Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
Hormones (Athens). 2010 Apr-Jun;9(2):171-5. doi: 10.14310/horm.2002.1267.
To evaluate the effectiveness of active parental involvement in a lifestyle intervention for the management of childhood obesity.
Forty-two overweight children (32 girls and 10 boys), aged 9.2 +/- 0.2 years and with percent overweight 39.8 +/- 2.7%, were randomly allocated either to a child-and-parent group (N = 23) or a child-alone group (N = 19). Both groups attended a 3-month multidisciplinary program extended by booster sessions during follow-up, which involved many cognitive behavioral therapy principles and assigned high self-regulation to the children, but differed in parental involvement. Percent overweight was evaluated at baseline, and at 3, 6, and 18 months thereafter.
There was no significant interaction between time and group or a significant difference between groups. Percent overweight decreased by 4.9 +/- 1.4 at 18 months (p < 0.001); the reduction occurred during the active phase of the treatment (0-3 months) and was maintained thereafter.
In the setting of the present study, the active parental involvement did not significantly modify the results of lifestyle interventions for children's overweight management.
评估积极的家长参与对儿童肥胖管理生活方式干预的效果。
42 名超重儿童（32 名女孩和 10 名男孩），年龄 9.2 +/- 0.2 岁，超重百分比为 39.8 +/- 2.7%，随机分为儿童和家长组（N = 23）或儿童单独组（N = 19）。两组均参加了为期 3 个月的多学科计划，并在随访期间延长了强化课程，该计划涉及许多认知行为治疗原则，并赋予儿童高度的自我调节能力，但家长参与度不同。超重百分比在基线时、3 个月、6 个月和 18 个月时进行评估。
时间和组之间没有显著的相互作用，组之间也没有显著差异。18 个月时超重百分比下降了 4.9 +/- 1.4（p < 0.001）；这种减少发生在治疗的活跃阶段（0-3 个月），并在此后保持。
在本研究的背景下，积极的家长参与并没有显著改变生活方式干预对儿童超重管理的结果。
