Wrotniak Brian H, Epstein Leonard H, Paluch Rocco A, Roemmich James N
Department of Pediatrics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Farber Hall, Room G56, 3435 Main Street, Building 26, Buffalo, New York 14214-3000, USA.
Obes Res. 2005 Jun;13(6):1089-96. doi: 10.1038/oby.2005.127.
Better adherence to treatment strategies in family-based behavioral weight control programs may lead to greater weight reduction and improved weight maintenance in youth. This study assessed the influence of child and parent self-reported adherence to behavioral strategies on changes in 2-year child and parent percentage overweight.
Participants included 8- to 12-year-old children in >or= 85th BMI percentile and their parents from 110 families taking part in two family-based randomized controlled weight control studies. This study examined whether self-reported adherence to behavioral strategies measured at 24 months increased prediction of child and parent percentage overweight change through 24-month follow-up after accounting for other factors that may influence weight change.
Child adherence to weighing and to preplanning for celebrations where high-fat foods are served and parent adherence to praising the child and modeling healthy eating habits predicted 24-month child percentage overweight change (p<0.001). Child adherence to recording food and calories and parent adherence to modeling healthy eating habits predicted 24-month parent percentage overweight change (p<0.001). In hierarchical regression models, child weighing and preplanning and parent modeling were significant (p<0.01) incremental predictors (r2 of 24.8%) of 24-month child percentage overweight. Child recording and parent modeling were significant (p<0.01) incremental predictors (r2 of 14%) of parent 24-month percentage overweight change.
Child and parent adherence to specific components of family-based behavioral weight control treatment are independent predictors of long-term child and parent percentage overweight change.
在基于家庭的行为体重控制项目中，更好地坚持治疗策略可能会使青少年体重减轻更多，并改善体重维持情况。本研究评估了儿童和家长自我报告的对行为策略的坚持程度对儿童和家长超重百分比在两年内变化的影响。
参与者包括110个家庭中体重指数（BMI）处于第85百分位及以上的8至12岁儿童及其父母，这些家庭参与了两项基于家庭的随机对照体重控制研究。本研究考察了在考虑其他可能影响体重变化的因素后，24个月时自我报告的对行为策略的坚持程度是否能增强对儿童和家长超重百分比在24个月随访期间变化的预测能力。
儿童坚持称重、为提供高脂肪食物的庆祝活动提前做计划，以及家长坚持表扬孩子并树立健康饮食习惯的榜样，可预测24个月时儿童超重百分比的变化（p<0.001）。儿童坚持记录食物和卡路里摄入量，以及家长坚持树立健康饮食习惯的榜样，可预测24个月时家长超重百分比的变化（p<0.001）。在分层回归模型中，儿童称重和提前计划以及家长树立榜样是24个月时儿童超重百分比的显著（p<0.01）增量预测因素（r2为24.8%）。儿童记录和家长树立榜样是家长24个月超重百分比变化的显著（p<0.01）增量预测因素（r2为14%）。
儿童和家长对基于家庭的行为体重控制治疗特定组成部分的坚持是儿童和家长长期超重百分比变化的独立预测因素。
