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通过远程医疗治疗农村地区儿童肥胖:一项随机对照试验的基线数据。

Treating rural pediatric obesity through telemedicine: baseline data from a randomized controlled trial.

机构信息

Department of Psychology, University of Kansas, Lawrence, USA.

出版信息

J Pediatr Psychol. 2011 Jul;36(6):687-95. doi: 10.1093/jpepsy/jsr011. Epub 2011 Mar 3.

DOI:10.1093/jpepsy/jsr011
PMID:21372069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3131699/
Abstract

OBJECTIVE

To describe baseline characteristics of participants in a pediatric obesity intervention tailored specifically to rural families delivered via telemedicine.

METHODS

Randomized-control trial comparing a family-based behavioral intervention to a usual care condition. Participants Fifty-eight first through fifth graders and their parents from the rural Midwest. Measures Demographic, body mass index (BMI), Actigraph activity monitor information, 24-h dietary recalls, Child Behavior Checklist, Behavioral Pediatrics Feeding Assessment Scale.

RESULTS

Child mean BMI was in the 94th percentile for weight. Average daily dietary intake exceeded 2,000 kcal and children consumed over eight servings of high-calorie, low-nutrient-dense foods. Children are engaged in approximately 65 min of moderate, 12 min of vigorous and over 300 min of sedentary physical activity daily.

CONCLUSIONS

Baseline data suggest children in rural areas may engage in adequate physical activity but eat many daily servings of energy-dense foods. Rural families may benefit from a comprehensive, rurally tailored obesity-related health behavior intervention.

摘要

目的

描述通过远程医疗专门为农村家庭提供的儿科肥胖干预措施中参与者的基线特征,该干预措施针对特定于农村家庭的行为干预措施。

方法

比较基于家庭的行为干预与常规护理条件的随机对照试验。参与者是中西部农村地区的 58 名一至五年级学生及其家长。

措施

人口统计学、体重指数(BMI)、Actigraph 活动监测器信息、24 小时膳食回忆、儿童行为检查表、行为儿科学喂养评估量表。

结果

儿童平均 BMI 处于体重的第 94 个百分位。平均每日膳食摄入量超过 2000 卡路里,儿童每天食用超过 8 份高热量、低营养密度的食物。儿童每天进行大约 65 分钟的中等强度、12 分钟的剧烈运动和超过 300 分钟的久坐体力活动。

结论

基线数据表明,农村地区的儿童可能进行了足够的身体活动,但每天食用许多高热量、低营养密度的食物。农村家庭可能受益于全面的、针对农村地区的肥胖相关健康行为干预措施。

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