中国康复理论与实践2025，Vol.31Issue(6)：642-649,8.DOI:10.3969/j.issn.1006-9771.2025.06.004
肥胖儿童身体活动与功能和心理-行为健康:政策架构与健康行为干预模式
Physical activity,functioning and psycho-behavioral health in obese children:policy framework and health behav-ior intervention model
摘要
Abstract
Objective To systematically analyze the policies on children's physical activity,sedentary behavior,obesity prevention and control,and functional and mental health issued by international organizations and China;as well as the health behavior intervention models targeting physical activity and psycho-behavioral health for overweight or obese children from the functional perspective of International Classification of Functioning,Disability and Health(ICF). Methods A total of six international policy documents and three national policies were included.Three health behavior intervention models,namely Behavioral Susceptibility Theory(BST),Family-based Behavioral Treatment(FBBT)and Healthy Lifestyles Programme(HeLP),were discussed focusing on the opportunity,motivation,and function and capability. Results International policies formed a closed loop in four domains:strategy,technology,governance and monitoring.The United Nations Children's Fund also emphasized the importance of psychosocial and equity dimensions.Chi-na's relevant policies attached great importance to the monitoring and implementation of children's physical activ-ity,as well as issues such as physical activity and mental health stressing the personalized needs of obese chil-dren and the integration of physical activity with health-related psycho-behavioral interventions.BST set up fun moderate-to-vigorous physical exercises and parent-child emotional eating education before meals,mainly target-ing children susceptible to high food responsiveness,to regulate energy balance and strengthen motivation.FBBT reshaped family environmental opportunities through behavioral control,family contracts and parental modeling,to enhance children's self-efficacy and physical activity.HeLP integrated drama therapy and peer sup-port into classroom and extracurricular activities,to create a positive atmosphere to enhance a sense of belonging and sustained participation.These intervention models improved functional and psycho-behavioral health through environmental empowerment and motivation activation. Conclusion The global policy framework has expanded from controlling body mass index to multi-dimensional health goals of improving function and psycho-behavioral health.Current international and national policies have cov-ered the four key dimensions of strategic goals,behavioral guidelines,governance measures and monitoring indi-cators.The physical activity-related health behavior intervention models,such as BST,FBBT and HeLP,may in-crease the physical activity level of obese children and promote psycho-behavioral health by expanding environ-mental opportunities,enhancing psychological motivation and improving physical function and capability.关键词
超重/肥胖/儿童/身体活动/功能/心理-行为健康/国际功能、残疾和健康分类/健康行为干预Key words
overweight/obesity/children/physical activity/function/psycho-behavioral health/International Classification of Functioning,Disability and Health/health behavior intervention分类
临床医学引用本文复制引用
邵雪云..肥胖儿童身体活动与功能和心理-行为健康:政策架构与健康行为干预模式[J].中国康复理论与实践,2025,31(6):642-649,8.基金项目
国家科技创新2030项目(No.2021ZD0200500) Supported by Scientific and Technological Innovation 2030(No.2021ZD0200500) （No.2021ZD0200500）
