Sharifah W W, Nur Hana H, Ruzita A T, Roslee R, Reilly J J
University of Glasgow School of Medicine, Yorkhill Hospitals, Glasgow G3 8SJ, Scotland.
Malays J Nutr. 2011 Aug;17(2):229-36.
The present study describes a randomised controlled trial (RCT) based on a novel, generalisable intervention for childhood obesity, comparing the intervention with a no-treatment control group.
The Malaysian Childhood Obesity Treatment Trial (MASCOT) was a single-blind RCT of a dietetic treatment for childhood obesity in children of primary school age (7 to 11 years old) in Kuala Lumpur, Malaysia. The MASCOT comprising eight sessions, of an 8-hour family-centred group treatment programme is described, based on behavioural change techniques. The study sample was characterised by BMI z-score, health related quality of life reported by participants and their parents (PedsQL questionnaire), objectively measured habitual physical activity and sedentary behaviour (Actigraph accelerometry)
The MASCOT sample of 107 children was characterised by a low quality of life, mean total score on PedsQL 67.7 (4.5) as reported by the children, and 66.0 (16.4) as reported by their parents. The children spent, on average, 89% of their waking day on sedentary activity, and 1% of the day in moderate-vigorous intensity physical activity, equivalent to only around 8 minutes/day.
Obese children in the MASCOT study had an impaired quality of life, high levels of sedentary behaviour and very low levels of physical activity.
本研究描述了一项基于一种新颖且可推广的儿童肥胖干预措施的随机对照试验（RCT），并将该干预措施与无治疗对照组进行比较。
马来西亚儿童肥胖治疗试验（MASCOT）是一项针对马来西亚吉隆坡小学年龄（7至11岁）儿童肥胖症的饮食治疗单盲随机对照试验。描述了基于行为改变技术的MASCOT，它包括一个为期8小时、以家庭为中心的小组治疗计划的八个疗程。研究样本的特征包括BMI z评分、参与者及其父母报告的健康相关生活质量（儿童生活质量量表问卷）、客观测量的习惯性身体活动和久坐行为（活动记录仪加速度计）。
MASCOT的107名儿童样本的生活质量较低，儿童报告的儿童生活质量量表平均总分是67.7（4.5），其父母报告的是66.0（16.4）。孩子们平均清醒时间的89%用于久坐活动，一天中只有1%的时间进行中等至剧烈强度的身体活动，相当于每天约8分钟。
MASCOT研究中的肥胖儿童生活质量受损，久坐行为水平高，身体活动水平极低。
