Deforche Benedicte, De Bourdeaudhuij Ilse, Debode Patrick, Vinaimont Freddy, Hills Andrew P, Verstraete Stefanie, Bouckaert Jacques
Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium.
Eur J Pediatr. 2003 Sep;162(9):616-22. doi: 10.1007/s00431-003-1247-2. Epub 2003 Jun 13.
The purpose of this study was to describe changes in fat mass (FM), fat-free mass (FFM) and aerobic fitness in severely obese children and adolescents during residential treatment in the Medical Paediatric Centre Zeepreventorium. Treatment consisted of moderate dietary restriction, physical activity and psychological support. This study was a clinical observation of 20 severely obese children and adolescents (8 boys and 12 girls, aged 15.4+/-1.8 years) who completed the 10-month residential programme. Height, weight, FM, FFM and aerobic fitness was measured four times during the intervention: at baseline, 11 weeks, 24 weeks and at 33 weeks (at the end of the programme ). The mean decrease in level of overweight was 46% (P<0.001), with a mean loss of 8.9% FM (P<0.001). Submaximal performance (PWC150) improved from 123+/-35 Watt to 152+/-37 Watt (P<0.001). Maximal performance levels increased (performance time: from 14+/-2.9 min to 15.3+/-3.5 min, peak power: from 186+/-38 Watt to 205+/-45 Watt, P<0.01) without an improvement in absolute VO(2 peak).
A moderate dietary restriction in combination with physical activity and psychological support in severely obese children and adolescents is effective in decreasing body fat and improving physical performance. Further research is needed to evaluate the longer-term effects of such a programme.
本研究旨在描述重度肥胖儿童和青少年在泽普预防医学儿科中心住院治疗期间身体脂肪量（FM）、去脂体重（FFM）和有氧适能的变化。治疗包括适度饮食限制、体育活动和心理支持。本研究是对20名完成10个月住院项目的重度肥胖儿童和青少年（8名男孩和12名女孩，年龄15.4±1.8岁）的临床观察。在干预期间测量身高、体重、FM、FFM和有氧适能4次：基线时、11周、24周和33周（项目结束时）。超重水平平均下降46%（P<0.001），FM平均减少8.9%（P<0.001）。次最大运动能力（PWC150）从123±35瓦提高到152±37瓦（P<0.001）。最大运动能力水平提高（运动时间：从14±2.9分钟到15.3±3.5分钟，峰值功率：从186±38瓦到205±45瓦，P<0.01），但绝对VO₂峰值没有改善。
对重度肥胖儿童和青少年进行适度饮食限制并结合体育活动和心理支持，对于减少体脂和改善身体表现是有效的。需要进一步研究来评估该项目的长期效果。
