长期多学科住院治疗对重度肥胖青少年身体成分的影响。

Effects of long-term multidisciplinary inpatient therapy on body composition of severely obese adolescents.

作者信息

Prado Wagner Luiz do, Siegfried Alena, Dâmaso Ana R, Carnier June, Piano Aline de, Siegfried Wolfgang

机构信息

Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil.

出版信息

J Pediatr (Rio J). 2009 May-Jun;85(3):243-8. doi: 10.2223/JPED.1889.

DOI:10.2223/JPED.1889

PMID:19492167

Abstract

OBJECTIVES

To describe the effects of long-term multidisciplinary inpatient therapy on body composition of severely obese adolescents.

METHODS

A total of 728 extremely obese adolescents, including 249 boys (aged 15.25+/-1.56 years) and 479 girls (aged 15.34+/-1.59 years) received multidisciplinary therapy during a period of 3 to 9 months. The therapy consisted of reduced energy intake, dietetic education, physical exercises and psychological therapy. Body composition was assessed by bioelectrical impedance analysis, and physical capacity was assessed by the multistage cycle ergometer test. Type and duration of each activity were recorded using a daily controlled activity diary.

RESULTS

There was a significant decrease (p < 0.05) in body mass (27.84+/-12.49 kg for boys and 21.60+/-9.87 kg for girls), body mass index (9.19+/-3.88 kg/m(2) for boys and 7.72+/-3.98 kg/m(2) for girls) and fat mass. In addition, the percentage of fat free mass increased significantly (p < 0.05) in boys (from 58.8+/-6.41 to 69.98+/-7.43%) and in girls (from 51.86+/-4.96 to 60.04+/-5.65%).

CONCLUSIONS

Long-term multidisciplinary approach allows significant reduction in severe obesity, preserving growth and percentage of fat free mass.

摘要

目的

描述长期多学科住院治疗对重度肥胖青少年身体成分的影响。

方法

共有728名极度肥胖青少年，包括249名男孩（年龄15.25±1.56岁）和479名女孩（年龄15.34±1.59岁）在3至9个月期间接受了多学科治疗。治疗包括减少能量摄入、饮食教育、体育锻炼和心理治疗。通过生物电阻抗分析评估身体成分，通过多级循环测力计测试评估身体能力。使用每日活动控制日记记录每项活动的类型和持续时间。

结果

体重（男孩为27.84±12.49千克，女孩为21.60±9.87千克）、体重指数（男孩为9.19±3.88千克/平方米，女孩为7.72±3.98千克/平方米）和脂肪量显著下降（p<0.05）。此外，男孩（从58.8±6.41%增至69.98±7.43%）和女孩（从51.86±4.96%增至60.04±5.65%）的去脂体重百分比显著增加（p<0.05）。