Hakanen M, Lagström H, Kaitosaari T, Niinikoski H, Näntö-Salonen K, Jokinen E, Sillanmäki L, Viikari J, Rönnemaa T, Simell O
The Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
Int J Obes (Lond). 2006 Apr;30(4):618-26. doi: 10.1038/sj.ijo.0803249.
Recent data indicate a marked increase in the prevalence of obesity among school-aged children. Thus, efficacious programmes that prevent overweight development in children are urgently needed.
To evaluate the impact of repeatedly given, individualised dietary and lifestyle counselling on the prevalence of overweight during the first 10 years of life.
This study was a part of the Special Turku Coronary Risk Factor Intervention Project for Children (STRIP), which is a prospective, randomised trial aimed at reducing the exposure of the intervention children to the known risk factors of atherosclerosis. At the child's age of 7 months, 1062 children were assigned to an intervention group (n=540) or to a control group (n=522). The intervention children received individualised counselling focused on healthy diet and physical activity biannually. Height and weight of the children were measured at least once a year.
Prevalence of overweight and obesity among the intervention and control children by sex and age. Children were classified as overweight or obese if their weight for height was >20% or > or =40% above the mean weight for height of healthy Finnish children, respectively.
After the age of 2 years, there were continuously fewer overweight girls in the intervention group than in the control group. At the age of 10 years, 10.2% of the intervention girls and 18.8% of the control girls were overweight (P=0.0439), whereas 11.6% of the intervention boys and 12.1% of the control boys were overweight (P approximately 1.00). Only three children in the intervention group were obese at some age point, whereas 14 control children were classified as obese at some age point.
Individualised dietary and lifestyle counselling given twice a year since infancy decreases prevalence of overweight in school-aged girls even without any primary energy restrictions.
近期数据表明学龄儿童肥胖患病率显著上升。因此，迫切需要有效的项目来预防儿童超重。
评估反复给予的个体化饮食和生活方式咨询对儿童出生后前10年超重患病率的影响。
本研究是儿童特殊图尔库冠状动脉危险因素干预项目（STRIP）的一部分，该项目是一项前瞻性随机试验，旨在减少干预组儿童接触已知动脉粥样硬化危险因素。在儿童7个月大时，1062名儿童被分为干预组（n = 540）或对照组（n = 522）。干预组儿童每半年接受一次关于健康饮食和体育活动的个体化咨询。儿童的身高和体重每年至少测量一次。
按性别和年龄划分的干预组和对照组儿童超重和肥胖的患病率。如果儿童的身高体重比分别高于芬兰健康儿童身高体重均值的20%或≥40%，则被归类为超重或肥胖。
2岁以后，干预组超重女孩的数量持续少于对照组。10岁时，干预组10.2%的女孩超重，对照组为18.8%（P = 0.0439），而干预组11.6%的男孩超重，对照组为12.1%（P约为1.00）。干预组只有3名儿童在某个年龄点肥胖，而对照组有14名儿童在某个年龄点被归类为肥胖。
自婴儿期起每年两次给予个体化饮食和生活方式咨询，即使没有任何主要能量限制，也能降低学龄女孩超重的患病率。
