences, research webinars also in social media, workshops and conferences organised by healthcare organisations or academic institutions or on any appropriate platform.
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  • 文章类型: Journal Article
    背景:随着技术的不断进步,了解基于网站的工具如何支持质量改进是很重要的。基于网站的工具是指用户可以通过专用网站自主访问和使用的工具包等资源。这篇综述研究了基于网站的工具如何为医疗保健专业人员提供质量改进,包括用于开发工具的最佳过程和有效工具的要素。
    方法:对7个数据库进行了系统搜索,包括2012年1月至2024年1月发表的文章。如果文章经过同行评审,则包括在内,用英语写的,基于健康环境,并报告了为专业人员开发或评估基于网站的质量改进工具。使用NVivo进行叙述性合成。使用混合方法评估工具评估偏倚风险。所有论文均由两位作者使用Braun和Clarke的六阶段概念框架进行独立筛选和编码。
    结果:18项研究符合纳入标准。确定的主题是工具开发过程,质量改进机制和障碍,以及工具使用的促进者。数字化现有质量改进流程(n=7),确定实践中的差距(n=6),促进专业发展(n=3)是共同的质量改进目标。工具与报告的临床任务准确性和效率的提高有关,提高对指导方针的遵守程度,促进反思性实践,并为持续质量改进提供量身定制的反馈。共同的特点是教育资源(n=7),并协助用户根据标准/建议评估当前的做法(n=6),支持专业人员实现更好的临床结果,在各种设置中提高了专业满意度和简化的工作流程。研究报告促进者使用工具,包括与实践的相关性,无障碍和促进多学科行动,使这些工具在医疗保健方面实用且省时。然而,诸如耗时等障碍,与实践无关,据报道,难以使用和缺乏组织参与。几乎所有工具都是与利益相关者共同开发的。共同设计的方法各不相同,反映不同程度的利益相关者参与和采用共同设计方法。值得注意的是,纳入研究的质量很低。
    结论:这些发现为医疗保健领域基于网站的质量改进工具的未来发展提供了有价值的见解。建议包括确保与医疗保健专业人员共同开发工具,专注于实际可用性和解决常见障碍,以提高参与度和提高医疗质量的有效性。随机对照试验有必要提供工具疗效的客观证据。
    背景:这项工作得到了预防研究支持计划的支持,由新南威尔士州卫生部资助,澳大利亚。
    背景:此评论已在PROSPERO注册,不。CRD42023451346。
    BACKGROUND: As technology continues to advance, it is important to understand how website-based tools can support quality improvement. Website-based tools refer to resources such as toolkits that users can access and use autonomously through a dedicated website. This review examined how website-based tools can support healthcare professionals with quality improvement, including the optimal processes used to develop tools and the elements of an effective tool.
    METHODS: A systematic search of seven databases was conducted to include articles published between January 2012 and January 2024. Articles were included if they were peer reviewed, written in English, based in health settings and reported the development or evaluation of a quality improvement website-based tool for professionals. A narrative synthesis was conducted using NVivo. Risk of bias was assessed using the Mixed Methods Appraisal Tool. All papers were independently screened and coded by two authors using a six-phase conceptual framework by Braun and Clarke.
    RESULTS: Eighteen studies met the inclusion criteria. Themes identified were tool development processes, quality improvement mechanisms and barriers and facilitators to tool usage. Digitalising existing quality improvement processes (n = 7), identifying gaps in practice (n = 6), and contributing to professional development (n = 3) were common quality improvement aims. Tools were associated with reported enhancement of accuracy and efficiency in clinical tasks, improvement in adherence to guidelines, facilitation of reflective practice and provision of tailored feedback for continuous quality improvement. Common features were educational resources (n = 7) and assisting the user to assess current practices against standards/recommendations (n = 6), which supported professionals in achieving better clinical outcomes, increased professional satisfaction and streamlined workflow in various settings. Studies reported facilitators to tool usage including relevance to practice, accessibility and facilitating multidisciplinary action, making these tools practical and time-efficient for healthcare. However, barriers such as being time consuming, irrelevant to practice, difficult to use and lack of organisational engagement were reported. Almost all tools were co-developed with stakeholders. The co-design approaches varied, reflecting different levels of stakeholder engagement and adoption of co-design methodologies. It is noted that the quality of included studies was low.
    CONCLUSIONS: These findings offer valuable insights for future development of quality improvement website-based tools in healthcare. Recommendations include ensuring tools are co-developed with healthcare professionals, focusing on practical usability and addressing common barriers to enhance engagement and effectiveness in improving healthcare quality. Randomised controlled trials are warranted to provide objective evidence of tool efficacy.
    BACKGROUND: This work was supported by the Prevention Research Support Program, funded by the New South Wales Ministry of Health, Australia.
    BACKGROUND: This review was registered with PROSPERO, no. CRD42023451346.
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  • 文章类型: Journal Article
    目的:大专生的健康与学业成绩之间的关系可能对他们的大学经历和未来前景具有重要意义。然而,目前尚不存在对这种潜在联系的证据的全面总结。寻求填补这一空白,这项研究回顾了现存的关于大专生学业成绩和多个领域的健康状况的文献。
    方法:使用既定的方法论框架,我们进行了范围审查,以确定和总结2008年至2019年期间在美国进行的所有同行评审研究的属性,这些研究审查了大专生健康与学业成绩之间的关系.
    结果:搜索策略产生了12,488篇文章。重复数据删除后,初步筛选,并全面审查相关条款以确定资格,最终审查包括264篇文章。最常检查的健康领域是心理健康和物质使用。平均成绩(GPA)是最常见的学术指标。大多数研究都是在本科生中的单一机构进行的,一些研究集中在特定的学生亚群。几乎所有研究结果都表明,更健康的行为或最佳的健康状况与更好的学业成绩有关,或者不会对学术成功产生负面影响。
    结论:这项研究是了解现有研究范围的第一步,该研究检查了大专生的健康与学业成绩之间的联系。找到了大量的文献基础;然而,确定了几个差距,包括需要更多的队列研究,国家研究,研究生考试,并关注GPA以外的学术成果。
    OBJECTIVE: The relationship between postsecondary students\' health and academic outcomes may have important implications for their collegiate experience and their future prospects. Yet a comprehensive summary of the evidence examining this potential connection does not presently exist. Seeking to fill this gap, this study reviewed the extant literature on postsecondary students\' academic outcomes and health across multiple domains.
    METHODS: Using an established methodological framework, a scoping review was conducted to identify and summarize the attributes of all peer-reviewed research performed in the U.S. and published between 2008 and 2019 that examined the relationship between postsecondary students\' health and academic outcomes.
    RESULTS: The search strategy resulted in 12,488 articles. After deduplication, initial screening, and full review of relevant articles to determine eligibility, 264 articles were included in the final review. The most frequently examined health domains were mental health and substance use. Grade point average (GPA) was the most common academic measure investigated. Most studies took place at single institutions among undergraduate students, and several studies focused on specific student sub-populations. Almost all study results indicated that healthier behavior or optimal health status was associated with better academic outcomes or did not negatively impact academic success.
    CONCLUSIONS: This study serves as a first step in understanding the scope of existing research examining the connection between postsecondary students\' health and academic outcomes. A substantial literature base was found; however, several gaps were identified including the need for more cohort studies, national studies, examination of graduate students, and a focus on academic outcomes beyond GPA.
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  • 文章类型: Journal Article
    背景:尽管关于动物饲养操作(AFO)包括集中动物饲养操作(CAFO)的文献越来越多,关于不成比例的暴露和相关健康负担的研究相对有限,并且没有定论。
    目的:我们系统回顾了以前关于AFOs/CAFOs的文献,专注于暴露评估,相关的健康结果,以及与环境正义(EJ)和潜在弱势群体相关的变量。
    方法:我们对数据库(MEDLINE/PubMed和WebofScience)进行了系统搜索,并进行了引文筛选。标题筛选,摘要,全文文章和数据提取由成对的审稿人独立进行。我们总结了每项研究的信息(即,研究地点,学习期间,研究人群,研究类型,研究设计,统计方法,和调整后的变量(如果检查了健康关联),和主要发现),AFO/CAFO特性和暴露评估(即,动物类型,数据源,暴露量,和暴露评估),健康结果或症状(如果检查了健康关联),以及与EJ和潜在脆弱人群相关的信息(与暴露和/或健康关联有关,考虑到弱势群体,相关变量,以及与EJ和弱势群体相关的主要发现)。
    结果:经过10,963篇论文的初步筛选,我们确定了76项符合条件的研究.这篇综述发现,相对较少数量的研究(20项研究)调查了与AFOs/CAFOs暴露和/或相关健康结果相关的EJ和脆弱性问题(例如,呼吸道疾病/症状,感染)。我们发现了不同研究结果的差异,人口,这些指标用于AFO/CAFO暴露评估,以及与EJ和漏洞相关的变量。AFO/CAFO暴露评估最常用的指标是设施或动物的存在或接近。与差异有关的调查最多的变量是种族/民族和社会经济地位。
    结论:本综述的研究结果提供了暗示性证据,表明与AFO/CAFO暴露相关的一些暴露和/或健康反应较高的亚群存在差异,尽管研究结果各不相同。
    BACKGROUND: Despite growing literature on animal feeding operations (AFOs) including concentrated animal feeding operations (CAFOs), research on disproportionate exposure and associated health burden is relatively limited and shows inconclusive findings.
    OBJECTIVE: We systematically reviewed previous literature on AFOs/CAFOs, focusing on exposure assessment, associated health outcomes, and variables related to environmental justice (EJ) and potentially vulnerable populations.
    METHODS: We conducted a systematic search of databases (MEDLINE/PubMed and Web of Science) and performed citation screening. Screening of titles, abstracts, and full-text articles and data extraction were performed independently by pairs of reviewers. We summarized information for each study (i.e., study location, study period, study population, study type, study design, statistical methods, and adjusted variables (if health association was examined), and main findings), AFO/CAFO characteristics and exposure assessment (i.e., animal type, data source, measure of exposure, and exposure assessment), health outcomes or symptoms (if health association was examined), and information related to EJ and potentially vulnerable populations (in relation to exposure and/or health associations, vulnerable populations considered, related variables, and main findings in relation to EJ and vulnerable populations).
    RESULTS: After initial screening of 10,963 papers, we identified 76 eligible studies. This review found that a relatively small number of studies (20 studies) investigated EJ and vulnerability issues related to AFOs/CAFOs exposure and/or associated health outcomes (e.g., respiratory diseases/symptoms, infections). We found differences in findings across studies, populations, the metrics used for AFO/CAFO exposure assessment, and variables related to EJ and vulnerability. The most commonly used metric for AFO/CAFO exposure assessment was presence of or proximity to facilities or animals. The most investigated variables related to disparities were race/ethnicity and socioeconomic status.
    CONCLUSIONS: Findings from this review provide suggestive evidence that disparities exist with some subpopulations having higher exposure and/or health response in relation to AFO/CAFO exposure, although results varied across studies.
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  • 文章类型: Journal Article
    睡眠对每个生物体都至关重要。人类大约三分之一的时间都在睡觉。睡眠已经被广泛研究,以及睡眠在心理上的作用,心理,身体健康是最好的。大脑在觉醒和睡眠之间的节奏被称为昼夜节律,主要受褪黑激素和松果体控制。这种节律的不平衡会对健康造成破坏性影响。临睡前的剧烈锻炼会干扰入睡。用餐时间和组成可以显著影响睡眠质量。建议避免大餐,咖啡因,睡前酒精。接近就寝时间的大量饮食会导致睡眠不良和荷尔蒙中断。通过遵循本文中列举的这些准则,个人可以改善睡眠质量和整体健康。睡眠周期,尤其是快速眼动睡眠,对身心健康有深远的影响。坚持推荐的睡眠习惯可增强身体恢复,强化免疫系统,并维持代谢平衡。与昼夜节律相一致的睡眠卫生对于疾病预防和福祉至关重要。医疗保健专业人员应优先考虑患者护理和公共卫生的睡眠优化策略。
    Sleep is essential for every living organism. Humans spend about one-third of their lives sleeping. Sleep has been studied extensively, and the role of sleep in psychological, mental, and physical well-being is established to be the best. The rhythm of the brain between wakefulness and sleep is called the circadian rhythm, which is mainly controlled by melatonin and the pineal gland. The imbalance of this rhythm can lead to devastating effects on health. Vigorous workouts close to bedtime can interfere with falling asleep. Meal timing and composition can significantly affect sleep quality. It is advised to avoid large meals, caffeine, and alcohol before bedtime. Heavy meals close to bedtime can lead to poor sleep and hormone disruption. By following these guidelines enumerated in the article, individuals can improve sleep quality and overall health. Sleep cycles, especially rapid eye movement sleep, have a profound influence on mental and physical health. Adhering to recommended sleep practices enhances bodily restoration, fortifies the immune system, and upholds metabolic equilibrium. Sleep hygiene aligned with circadian rhythms is crucial for disease prevention and well-being. Healthcare professionals should prioritize sleep optimization strategies for patient care and public health.
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  • 文章类型: Journal Article
    本系统综述旨在总结个别研究的结果,这些研究专门针对超重或肥胖人群,无论年龄或性别。目标是确定结构化娱乐团队运动干预(TSG)对代谢健康的影响,与被动或主动对照组相比,身体组成和身体健康参数。本研究遵循PRISMA报告系统评价的指南。2023年11月6日,使用三个著名的数据库对相关文献进行了彻底的审查:PubMed,Scopus,和WebofScience.考虑超重的纳入标准(例如,BMI25.0-29.9kg/m2)和肥胖(例如,BMI>30kg/m2)接受休闲团队运动训练干预的人群,而比较组由未暴露于运动(被动对照)或暴露于替代训练方法的相同人群组成。感兴趣的主要结果是代谢健康参数(葡萄糖,腰围,血压,胆固醇,甘油三酯),身体成分(例如,脂肪量,贫质量),以及身体健康参数(例如,有氧健身,肌肉发达)。仅研究双臂或多臂设计,无论是否随机化,有资格列入。采用PEDro量表评估纳入研究的方法学偏倚。在检索到的最初275个标题中,我们认为有十个人符合我们的研究条件。就身体组成而言,在三项研究中,TSG的体重指数显着下降(-2.3至-5.1%),在四项研究中腰围显着降低(-4.6%至-8.4%)。关于血压,在两项研究中,TSG的收缩压显着下降(-3.9%至-8.3%),而仅一项研究显示舒张压显着下降(-7.3%)。在三项研究中,TSG的胆固醇水平显着下降(-7.0%至-9.7%),在四项研究中,甘油三酯水平显着降低(-16.4%至-20.1%)。在有氧健身方面,在三项研究中,TSG在基于现场的测试中表现出组内改善(8.1%至79.0%),在四项研究中,最大摄氧量的组内改善(6.5%至31.0%),在大多数研究中,TSG具有显著的优势。总的来说,与对照组相比,TSG对超重和肥胖人群具有显着的益处,特别是在改善体重指数方面,收缩压,胆固醇和甘油三酯水平,和有氧健身。未来的研究应该集中在个性化的基础上调整对不同训练量的反应。
    This systematic review aims to provide a summary of the results from individual studies that specifically focused on overweight or obese populations, regardless of age or sex. The goal is to determine the effects of structured recreational team sports interventions (TSG) on metabolic health, body composition and physical fitness parameters when compared to passive or active control groups. This study adhered to the PRISMA guidelines for reporting a systematic review. A thorough examination of relevant literature was conducted on November 06, 2023, using three prominent databases: PubMed, Scopus, and the Web of Science. Inclusion criteria considered overweight (e.g., BMI 25.0-29.9 kg/m2) and obese (e.g., BMI > 30 kg/m2) populations exposed to training interventions using recreational team sports, while the comparator group consisted of the same populations not exposed to exercise (passive controls) or exposed to alternative training methods. The primary outcomes of interest were metabolic health parameters (glucose, waist circumference, blood pressure, cholesterol, triglycerides), body composition (e.g., fat mass, lean mass), as well as physical fitness parameters (e.g., aerobic fitness, muscular fitness). Only studies with two- or multi-arm designs, whether randomized or not, were eligible for inclusion. The PEDro scale was used to assess the methodological bias of the included studies. Out of the initial 275 titles retrieved, we deemed ten eligible for our study. In terms of body composition, TSG demonstrated a significant decrease in body mass index across three studies (-2.3 to -5.1%) and a significant reduction in waist circumference in four studies (-4.6% to -8.4%). Regarding blood pressure, TSG exhibited a significant decrease in systolic blood pressure in two studies (-3.9% to -8.3%), while diastolic blood pressure showed a significant decrease in only one study (-7.3%). Cholesterol levels saw a significant decrease in TSG in three studies (-7.0% to -9.7%), and triglyceride levels showed a significant reduction in four studies (-16.4% to -20.1%). In terms of aerobic fitness, TSG demonstrated within-group improvements in the field-based tests in three studies (8.1% to 79.0%), and within-group improvements in maximal oxygen uptake in four studies (6.5% to 31.0%), with significant favoring of TSG in most studies. Overall, TSG demonstrated significant benefits for overweight and obese populations compared to the control group, particularly in terms of improvements in body mass index, systolic blood pressures, cholesterol and triglyceride levels, and aerobic fitness. Future research ought to concentrate on tailoring responses to varying training volumes on an individualized basis.
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  • 文章类型: Journal Article
    目标:随着全球化和现代化不断影响人们的生活,生活方式发生了重大转变,导致全球范围内体力活动的减少和不健康饮食模式的增加。缺乏身体活动已成为全球第四大死亡原因。本次范围审查的目的是分析将身体活动纳入医疗保健(IPAHc)的概念和发展,基于运动和运动医学(SEM)和运动医学(EIM)的原理。
    方法:使用PubMed对相关已发表的研究进行了系统搜索,Scopus,WebofScience,学术搜索终极,Medline,和SPORTDiscus,通过EBSCO搜索平台。
    29项研究符合纳入标准。整合途径围绕身体活动咨询和/或转诊,以及在IPAHc中广泛使用的信息技术,包括网站,电子病历,社交媒体,可穿戴设备,移动软件,和推荐工具。SEM和EIM面临着众多的实施挑战,例如时间限制,教育/培训,资源,和工具。
    结论:IPAHc的概念涉及将身体活动生命体征(PAVS)整合到电子病历中,以评估普通人群的身体活动水平。这可以帮助个人实现健身目标,预防疾病,治疗现有疾病,正在接受康复。IPAHc已经发展多年,现在正在在实践中探索。尽管信息技术在这个整合过程中被广泛使用,一些挑战仍然需要解决。
    OBJECTIVE: As globalization and modernization continue to impact people\'s lives, a significant shift in lifestyle has taken place, resulting in a worldwide decrease in physical activity and an increase in unhealthy eating patterns. Physical inactivity has become the fourth leading cause of death globally. The aim of this scoping review is to analyze the concept and development of integrating physical activity into healthcare (IPAHc), based on the principles of sports and exercise medicine (SEM) and exercise is medicine (EIM).
    METHODS: A systematic search was conducted of relevant published studies with full text using PubMed, Scopus, Web of Science, Academic Search Ultimate, Medline, and SPORTDiscus, via the EBSCO search platform.
    UNASSIGNED: Twenty-nine studies met the inclusion criteria. The integration pathway centres around physical activity consultation and/or referral, and information technology which has been extensively utilized in IPAHc, including websites, electronic medical records, social media, wearable devices, mobile software, and referral tools. SEM and EIM face numerous implementation challenges, such as time constraints, education/training, resources, and tools.
    CONCLUSIONS: The concept of IPAHc involves the integration of Physical Activity Vital Signs (PAVS) into electronic medical records to evaluate the physical activity levels of the general population. This can assist individuals in achieving fitness goals, preventing diseases, treating existing illnesses, and undergoing rehabilitation. IPAHc has been in development for many years and is now being explored in practice. Despite the widespread use of information technology in this integration process, a number of challenges still need addressing.
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  • 文章类型: Journal Article
    猫作为伴侣动物越来越受欢迎;它们的健康已经引起了广泛的关注。鉴于人类和动物所需的生活水平不断提高,炎症性肠病,过敏,腹泻,便秘,牙周病,肥胖,糖尿病,和其他健康问题已成为公认的有效宠物问题。抗生素通常用于治疗宠物疾病,大大改善动物健康。然而,抗生素滥用是常见的,尤其是在寻求治疗细菌感染时。益生菌是有益的微生物,可以直接摄入食品或作为饲料添加剂;他们改善肠道菌群平衡,增强免疫力,确保健康成长。然而,猫的数据通常是从狗或人类的报告中推断出来的;猫的研究在本质上仍然是初步的。因此,我们在这里描述了当前对益生菌如何改善猫健康的理解,促进猫益生菌的进一步开发和应用。
    Cats are increasingly favored as companion animals; their health has drawn widespread attention. Given the continuous improvements in the required living standards of both humans and animals, inflammatory bowel disease, allergies, diarrhea, constipation, periodontal disease, obesity, diabetes, and other health issues have become recognized as valid pet problems. Antibiotics are commonly used to treat pet diseases, greatly improving animal health. However, antibiotic abuse is common, especially when seeking to treat bacterial infections. Probiotics are beneficial microorganisms that may be directly ingested in food or as feed additives; they improve the intestinal microflora balance, enhance immunity, and ensure healthy growth. However, cat data are usually inferred from reports on dogs or humans; cat research remains preliminary in nature. Therefore, we here describe the current understanding of how probiotics improve cat health, facilitating the further development and application of probiotics for cats.
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  • 文章类型: Journal Article
    幼儿期是身体和运动发育的关键时期,对长期健康有影响。本系统综述研究了学龄前儿童(通常为2-6岁)的人体测量特征与身体素质和运动技能之间的关系。搜索策略应用于四个数据库(PubMed,ProQuestCentral,Scopus,和WebofScience)查找2024年4月11日之前发表的文章。结果一致证明人体测量变量(身高,体重,体重指数[BMI],身体成分)和物理性能测量。值得注意的是,身高和体重通常比单独的BMI更好地预测健康状态.营养不良的指标(发育迟缓,浪费)与运动发育呈负相关,强调充足营养的重要性。虽然一些研究报告称,与正常体重的同龄人相比,超重/肥胖的学龄前儿童的健身和运动技能受损,其他人发现基于体重状态没有差异。身体活动水平之间的关系,人体测量学,和运动结果是复杂和不一致的研究。这篇综述强调了有关人体测量因素对幼儿身体能力影响的关键发现。早期识别生长受损或过度肥胖的儿童可能会提供量身定制的干预措施,以促进最佳运动发育并预防肥胖等问题。在这个关键的发展窗口中,为健康成长和适合年龄的体育活动机会创造支持性环境至关重要。
    Early childhood is a critical period for physical and motor development with implications for long-term health. This systematic review examined the relationship between anthropometric characteristics and measures of physical fitness and motor skills in preschool-aged children (typically 2-6 years). The search strategy was applied in four databases (PubMed, ProQuest Central, Scopus, and Web of Science) to find articles published before 11 April 2024. The results consistently demonstrated significant associations between anthropometric variables (height, weight, body mass index [BMI], body composition) and physical performance measures. Notably, height and mass were often better predictors of fitness status than BMI alone. Indicators of undernutrition (stunting, wasting) were negatively associated with motor development, emphasizing the importance of adequate nutrition. While some studies reported impaired fitness and motor skills among overweight/obese preschoolers compared to normal-weight peers, others found no differences based on weight status. Relationships between physical activity levels, anthropometrics, and motor outcomes were complex and inconsistent across studies. This review highlights key findings regarding the influence of anthropometric factors on physical capabilities in early childhood. Early identification of children with impaired growth or excessive adiposity may inform tailored interventions to promote optimal motor development and prevent issues like obesity. Creating supportive environments for healthy growth and age-appropriate physical activity opportunities is crucial during this critical developmental window.
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  • 文章类型: Journal Article
    经历无家可归的人往往被边缘化,在寻求医疗保健时遇到结构性障碍。基于社区的口腔健康干预措施强调了训练有素的从业人员对服务使用者和行为改变的成功参与的需求。然而,以前曾报告缺乏足够的信息和具体培训。采取包容性方法,例如共同设计,需要制定有针对性和有意义的健康促进培训和教育材料,以满足该群体的特定需求。共同设计需要不同小组积极参与研究过程,以承认参与者的需求和期望。本范围审查旨在确定有关无家可归的人和/或他们的支持工作者参与共同设计健康和口腔健康促进培训/教育材料的可用文献,采用的方法,以及开发这些材料的障碍和推动者。
    乔安娜·布里格斯研究所(JBI)范围审查方法为范围审查的发展提供了信息。该协议已在开放科学框架上注册。六个电子数据库(Medline(OVID),PsychInfo(OVID),Scopus,WebofScience,使用MeSH术语系统地搜索了应用社会科学索引和摘要(ASSIA)(ProQuest)和CINHAL。广泛的灰色文献搜索,与专家进行了磋商,并手工搜索了参考清单。使用Rayyan卡塔尔计算研究所(QCRI)在线工具对记录进行了独立和一式两份的筛选,其次是涉及描述性数据编码的定性内容分析。
    包括8项研究/材料。共同设计采用的关键方法,捕获了推动者和障碍。推动者是包容性的,积极参与的安全环境,赋权和灵活性,障碍是难以招募和维持参与,功率差,和有限的资源。
    这方面的证据有限。此范围审查为进一步研究提供了基础,以检查共同设计过程中不同组件的影响,包括进行共同设计过程的环境。通过实验设计进行进一步的研究,并使用适当的研究设计框架进行报告,详细说明了共同设计过程的有效组成部分,这将加强该领域的证据基础。
    UNASSIGNED: People experiencing homelessness are often marginalised and encounter structural barriers when seeking healthcare. Community-based oral health interventions highlighted the need of well-trained practitioners for the successful engagement of service users and behaviour change. However, a lack of adequate information and specific training has been previously reported. The adoption of inclusive approaches, such as co-design, to develop tailored and meaningful health promotion training and educational materials capable of addressing the specific needs of this group is required. Co-design entails active involvement of different groups in research processes that acknowledge participants\' needs and expectations. This scoping review aims to identify the available literature on the participation of people experiencing homelessness and/or their support workers in co-designing health and oral health promotion training/educational materials, approaches adopted, and barriers and enablers to develop these materials.
    UNASSIGNED: The Joanna Briggs Institute (JBI) Scoping Review Methodology informed the development of the scoping review. The protocol was registered on the Open Science Framework. Six electronic databases (Medline (OVID), PsychInfo (OVID), Scopus, Web of Science, Applied Social Sciences Index and Abstracts (ASSIA) (ProQuest) and CINHAL) were systematically searched using MeSH terms. An extensive grey literature search, consultation with experts and hand searching of reference lists took place. Records were screened independently and in duplicate using the Rayyan Qatar Computing Research Institute (QCRI) online tool, followed by qualitative content analysis involving descriptive data coding.
    UNASSIGNED: Eight studies/materials were included. Key approaches adopted to co-design, enablers and barriers were captured. The enablers were inclusivity, a safe environment for positive participation, empowerment and flexibility, the barriers were difficulty in recruiting and sustaining participation, power differentials, and limited resources.
    UNASSIGNED: The evidence in this area is limited. This scoping review provided foundations for further research to examine the impact of different components of the co-design process including the environment in which the co-design process is conducted. Further studies with experimental design and reported using appropriate study design frameworks detailing active components of the co-design process would strengthen the evidence base in this area.
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