EA 4110, Laboratoire RELACS, Université du Littoral Côte d'Opale, Département STAPS, 190 Avenue Schumann, Dunkerque, France.
J Cardiopulm Rehabil Prev. 2010 May-Jun;30(3):181-5. doi: 10.1097/HCR.0b013e3181d0c2ba.
Obesity in children has increased in recent years. Many studies with differing methodologies have been undertaken to treat obesity. The Control, Evaluation, and Modification of Lifestyles in Obese Youth (CEMHaVi) program is a unique 2-year health-wellness program of physical activity and health education for obese youth. Findings of this study represent results at 1-year follow-up. The purpose of this study was to evaluate the effects of the CEMHaVi program.
Physician-referred subjects (N = 26) participated in the study, 14 girls (13.4 +/- 2.9 years) and 12 boys (12.3 +/- 2.8 years). Measurements included height, weight, body mass index (BMI), academic performance, sleep habits, and health knowledge. The intervention consisted of a unique program of physical activity, including a variety of games specifically selected to be enjoyable, maintain interest, and motivate subjects to adhere. Activity sessions were offered once per week, 2 hours each session, for 12 months. A health education program was offered once every 3 months for 2 hours per session. Health knowledge, academic performance, self-esteem, and sleep were assessed before and after the intervention. Means were calculated at baseline and following intervention and were compared by paired t tests.
Findings suggest significant improvements in academic performance (P < .001), quality and quantity of sleep (P < .05), and obesity (P < .05).
The program reduced BMI and improved health knowledge, sleep, and academic performance in obese children. The feasibility of a beneficial lifestyle intervention program is encouraging in addressing obesity and related issues in young boys and girls.
近年来，儿童肥胖症有所增加。许多采用不同方法学的研究已经在进行，以治疗肥胖症。控制、评估和改变肥胖青少年的生活方式（CEMHaVi）计划是一个独特的为期两年的针对肥胖青少年的体育活动和健康教育健康促进计划。本研究结果代表了 1 年随访的结果。本研究的目的是评估 CEMHaVi 计划的效果。
医生推荐的受试者（N=26）参加了这项研究，其中 14 名女孩（13.4+/-2.9 岁）和 12 名男孩（12.3+/-2.8 岁）。测量包括身高、体重、体重指数（BMI）、学业成绩、睡眠习惯和健康知识。干预措施包括独特的体育活动计划，包括各种特别选择的游戏，以使其有趣、保持兴趣并激励参与者坚持。活动课程每周提供一次，每次 2 小时，持续 12 个月。每 3 个月提供一次健康教育课程，每次 2 小时。在干预前后评估健康知识、学业成绩、自尊和睡眠。在基线和干预后计算平均值，并通过配对 t 检验进行比较。
研究结果表明，学业成绩（P<.001）、睡眠质量和数量（P<.05）和肥胖（P<.05）均有显著改善。
该计划降低了 BMI，并提高了肥胖儿童的健康知识、睡眠和学业成绩。有益的生活方式干预计划的可行性令人鼓舞，可用于解决年轻男孩和女孩的肥胖症及相关问题。
