Golan M, Weizman A, Fainaru M
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Prev Med. 1999 Dec;29(6 Pt 1):519-26. doi: 10.1006/pmed.1999.0584.
Family-based approaches using the parents as agents of change to treat childhood obesity are superior to programs targeting only children in achieving weight reduction and have a lower dropout rate.
The aim of this study was to compare the impact of two behavioral approaches (parents only vs children only) for the treatment of childhood obesity on parental weight, eating, and activity habits as well as cardiovascular risk factors.
A randomized 1-year clinical intervention study was performed.
Sixty obese children (>/=20% over ideal weight for age, height, and sex), ages 6-11 years, were randomly allocated to the experimental (parents as sole agents of change) or conventional groups (children as sole agents of change). Fourteen (1-h-long) support/educational sessions were conducted by a clinical dietitian for the parents in the experimental group and 30 sessions for children in the conventional group. Anthropometric and biochemical measurements were determined at the start and end of the program.
The experimental approach, when compared to the conventional intervention, was found to be superior in the reduction of fathers overweight (P < 0.05). The former approach resulted also in improved profile of risk factors for cardiovascular disease in both parents. These changes could be ascribed to a greater improvement in eating and activity behaviors observed in parents belonging to the experimental intervention group who participated in a family-based intervention to treat their children's obesity.
Treatment of childhood obesity targeting the parents as the sole agent of change, which is more effective for the treatment of childhood obesity when compared to a children-oriented program, may in addition award parents with the benefit of changing their own eating and activity patterns, thus making this program ideal for treatment of obesity in children and their overweight parents.
以父母作为改变推动者的家庭式方法治疗儿童肥胖症，在减轻体重方面优于仅针对儿童的项目，且辍学率更低。
本研究旨在比较两种行为方法（仅针对父母与仅针对儿童）治疗儿童肥胖症对父母体重、饮食和活动习惯以及心血管危险因素的影响。
进行了一项为期1年的随机临床干预研究。
60名肥胖儿童（年龄、身高和性别对应的理想体重超出20%及以上），年龄在6至11岁之间，被随机分配到实验组（父母作为唯一的改变推动者）或传统组（儿童作为唯一的改变推动者）。临床营养师为实验组的父母进行了14次（每次1小时）支持/教育课程，为传统组的儿童进行了30次课程。在项目开始和结束时进行人体测量和生化测量。
与传统干预相比，实验方法在降低父亲超重方面更具优势（P < 0.05）。前一种方法还使父母双方的心血管疾病危险因素状况得到改善。这些变化可归因于参与以家庭为基础的干预措施来治疗其子女肥胖症的实验组父母在饮食和活动行为方面有更大改善。
以父母作为唯一改变推动者来治疗儿童肥胖症，与以儿童为导向的项目相比，对儿童肥胖症的治疗更有效，此外还可能使父母受益于改变自身的饮食和活动模式，因此该项目对于治疗儿童及其超重父母的肥胖症而言是理想之选。
