生活方式 Triple P：一种针对儿童肥胖的育儿干预措施。
Lifestyle Triple P: a parenting intervention for childhood obesity.
机构信息
Department of Health Promotion, and Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, Maastricht, The Netherlands.
出版信息
BMC Public Health. 2012 Apr 3;12:267. doi: 10.1186/1471-2458-12-267.
BACKGROUND
Reversing the obesity epidemic requires the development and evaluation of childhood obesity intervention programs. Lifestyle Triple P is a parent-focused group program that addresses three topics: nutrition, physical activity, and positive parenting. Australian research has established the efficacy of Lifestyle Triple P, which aims to prevent excessive weight gain in overweight and obese children. The aim of the current randomized controlled trial is to assess the effectiveness of the Lifestyle Triple P intervention when applied to Dutch parents of overweight and obese children aged 4-8 years. This effectiveness study is called GO4fit.
METHODS/DESIGN: Parents of overweight and obese children are being randomized to either the intervention or the control group. Those assigned to the intervention condition receive the 14-week Lifestyle Triple P intervention, in which they learn a range of nutritional, physical activity and positive parenting strategies. Parents in the control group receive two brochures, web-based tailored advice, and suggestions for exercises to increase active playing at home. Measurements are taken at baseline, directly after the intervention, and at one year follow-up. Primary outcome measure is the children's body composition, operationalized as BMI z-score, waist circumference, and fat mass (biceps and triceps skinfolds). Secondary outcome measures are children's dietary behavior and physical activity level, parenting practices, parental feeding style, parenting style, parental self-efficacy, and body composition of family members (parents and siblings).
DISCUSSION
Our intervention is characterized by a focus on changing general parenting styles, in addition to focusing on changing specific parenting practices, as obesity interventions typically do. Strengths of the current study are the randomized design, the long-term follow-up, and the broad range of both self-reported and objectively measured outcomes.
TRIAL REGISTRATION
Current Controlled Trials NTR 2555 MEC AZM/UM: NL 31988.068.10 / MEC 10-3-052.
背景
扭转肥胖流行趋势需要开发和评估儿童肥胖干预计划。生活方式 Triple P 是一个以父母为中心的小组项目，涵盖了三个主题：营养、身体活动和积极的育儿方式。澳大利亚的研究已经证实了生活方式 Triple P 的功效，该项目旨在预防超重和肥胖儿童体重过度增加。目前这项随机对照试验的目的是评估生活方式 Triple P 干预措施在荷兰超重和肥胖 4-8 岁儿童的父母中应用的有效性。这项有效性研究被称为 GO4fit。
方法/设计：超重和肥胖儿童的父母被随机分配到干预组或对照组。分配到干预组的父母接受为期 14 周的生活方式 Triple P 干预，学习一系列营养、身体活动和积极的育儿策略。对照组的父母会收到两份小册子、基于网络的个性化建议以及在家中增加积极游戏的运动建议。在基线、干预结束后和一年随访时进行测量。主要结果测量指标是儿童的身体成分，具体操作是 BMI z 评分、腰围和体脂肪（肱二头肌和肱三头肌皮褶）。次要结果测量指标是儿童的饮食行为和身体活动水平、育儿实践、父母喂养方式、育儿风格、父母自我效能感以及家庭成员（父母和兄弟姐妹）的身体成分。
讨论
我们的干预措施的特点是除了注重改变特定的育儿实践外，还注重改变一般的育儿风格，这是肥胖干预通常的做法。目前研究的优势在于随机设计、长期随访以及广泛的自我报告和客观测量结果。
试验注册
当前对照试验 NTR 2555 MEC AZM/UM：NL 31988.068.10 / MEC 10-3-052。
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