Golan Moria, Crow Scott
School of Nutritional Sciences, The Hebrew University of Jerusalem, Rehovot, Israel.
Obes Res. 2004 Feb;12(2):357-61. doi: 10.1038/oby.2004.45.
To report the long-term change in children's overweight following a family-based health-centered approach where only parents were targeted compared with a control intervention where only children were targeted.
Fifty of the 60 children who participated in the original study were located 7 years later, and their weight and height were measured. At the point of the 7-year follow-up, the children were 14 to 19 years of age. Repeated measure ANOVA was used to test differences between the groups in percent overweight at different time-points.
Mean reduction in percent overweight was greater at all follow-up points in children of the parent-only group compared with those in the children-only group (p < 0.05). Seven years after the program terminated, mean reduction in children's overweight was 29% in the parent-only group vs. 20.2% in the children-only group (p < 0.05).
Over the long term, treatment of childhood obesity with the parents as the exclusive agents of change was superior to the conventional approach.
报告以家庭为基础的以健康为中心的方法(仅针对父母)与仅针对儿童的对照干预相比,儿童超重情况的长期变化。
在最初参与研究的60名儿童中,7年后找到了其中50名,并测量了他们的体重和身高。在7年随访时,这些儿童年龄在14至19岁之间。采用重复测量方差分析来检验不同时间点两组超重百分比的差异。
与仅针对儿童的组相比,仅针对父母的组在所有随访点的超重百分比平均降幅更大(p < 0.05)。项目终止7年后,仅针对父母的组儿童超重平均降幅为29%,而仅针对儿童的组为20.2%(p < 0.05)。
从长期来看,以父母作为唯一改变因素来治疗儿童肥胖症优于传统方法。