身体活动与学龄儿童肥胖关系的定性循证研究  

Qualitative evidence-based study on the relationship between physical activity and obesity in school-aged children

作　　者：宋鸽 陈君颖 邬锡锋 潘新亮 李雪寒 马冠生[2] 严翊[1] SONG Ge;CHEN Junying;WU Xifeng;PAN Xinliang;LI Xuehan;MA Guansheng;YAN Yi(School of Sport Science,Beijing Sport University,Beijing 100084,China;Department of Nutrition and Food Hygiene,School of Public Health,Peking University,Beijing 100191,China)

机构地区：[1]北京体育大学运动人体科学学院,北京100084 [2]北京大学公共卫生学院营养与食品卫生学系,北京100191

出　　处：《中国妇幼健康研究》2023年第2期117-126,共10页Chinese Journal of Woman and Child Health Research

基　　金：国家卫生健康委员会委托项目;国家自然科学基金(32071173);科技部国家重点研发计划(2019YFF0301702)。

摘　　要：目的从循证医学的角度探究身体活动与学龄儿童肥胖的关系,为我国儿童超重/肥胖的防治提供理论基础和身体活动干预依据。方法文献检索自1998年至2020年国内外公开发表的相关文献,数据库包括中国知网(CNKI)、万方、维普、PubMed、Embase、EBSCO、Web of Science和Cochrane Library数据库,语种为中文和英文,筛选后进行文献质量评估并报告结果结论。结果本研究共纳入40篇文献作为主要证据,其中15篇观察性研究、14篇实验性研究及11篇系统综述,证据水平在Ⅰa~Ⅱc之间;结果显示学龄儿童身体活动水平与肥胖负相关,视屏时间(尤其是看电视时间)与肥胖正相关,家庭、学校、社会共同参与的儿童身体活动干预,更有利于提高儿童的体重健康。结论身体活动的增加有助于学龄儿童超重/肥胖的防治,但仍需要更多针对中国学龄儿童与肥胖关系的高质量研究。Objective To explore the relationship between physical activity and obesity in school-aged children from the perspective of evidence-based medicine,and to provide a theoretical basis and a basis for physical activity intervention for the prevention and treatment of overweight/obesity in children in China.Methods The relevant literatures published at home and abroad from 1998 to 2020 are searched.The database included China National Knowledge Infrastructure(CNKI),Wanfang,the Chongqing VIP Chinese Science and Technology Periodical Database(VIP),PubMed,Embase,EBSCO,Web of Science and Cochrane Library databases.The languages were Chinese and English.After screening,the quality of the literature were evaluated and the results were reported.Results Totally,40 articles were included as the main evidence in this study.There were 15 observational studies,14 experimental studies,and 11 systematic reviews.The level of evidence was betweenⅠa andⅡc.The results showed that the level of physical activity of school-age children was negatively correlated with obesity,while the screening time(especially TV watching time)was positively correlated with obesity.The intervention of children′s physical activity with the participation of family,school and society was more conducive to improving children′s weight health.Conclusion The increase of physical activity contributes to the prevention and treatment of overweight/obesity in school-age children,and more high-quality studies on the relationship between obesity and school-age children in China are needed.

关 键 词：身体活动 学龄儿童青少年 肥胖 静坐行为 

分 类 号：R179[医药卫生—妇幼卫生保健]