Inclusion of Sleep Promotion in Family-Based Interventions To Prevent Childhood Obesity

被引:24
|
作者
Agaronov, Alen [1 ]
Ash, Tayla [1 ,2 ]
Sepulveda, Martina [3 ]
Taveras, Elsie M. [1 ,4 ]
Davison, Kirsten K. [1 ,2 ]
机构
[1] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, 677 Huntington Ave, Boston, MA 02115 USA
[2] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA
[3] Univ Arizona, Dept Nutr Sci, Tucson, AZ USA
[4] Massachusetts Gen Hosp Children, Div Gen Pediat, Boston, MA USA
关键词
childhood obesity; family; intervention; review; sleep; RANDOMIZED CONTROLLED-TRIAL; IMPROVE HOUSEHOLD ROUTINES; PRESCHOOL-CHILDREN; HEALTHY-HABITS; UNITED-STATES; WEIGHT-GAIN; DURATION; BEHAVIORS; PARENTS; METAANALYSIS;
D O I
10.1089/chi.2017.0235
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Sleep promotion in childhood may reduce the risk of obesity, but little is known of its inclusion in family-based interventions. This study examines the proportion and context of family-based interventions to prevent childhood obesity that promote child sleep. We drew on data from a recent systematic review and content analysis of family-based interventions for childhood obesity prevention published between 2008 and 2015, coupled with new data on sleep promotion strategies, designs, and measures. Out of 119 eligible family-based interventions to prevent childhood obesity, 24 (20%) promoted child sleep. In contrast, 106 (89%) interventions targeted diet, 97 (82%) targeted physical activity, and 63 (53%) targeted media use in children. Most interventions that promoted sleep were implemented in clinics (50%) and home-based settings (38%), conducted in the United States (57%), and included children 2-5 years of age (75%). While most interventions utilized a randomized controlled design (70%), only two examined the promotion of sleep independent of other energy-balance behaviors in a separate study arm. Sleep was predominately promoted by educating parents on sleep hygiene (e.g., age-appropriate sleep duration), followed by instructing parents on responsive feeding practices and limiting media use. One intervention promoted sleep by way of physical activity. A large number promoted sleep by way of bedtime routines. Most interventions measured children's sleep by parent report. Results demonstrate that sleep promotion is underrepresented and variable in family-based childhood obesity interventions. While opportunities exist for increasing its integration, researchers should consider harmonizing and being more explicit about their approach to sleep promotion.
引用
收藏
页码:485 / 500
页数:16
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