Sothern M S, von Almen T K, Schumacher H D, Suskind R M, Blecker U
Department of Pediatrics, LSU Medical Center, New Orleans, USA.
Del Med J. 1999 Jun;71(6):255-61.
Childhood obesity is a chronic disease that is associated with significant co-morbidity. Successful treatment and prevention of childhood obesity requires a multidisciplinary approach, including diet, nutrition education, behavior modification, and exercise. We studied 87 children (39 males, 48 females; aged 7-17 years) enrolled in a one-year multidisciplinary weight reduction program. Subjects were placed on a very low calorie/high protein diet, a moderate-intensity progressive exercise program, and behavior modification sessions for 10 weeks. Measures were taken at baseline 10 weeks, and 1 year. Significant anthropometric changes in weight, percent of ideal body weight, and percent body-fat were observed in all patients. We conclude that a multidisciplinary weight reduction program including diet, behavior modification, and exercise is an effective instrument to achieve weight loss in obese children and adolescents.
儿童肥胖是一种与严重合并症相关的慢性疾病。成功治疗和预防儿童肥胖需要多学科方法,包括饮食、营养教育、行为改变和运动。我们研究了87名儿童(39名男性,48名女性;年龄7至17岁),他们参加了为期一年的多学科减重项目。受试者接受极低热量/高蛋白饮食、中等强度渐进式运动项目以及为期10周的行为改变课程。在基线、10周和1年时进行测量。所有患者的体重、理想体重百分比和体脂百分比均出现显著的人体测量学变化。我们得出结论,包括饮食、行为改变和运动的多学科减重项目是实现肥胖儿童和青少年减重的有效手段。