Epstein L H, McCurley J, Valoski A, Wing R R
Western Psychiatric Institute and Clinic, University of Pittsburgh, School of Medicine, PA.
Am J Dis Child. 1990 Dec;144(12):1360-4. doi: 10.1001/archpedi.1990.02150360086029.
This study assesses the growth patterns during a 5-year period in children aged 6 to 12 years treated for obesity using behavioral family-based treatment procedures. Previous studies have suggested a decrease in height velocity after weight reduction, but these results did not consider either the height of the parent or the greater height of obese than nonobese children. Results show that at entry, obese children are taller than their nonobese peers (74th percentile), and that even after 5 years, they remain taller than the norm (65th percentile). Child weight and level of physical maturity accounted for 54% of the variance in predicting baseline height percentile. Entrance height and parental height accounted for 9% of the variance in changes in height percentile, both adjusted for parental height. Weight change did not correlate with growth adjusted for parental height. These results do not suggest that negative effects on height are a long-term side effect of child weight control.
本研究评估了采用基于家庭的行为治疗程序治疗的6至12岁肥胖儿童在5年期间的生长模式。先前的研究表明，体重减轻后身高增长速度会下降，但这些结果未考虑父母的身高或肥胖儿童比非肥胖儿童更高的身高。结果显示，在开始治疗时，肥胖儿童比非肥胖同龄人更高（第74百分位），即使在5年后，他们仍高于正常水平（第65百分位）。儿童体重和身体成熟水平占预测基线身高百分位方差的54%。入学时的身高和父母身高占身高百分位变化方差的9%，两者均根据父母身高进行了调整。体重变化与根据父母身高调整后的生长情况无关。这些结果并不表明对身高的负面影响是儿童体重控制的长期副作用。
