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題名：探討美國幼兒熱舞與健康教案在預防學齡前兒童肥胖之效果：一個統合分析研究
書刊名：人文社會科學研究. 教育類
作者：蔡明憲
作者(外文)：Tsai, Ming-hsien
出版日期：2018
卷期：12:4
頁次：頁69-80
主題關鍵詞：學齡前兒童；肥胖；介入療育；統合分析；Preschool child；Obesity；Overweight；Intervention；Meta-analysis
原始連結：連回原系統網址new window
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台灣近代幼兒的活動皆以靜態居多，且居住地點皆缺乏適當的戶外運動場所，使得學齡前幼兒的肥胖比例偏高。學齡前時期的肥胖與多種健康相關議題有關，包含心血管疾病、認知功能障礙、發展遲緩等。我國所頒布的幼兒園教保活動課程大綱在顯示出國人逐漸有預防幼兒肥胖的觀念，雖然此觀念之立意良好，但卻缺乏一套標準化統一的教案來幫助第一線的教保人員貫徹此理念。在美國有一套針對學齡前幼兒設計之教案稱為幼兒熱舞與健康教案，為一種實證性的課程，透過教室內討論、體能活動與父母的溝通三個部分組成。為得知此教案之效果，本研究透過搜尋自1965年至2018年PubMed、Embase與Cochrane Library等三大資料庫進行系統性文獻搜尋，關鍵字包括學齡前兒童或是年齡介於2－5歲、預防與管理過重或是肥胖、隨機分派研究、幼兒熱舞與健康教案。最後篩選出4個隨機分派研究，並採用標準化平均差異來比較其介入成效。研究結果指出，在採用幼兒熱舞與健康教案介入一年後及兩年後其BMI相較於控制組均有顯著性的改善肥胖之成效，其標準化平均差異分別為-0.18，95％信賴區間-0.29～-0.06，p值為0.002與-0.30，95％信賴區間-0.46～-0.14，p值為＜0.001。此教案因具有一套標準化之流程，未來將可引進台灣供教保人員用以介入或預防學齡前幼兒肥胖。
The preschool child activities are mainly of static actions in modern Taiwan. Insufficiency of outdoor playgrounds in the residential areas also contributes to the rising prevalence of obesity in early childhood. Preschool obesity is associated with several health issues, including cardiovascular diseases, cognitive function defect, and stunted growth and development. The newly promulgated course guidelines of kindergarten education and protection suggest that concept of childhood-obesity prevention is firmly formed among the Taiwanese. However, the well-intended decree lacks a standardized protocol for the preschool educators to implement the procedures. Hip-Hop to Health Jr. Obesity is a standardized obesity-prevention program designed for preschool children. The community-based program consists of nutrition lessons, physical activities, and parent participation. To determine the effect of this program, we performed a systematic review through 3 major literature databases, including Pubmed, Embase, and Cochrane Library, from 1965 to 2018. The keywords used for literature searching included ＂preschool child＂, ＂age from 2 to 5＂, ＂prevent/manage overweight/obesity＂, ＂randomized clinical trial＂ and ＂Hip Hop to Health Jr.＂. We included 4 randomized trials into the mata-analysis. The standardized mean difference (SMD) was utilized to evaluate the effect of intervention. Our study indicates that the Hip Hop to Health Jr. program significantly reduces the BMI in the years I and II follow-ups, with SMDs of -0.18 (95% CI=-0.29~-0.06, p-value=0.002) and -0.30 (95% CI=-0.46~-0.14, p-value＜0.001), respectively. We conclude that the Hip-Hop to Health Jr. Obesity is an effective program that can be used by the educators to prevent preschool obesity in Taiwan.
期刊論文
1.Fitzgibbon, M. L.、Stolley, M. R.、Schiffer, L.、Van Horn, L.、KauferChristoffel, K.、Dyer, A.(2006)。Hip-hop to health Jr. for Latino preschool children。Obesity，14(9)，1616-1625。  new window
2.Smith, E.、Hay, P.、Campbell, L.、Trollor, J. N.(2011)。A review of the association between obesity and cognitive function across the lifespan: Implications for novel approaches to prevention and treatment。Obesity Reviews，12(9)，740-755。  new window
3.De Onis, M.、Blossner, M.、Borghi, E.(2010)。Global prevalence and trends of overweight and obesity among preschool children。American Journal of Clinical Nutrition，92(5)，1257-1264。  new window
4.Pulgarón, E. R.(2013)。Childhood obesity: a review of increased risk for physical and psychological comorbidities。Clinical Therapeutics，35(1)，A18-A32。  new window
5.Do, L. M.、Tran, T. K.、Eriksson, B.、Petzold, M.、Nguyen, C. T. K.、Ascher, H.(2015)。Preschool overweight and obesity in urban and rural Vietnam: differences in prevalence and associated factors。Global Health Action，8。  new window
6.陳世昌、余思賢、陳奕良、廖進安(20150300)。智能與學習障礙學童之肥胖與身體活動特性。大專體育學刊，17(1)，87-95。new window  延伸查詢new window
7.Brogan, K.、Danford, C.、Yeh, Y.、Jen, K. L.(2014)。Cardiovascular disease risk factors are elevated in urban minority children enrolled in head start。Child Obes，10(3)，207-213。  new window
8.Cortese, S.、Tessari, L.(2017)。Attention-Deficit/Hyperactivity Disorder (ADHD) and Obesity: Update 2016。Curr Psychiatry Rep，19(1)。  new window
9.Datar, A.、Sturm, R.(2004)。Childhood overweight and parent-and teacher-reported behavior problems: evidence from a prospective study of kindergartners。Arch Pediatr Adolesc Med，158(8)，804-810。  new window
10.Dawson-McClure, S.、Brotman, L. M.、Theise, R.、Palamar, J. J.、Kamboukos, D.、Barajas, R. G.、Calzada, E. J.(2014)。Early childhood obesity prevention in low-income, urban communities。J Prev Interv Community，42(2)，152-166。  new window
11.Duran, P.、Caballero, B.、de Onis, M.(2006)。The association between stunting and overweight in Latin American and Caribbean preschool children。Food Nutr Bull，27(4)，300-305。  new window
12.Fitzgibbon, M. L.、Stolley, M. R.、Dyer, A. R.、VanHorn, L.、KauferChristoffel, K.(2002)。A community-based obesity prevention program for minority children: rationale and study design for Hip-Hop to Health Jr。Prev Med，34(2)，289-297。  new window
13.Fitzgibbon, M. L.、Stolley, M. R.、Schiffer, L.、Van Horn, L.、KauferChristoffel, K.、Dyer, A.(2005)。Two-year follow-up results for Hip-Hop to Health Jr.: a randomized controlled trial for overweight prevention in preschool minority children。J Pediatr，146(5)，618-625。  new window
14.Fitzgibbon, M. L.、Stolley, M. R.、Schiffer, L. A.、Braunschweig, C. L.、Gomez, S. L.、Van Horn, L.、Dyer, A. R.(2011)。Hip-Hop to Health Jr. Obesity Prevention Effectiveness Trial: postintervention results。Obesity，19(5)，994-1003。  new window
15.Graversen, L.、Sorensen, T. I.、Petersen, L.、Sovio, U.、Kaakinen, M.、Sandbaek, A.、Laitinen, J.、Taanila, A.、Pouta, A.、Jarvelin, M. R.、Obel, C.(2014)。Preschool weight and body mass index in relation to central obesity and metabolic syndrome in adulthood。PLoS One，9(3)，e89986。  new window
16.Kong, A.、Buscemi, J.、Stolley, M. R.、Schiffer, L. A.、Kim, Y.、Braunschweig, C. L.、Gomez-Perez, S. L.、Blumstein, L. B.、Van Horn, L.、Dyer, A. R.、Fitzgibbon, M. L.(2016)。Hip-Hop to Health Jr. Randomized Effectiveness Trial: 1-Year Follow-up Results。Am J Prev Med，50(2)，136-144。  new window
17.Ling, J.、Robbins, L. B.、Wen, F.(2016)。Interventions to prevent and manage overweight or obesity in preschool children: A systematic review。Int J Nurs Stud，53，270-289。  new window
18.Messiah, S. E.、Arheart, K. L.、Natale, R. A.、Hlaing, W. M.、Lipshultz, S. E.、Miller, T. L.(2012)。BMI, waist circumference, and selected cardiovascular disease risk factors among preschool-age children。Obesity，20(9)，1942-1949。  new window
19.Nader, P. R.、O'Brien, M.、Houts, R.、Bradley, R.、Belsky, J.、Crosnoe, R.、Friedman, S.、Mei, Z.、Susman, E. J.(2006)。Identifying risk for obesity in early childhood。Pediatrics，118(3)，594-601。  new window
20.林薇、林佑真、楊小淇、周麗端(20140200)。兒童肥胖預防：從家庭生活脈絡分析。臺灣公共衛生雜誌，33(1)，5-22。new window  延伸查詢new window
其他
1.衛生福利部(2013)。兒童及青少年生長身體質量指數（BMI）建議值，https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=542&pid=9547。  延伸查詢new window
 
 
 
 
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