Cottrell Lesley, Harris Carole V, Bradlyn Andrew, Gunel Erdogan, Neal William A, Abildso Laurie, Coffman Jessica Wrye
West Virginia University School of Medicine, USA.
Health Promot Pract. 2012 Mar;13(2):183-9. doi: 10.1177/1524839910384053. Epub 2011 Feb 22.
Childhood obesity and health behavior programs are increasingly a focus within literature and individual provider practices. This study was designed to inform "best practices" for establishing effective programs in the medical setting by identifying persons and factors that influence children's willingness to be active, eat healthy, and lose weight when medically appropriate. A total of 342 child and parent dyads living in a rural setting participated in this study. Child and parent report of theory of planned behavior constructs and child intentions to lose weight, eat healthier, and increase own exercise was established as the study outcomes. Parent and child perceptions and child characteristics (e.g., weight status) were associated with children's intentions to lose weight and obtain more exercise whereas only child perceptions were associated with children's intentions to eat healthier. Incorporating children as young as 10 years of age in conversations and planning for diet and physical activity lifestyle changes is essential for the success of the treatment option.
儿童肥胖与健康行为项目日益成为文献及个体医疗服务实践中的焦点。本研究旨在通过识别在医学上适宜时影响儿童积极活动、健康饮食及减肥意愿的人员和因素，为在医疗环境中建立有效项目提供“最佳实践”依据。共有342对居住在农村地区的儿童与家长参与了本研究。将儿童和家长对计划行为理论结构的报告以及儿童减肥、更健康饮食和增加自身锻炼的意图确定为研究结果。家长和儿童的认知以及儿童特征（如体重状况）与儿童减肥及增加锻炼的意图相关，而只有儿童的认知与儿童更健康饮食的意图相关。让年仅10岁的儿童参与饮食和身体活动生活方式改变的沟通与规划，对于治疗方案的成功至关重要。
