以社区为基础的短信服务干预，改善母亲的喂养习惯，预防肥胖:卡塔尔世界杯8强波胆分析半实验研究%A Jiang,Hong %A Li,Mu %A Wen，李明%A Baur,Louise %A He,Gengsheng %A Ma,Xiaoying %A Qian,Xu %+复旦大学全球卫生研究所公共卫生学院，175邮箱，上海市一学园路138号，邮编200032,86 2164179976,h_jiang@fudan.edu.cn %K短信服务%K儿童发育%K体重指数%K BMI %K儿童肥胖%D 2019 %7 3.6.2019 %9原论文%J JMIR Mhealth Uhealth %G英文%X背景:在中国，儿童肥胖的患病率正在上升，手机短消息服务(SMS)干预预防儿童早期肥胖的效果需要评估。目的:本研究的目的是评估短信干预对预防幼儿肥胖的效果。方法:采用准实验设计，在上海市4家社区卫生中心开展短信干预。干预组2例chc，对照组2例chc。干预组的母亲从妊娠晚期到产后12个月，每周都会收到关于母乳喂养和婴儿喂养的短信。主要结果为12个月和24个月时儿童体重指数(BMI)、BMI z评分和体重长度z评分。在24个月时，也评估了与更高的BMI和体重长度z评分相关的因素。结果:共招募582名孕妇在第三孕三个月开始。 477 (82.0%) and 467 (80.2%) mothers and their children were followed up to 12 and 24 months postpartum, respectively. There were no significant differences in children’s BMI, BMI z-score, and weight-for-length z-score at 12 and 24 months between the 2 groups. Factors associated with higher BMI, BMI z-score, and weight-for-length z-score at 24 months included higher birth weight, introduction of solid foods before 4 months, and taking a bottle to bed at 12 months. Conclusions: The SMS intervention did not show a significant effect on children’s BMI, BMI z-score, or weight-for-length z-score at 12 and 24 months. Introduction of solid foods before 4 months and taking a bottle to bed at 12 months were significantly and positively correlated with a higher BMI, BMI z-score, and weight-for-length z-score at 24 months. Further studies with more rigorous design are needed to evaluate the effect of SMS interventions on preventing early childhood obesity. %R 10.2196/13828 %U http://mhealth.www.mybigtv.com/2019/6/e13828/ %U https://doi.org/10.2196/13828

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