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儿童及家长的自我监测作为低收入少数族裔儿童病态肥胖治疗成功的决定因素。

Child and parental self-monitoring as determinants of success in the treatment of morbid obesity in low-income minority children.

作者信息

Germann Julie N, Kirschenbaum Daniel S, Rich Barry H

机构信息

La Rabida Children's Hospital, E. 65th St at Lake Michigan, Chicago, Illinois 60649, USA.

出版信息

J Pediatr Psychol. 2007 Jan-Feb;32(1):111-21. doi: 10.1093/jpepsy/jsl007. Epub 2006 Jun 14.

DOI:10.1093/jpepsy/jsl007
PMID:16775083
Abstract

OBJECTIVE

To examine self-monitoring by children and parents as related to weight control over 6 months within a long-term multidisciplinary program for low-income minority children with morbid obesity.

METHODS

The weight changes of 228 children with obesity were evaluated according to frequency of child and parental self-monitoring. Predictors of self-monitoring were also evaluated.

RESULTS

Children who self-monitored on most days lost more weight over 6 months of treatment compared with less-consistent self-monitors. Children whose parents self-monitored were also more likely to self-monitor and lose weight.

CONCLUSIONS

Self-monitoring seems just as critical for successful weight control among low-income minority children with obesity as it is in the middle-class populations. Although lower education and higher levels of psychosocial stress may decrease self-monitoring and participation by these families, they might still benefit from targeting highly consistent self-monitoring (by parents and children) as a primary goal in weight-control programs.

摘要

目的

在一项针对患有严重肥胖症的低收入少数族裔儿童的长期多学科项目中,研究儿童及其父母的自我监测与6个月内体重控制的关系。

方法

根据儿童和父母自我监测的频率,评估228名肥胖儿童的体重变化。还评估了自我监测的预测因素。

结果

与自我监测不太一致的儿童相比,大多数日子都进行自我监测的儿童在6个月的治疗中体重减轻更多。父母进行自我监测的儿童也更有可能进行自我监测并减轻体重。

结论

自我监测对于低收入肥胖少数族裔儿童成功控制体重似乎与中产阶级人群一样至关重要。尽管较低的教育水平和较高的心理社会压力可能会降低这些家庭的自我监测和参与度,但他们仍可能受益于将高度一致的自我监测(父母和孩子)作为体重控制项目的主要目标。

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