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营地启动计划:针对大龄儿童和青少年的夏季减肥夏令营的效果。

Camp jump start: effects of a residential summer weight-loss camp for older children and adolescents.

机构信息

Camp Jump Start, Living Well Foundation, Imperial, Missouri, USA.

出版信息

Pediatrics. 2010 Apr;125(4):e884-90. doi: 10.1542/peds.2009-1007. Epub 2010 Mar 1.

DOI:10.1542/peds.2009-1007
PMID:20194273
Abstract

OBJECTIVE

Residential weight-loss camps offer an opportunity for overweight and obese children to lose weight in a medically safe, supervised, supportive environment. The purpose of this report is to describe short-term outcomes in 76 children participating in a 4- or 8-week residential weight-loss camp for children and adolescents.

PATIENTS AND METHODS

The camp program enrolled obese 10- to 18-year-old adolescents. The program consisted of structured and nonstructured physical activities and group educational sessions covering nutrition, physical fitness, and self-esteem. A diet plan of 3 balanced meals and 2 snacks per day was prepared under the supervision of a registered dietitian. Participants had height, weight, and blood pressure measured and performed a 1-mile run at maximum effort on an outdoor track.

RESULTS

For all campers, statistically significant (P < .0001) reductions were observed for BMI, BMI z score, systolic blood pressure, body weight, and 1-mile run times. Compared with campers in the 4-week session, campers in the 8-week session had greater reductions in BMI, BMI z score, body weight, and systolic blood pressure. Multivariate analysis revealed that gender was a significant predictor for reduction in body weight, BMI, and BMI z score, all of which decreased more in boys than in girls.

CONCLUSIONS

This report adds to the evidence that residential weight-loss camps are highly effective in improving measures of health and fitness among overweight and obese children and adolescents. Additional study is needed on the long-term effects of such camps in terms of weight maintenance, behavior change, and metabolic and health outcomes.

摘要

目的

住宿减肥营为超重和肥胖儿童提供了在医学安全、监督和支持的环境中减肥的机会。本报告的目的是描述 76 名儿童参加为期 4 或 8 周的儿童和青少年住宿减肥营的短期结果。

患者和方法

营地计划招收肥胖的 10 至 18 岁青少年。该计划包括结构化和非结构化的体育活动以及涵盖营养、身体健康和自尊的团体教育课程。营养师监督下制定了每天 3 餐正餐和 2 份零食的饮食计划。参与者的身高、体重和血压进行测量,并在户外跑道上以最大努力进行 1 英里跑步。

结果

对于所有营员,BMI、BMI z 评分、收缩压、体重和 1 英里跑时间均有统计学显著(P<0.0001)降低。与 4 周疗程的营员相比,8 周疗程的营员 BMI、BMI z 评分、体重和收缩压降低幅度更大。多变量分析显示,性别是体重、BMI 和 BMI z 评分降低的显著预测因素,男孩的体重、BMI 和 BMI z 评分下降幅度均大于女孩。

结论

本报告进一步证明,住宿减肥营在改善超重和肥胖儿童和青少年的健康和健身指标方面非常有效。需要进一步研究此类营地在体重维持、行为改变以及代谢和健康结果方面的长期效果。

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Pediatrics. 2010 Apr;125(4):e884-90. doi: 10.1542/peds.2009-1007. Epub 2010 Mar 1.
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