Department of Pediatrics, University of California, San Diego, California, USA.
Obesity (Silver Spring). 2011 Mar;19(3):574-80. doi: 10.1038/oby.2010.238. Epub 2010 Oct 21.
Parent-only (PO) treatments for childhood obesity are feasible, more cost-effective and potentially easier to disseminate. The objective of this study was to determine whether a PO treatment is not inferior to a parent + child (PC) treatment for childhood obesity. Eighty parent-child dyads with an 8-12 year old overweight or obese child (>85th BMI-P) were recruited and randomized into PO or PC treatment for childhood obesity. Parents or parent-child dyads attended 5-month treatment groups. Child and parent body size, child caloric intake, and child physical activity were assessed at baseline, post-treatment, and 6-months follow-up. Noninferiority testing using mixed linear models was used to compare PO treatment with PC treatment. Results showed that the PO group was not inferior to the PC group in terms of child weight loss. Results also showed that the PO group was not inferior to the PC group in terms of parent weight loss and child physical activity, but not child caloric intake. This study suggests that a PO treatment could provide similar results to PC in child weight loss and other relevant outcomes, and potentially could be more cost-effective and easier to disseminate. Although further research is needed, this study suggests that PO groups are a viable method for providing childhood obesity treatment.
仅针对父母（PO）的儿童肥胖治疗方法是可行的，更具成本效益，且更易于推广。本研究的目的是确定针对儿童肥胖的 PO 治疗方法是否不劣于父母+孩子（PC）治疗方法。研究招募了 80 对父母-孩子，孩子年龄在 8-12 岁，超重或肥胖（BMI-P>85th），将他们随机分为 PO 或 PC 治疗组进行儿童肥胖治疗。父母或父母-孩子参加为期 5 个月的治疗小组。在基线、治疗后和 6 个月随访时，评估孩子和父母的身体大小、孩子的热量摄入和孩子的身体活动。使用混合线性模型进行非劣效性检验，以比较 PO 治疗与 PC 治疗。结果表明，在儿童体重减轻方面，PO 组与 PC 组无差异。结果还表明，在父母体重减轻和孩子身体活动方面，PO 组与 PC 组无差异，但在孩子热量摄入方面无差异。本研究表明，PO 治疗方法在儿童体重减轻和其他相关结果方面可能与 PC 治疗方法提供相似的结果，且更具成本效益，更容易推广。尽管需要进一步研究，但本研究表明 PO 组是提供儿童肥胖治疗的可行方法。
