Nationwide Children's Hospital, Adolescent Medicine, 700 Children's Dr, Columbus, OH 43205, USA.
Pediatrics. 2010 Mar;125(3):e513-7. doi: 10.1542/peds.2009-1666. Epub 2010 Feb 8.
To determine if reading an age-appropriate novel has the potential to improve BMI percentile and exercise- and nutrition-related knowledge and behaviors in girls aged 9 to 13 years who were enrolled in a childhood obesity-treatment program.
This preliminary, randomized, controlled trial followed 81 obese girls aged 9 to 13 years who were enrolled in the Duke University Healthy Lifestyles Program, a comprehensive clinical and behavioral lifestyle-modification program for overweight and obese children. Thirty-one girls were randomly assigned to read the intervention novel, which describes an overweight girl who discovers improved health and self-efficacy, and 33 participants were given a control novel to read. Participants were evaluated at the study intake and again at their scheduled follow-up appointments 1 to 2 months later. Intake and follow-up BMI percentiles were evaluated for 17 girls in the program who did not receive either book.
Follow-up data were available for 11 of 31 girls in the intervention-book group, 14 of 33 girls in the control-book group, and 14 of 17 girls who did not receive a book. There was a significantly greater reduction in BMI percentile among those in the intervention-book group (-0.71) versus those in the control-book group (-0.33; P = .03). Girls who read either book had a significantly greater reduction in BMI percentile (-0.49) than girls who were followed in the program but who were not assigned a book (0.05; P = .02).
Age-appropriate fiction, particularly if it addresses health-oriented behaviors, shows potential for augmenting weight loss in girls who participate in a weight-management program. Future research is needed to determine if the novel is effective for healthy lifestyle promotion among all overweight and obese adolescents.
确定阅读适合年龄的小说是否有可能改善 BMI 百分位，以及 9 至 13 岁参加儿童肥胖治疗计划的女孩的运动和营养相关知识和行为。
这是一项初步的随机对照试验，共纳入 81 名 9 至 13 岁的肥胖女孩，她们参加了杜克大学健康生活方式计划，这是一个针对超重和肥胖儿童的综合临床和行为生活方式改变计划。31 名女孩被随机分配阅读干预小说，该小说描述了一个超重女孩发现改善了健康和自我效能感，而 33 名参与者则阅读了控制小说。参与者在研究开始时进行评估，并在 1 至 2 个月后的预定随访时再次进行评估。对计划中未收到任何书籍的 17 名女孩的摄入和随访 BMI 百分位进行了评估。
干预组 31 名女孩中有 11 名、对照组 33 名女孩中有 14 名和未收到书籍的 17 名女孩中的 14 名提供了随访数据。干预组的 BMI 百分位下降幅度明显大于对照组（-0.71 对-0.33；P =.03）。阅读任何一本书的女孩的 BMI 百分位下降幅度明显大于未分配书籍的女孩（-0.49 对-0.05；P =.02）。
适合年龄的小说，特别是如果它涉及健康导向的行为，有可能增强参加体重管理计划的女孩的减肥效果。需要进一步研究确定小说是否对所有超重和肥胖青少年的健康生活方式促进有效。
