在初级保健中治疗儿童肥胖症。

Treating childhood obesity in primary care.

作者信息

Wald Ellen R, Moyer Stacey C L, Eickhoff Jens, Ewing Linda J

机构信息

Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI 53792, USA.

出版信息

Clin Pediatr (Phila). 2011 Nov;50(11):1010-7. doi: 10.1177/0009922811410871. Epub 2011 Jun 6.

DOI:10.1177/0009922811410871

PMID:21646253

Abstract

The objective of this prospective, cohort study was to assess an intervention for obese children (9-12 years of age) and their families delivered in primary care. A family-based, behavioral weight management program consisted of 11 sessions. The treatment consisted of a calorie goal, self-monitoring of daily food intake, physical activity and sedentary behavior, and other behavior change skills. A total of 78 children and families entered treatment; 23 children served as quasi-controls. The mean weight loss at 15 weeks among 55 children (71%) who completed the program was 2.4 lbs (SD = 5.24, range of -16.7 to +8.4 lbs) compared with a mean weight gain of 3.45 lbs (SD = 4.31, range of -5.0 to +12.0 lbs) among 23 control children. The mean change in body mass index z score from baseline to month 24 was -0.17 ± 0.32 (P < .001). Primary care is an appropriate place to identify and treat children with obesity.

摘要

这项前瞻性队列研究的目的是评估在初级保健中为肥胖儿童（9至12岁）及其家庭提供的一项干预措施。一个基于家庭的行为体重管理项目包括11次课程。治疗包括设定卡路里目标、自我监测每日食物摄入量、身体活动和久坐行为以及其他行为改变技能。共有78名儿童及其家庭接受治疗；23名儿童作为准对照。55名（71%）完成该项目的儿童在15周时平均体重减轻2.4磅（标准差=5.24，范围为-16.7至+8.4磅），而23名对照儿童平均体重增加3.45磅（标准差=4.31，范围为-5.0至+12.0磅）。从基线到第24个月，体重指数z评分的平均变化为-0.17±0.32（P<.001）。初级保健是识别和治疗肥胖儿童的合适场所。