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体重参数与病理性饮食作为儿童及青少年肥胖治疗结果的预测指标

Weight parameters and pathological eating as predictors of obesity treatment outcome in children and adolescents.

作者信息

Goossens Lien, Braet Caroline, Van Vlierberghe Leen, Mels Saskia

机构信息

Ghent University, Department of Developmental, Personality and Social Psychology, Henri Dunantlaan 2, 9000 Gent, Belgium.

出版信息

Eat Behav. 2009 Jan;10(1):71-3. doi: 10.1016/j.eatbeh.2008.10.008. Epub 2008 Oct 28.

Abstract

OBJECTIVE

The current study investigated weight parameters and pathological eating as predictors of treatment outcome in obese youngsters.

METHOD

Obese youngsters (N=132) were examined before participating in an obesity treatment program. Weight loss was measured during and at the end of treatment.

RESULTS

Baseline adjusted BMI, restrained eating style and weight loss after 4 months of treatment positively predicted weight loss at the end, whereas larger weight loss after 1 month of treatment predicted less total weight loss. Lower baseline adjusted BMI was associated with more drop-out whereas subjective binge eating was positively related to program completion.

CONCLUSION

Specific weight and eating pathology parameters affected positive as well as negative obesity treatment outcome. Identifying more pre-treatment predictors for drop-out can ameliorate our treatment approach.

摘要

目的

本研究调查了肥胖青少年的体重参数和病理性饮食作为治疗结果预测指标的情况。

方法

132名肥胖青少年在参加肥胖治疗项目前接受了检查。在治疗期间和治疗结束时测量体重减轻情况。

结果

基线调整后的体重指数、克制饮食方式以及治疗4个月后的体重减轻对最终体重减轻有正向预测作用,而治疗1个月后的较大体重减轻则预示着总体重减轻较少。较低的基线调整后的体重指数与更高的退出率相关,而主观暴饮暴食与项目完成呈正相关。

结论

特定的体重和饮食病理参数对肥胖治疗结果有积极和消极影响。识别更多治疗前退出的预测指标可以改善我们的治疗方法。

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