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社区食物环境与儿童肥胖的定性循证研究

朱一民 朱文丽 《儿童肥胖预防与控制指南》修订委员会

朱一民, 朱文丽, 《儿童肥胖预防与控制指南》修订委员会. 社区食物环境与儿童肥胖的定性循证研究[J]. 中国学校卫生, 2021, 42(11): 1613-1615. doi: 10.16835/j.cnki.1000-9817.2021.11.004
引用本文: 朱一民, 朱文丽, 《儿童肥胖预防与控制指南》修订委员会. 社区食物环境与儿童肥胖的定性循证研究[J]. 中国学校卫生, 2021, 42(11): 1613-1615. doi: 10.16835/j.cnki.1000-9817.2021.11.004
ZHU Yimin, ZHU Wenli, the Committee of Guidelines for Childhood Obesity Prevention and Control. Evidence-based qualitative study on community food environment and childhood obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1613-1615. doi: 10.16835/j.cnki.1000-9817.2021.11.004
Citation: ZHU Yimin, ZHU Wenli, the Committee of Guidelines for Childhood Obesity Prevention and Control. Evidence-based qualitative study on community food environment and childhood obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1613-1615. doi: 10.16835/j.cnki.1000-9817.2021.11.004

社区食物环境与儿童肥胖的定性循证研究

doi: 10.16835/j.cnki.1000-9817.2021.11.004
基金项目: 国家卫生健康委员会疾病预防控制局委托项目
详细信息
    作者简介:

    朱一民(1993-),女,山东省人,在读硕士,主要研究方向为儿童营养

    通讯作者:

    朱文丽,E-mail:zhuwenli@bjmu.edu.cn

  • 中图分类号: R179 R723.14 R151.4

Evidence-based qualitative study on community food environment and childhood obesity

  • 摘要:   目的  系统评价社区食物环境与儿童超重肥胖的关系,为相关政策的制定提供循证证据。  方法  检索1998—2020年公开发表的相关文献,中文数据库为中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据知识服务平台,英文数据库为Cochrane library、PubMed、EMbase等。  结果  经过文献筛选,共有8篇英文文献纳入本次系统评价,包括3项队列研究和5项横断面研究。结果显示,家庭或学校周边社区的食品商店/餐厅类型、数量、距离、食物价格等与儿童体重、腰围及肥胖风险有关。其中快餐店、便利店、杂货店的数量与儿童肥胖高风险有关,超市、自由市场的数量与儿童肥胖低风险有关。  结论  社区食物环境与儿童肥胖可能有关,还需要更多高质量研究设计的证据支持。
  • 表  1  社区食物环境与儿童超重肥胖关系的横断面研究

    Table  1.   Relations between community food environment and overweight in children: cross-sectional studies

    第一作者 研究类型 调查类型/方法 研究对象 样本量 社区食物环境定义 主要结果
    Dwicaksono[7] 横断面研究 普查 学龄儿童 680 超市、农场集市、便利店、快餐店、餐馆 农场集市数量与小学生肥胖呈负相关(β=-0.12,P < 0.01),快餐店数量与中学生肥胖呈正相关(β=0.01,P < 0.05)。
    Green[8] 横断面研究 既有的相关数据库 11~16岁 336 超市、外卖店以及其他商店(报亭、烘焙店、加油站的便利店) 学校周边1 km范围内其他商店的数量与学龄儿童BMI的SDS评分呈正相关(β=0.04,95%CI=0.01~0.05)。从家至学校道路周围500 m以内的快餐店数量与学龄儿童腰围呈正相关(β=0.02,95%CI=0.01~0.03)。
    Gorski[9] 横断面研究 为期1周的个人访谈、电话访谈、调查册填写 2~18岁 3 748 超级商店、超市、大中型副食商店,复合型杂货店及其他类型的商店(包括独立的药店、一般的商店),便利店,快餐店,非快餐类餐厅 家周围1 km以内复合型杂货店及其他类型商店数量与儿童超重肥胖呈正相关(OR=1.10,95%CI=1.03~1.17)。
    Le[10] 横断面研究 食物频率调查 10~14岁女生 101 家庭周围步行可及(800 m以内)范围内的杂货店、便利店、快餐店的密度、距离及食物价格 家周围食品店的距离以及密度与儿童肥胖无明显关联。家周围800 m范围内快餐店(OR=0.87,95%CI=0.77~ 0.99)及杂货店(OR=0.97,95%CI=0.95~0.99)内健康食物的价格与儿童肥胖呈正相关。
    Matanane[11] 横断面研究 2 d的食物活动日志 2~8岁 466 家周围1 km以内的食物环境(小市场、便利店、大型杂货店或大型超市) 居住于小市场周围的儿童BMI-Z评分较低,而便利店周围儿童BMI-Z评分则较高。
    下载: 导出CSV

    表  2  社区食物环境与儿童超重肥胖关系的队列研究

    Table  2.   Relations between community food environment and overweight in children: cohort studies

    第一作者 研究设计 研究对象 样本量 社区食物环境定义 主要结果
    Jia[13] 队列研究(追踪9年) 幼儿 7 530 学校周边800 m范围内食品店/餐厅的类型和数量。学校周边便利店数量增加与儿童较高BMI有关,尤其是城市儿童 乳制品店数量减少、快餐店/便利店数量增加与儿童较高的肥胖风险有关,而综合性餐厅数量增加、肉/鱼市场减少与儿童肥胖风险降低有关。
    Shier[15] 队列研究 12~13岁 1 188 以家为中心某半径范围内出现的商店种类及数量 食品商店的类型及分布和儿童BMI无明显关联。
    Chen[12] 队列研究(随访3年) 青春期前的儿童 7 090 各个编码区域内4种商店类型:超市、限制服务型餐馆、小型杂货店、便利店 与社区无超市相比,社区超市数量≥3时,女孩3年后的BMI较低(-0.62 kg/m2),而限制服务类餐馆数量>1时,女孩3年后的BMI值更高(1.02 kg/m2)。社区中小型商店数量减少与女孩BMI降低有关。
    下载: 导出CSV
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  • 收稿日期:  2021-04-21
  • 修回日期:  2021-08-31
  • 网络出版日期:  2021-12-01
  • 刊出日期:  2021-11-25

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