Department of Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, Moncada, Valencia, Spain.
Acad Pediatr. 2012 Jul-Aug;12(4):319-25. doi: 10.1016/j.acap.2012.03.003. Epub 2012 May 26.
The aim of this study was to compare the effect of a hospital clinic group- versus home-based combined exercise-diet program for the treatment of childhood obesity.
One hundred ten overweight/obese Spanish children and adolescents (6-16 years) in 2 intervention groups (hospital clinic group-based [n = 45] and home-based [n = 41]) and a sex-age-matched control group (n = 24) were randomly assigned to participate in a 6-month combined exercise (aerobic and resistance training) and Mediterranean diet program. Anthropometric values (including body weight, height, body mass index, BMI-Z score, and waist circumference) were measured pre- and postintervention for all the participants. Percentage body fat was also determined with a body fat analyzer (TANITA TBF-410 M).
Our study showed a significant reduction in percentage body fat and body mass index Z-score among both intervention-group participants (4%, 0.16, hospital clinic group-based; 4.4%, 0.23, home-based; P < .0001). There was also a significant reduction in waist circumference in the home-based group (4.4 cm; P = .019). Attendance rates at intervention sessions were equivalent for both intervention groups (P = .805).
The study findings indicate that a simple home-based combined exercise and Mediterranean diet program may be effective among overweight and obese children and adolescents, because it improves body composition, is feasible and can be adopted on a large scale without substantial expenses.
本研究旨在比较医院诊所组与家庭为基础的联合运动-饮食方案对儿童肥胖治疗的效果。
110 名超重/肥胖的西班牙儿童和青少年（6-16 岁）被随机分为 2 个干预组（医院诊所组[45 名]和家庭组[41 名]）和 1 个性别年龄匹配的对照组（24 名），参与为期 6 个月的联合运动（有氧运动和阻力训练）和地中海饮食计划。所有参与者在干预前后均测量了人体测量值（包括体重、身高、体重指数、BMI-Z 评分和腰围）。使用体脂分析仪（TANITA TBF-410 M）还确定了体脂肪百分比。
我们的研究表明，两组干预组参与者的体脂肪百分比和体重指数 Z 评分均显著降低（4%，0.16，医院诊所组；4.4%，0.23，家庭组；P<0.0001）。家庭组的腰围也显著减小（4.4 厘米；P=0.019）。两组干预组的干预课程出勤率相当（P=0.805）。
研究结果表明，简单的家庭为基础的联合运动和地中海饮食方案可能对超重和肥胖的儿童和青少年有效，因为它可以改善身体成分，具有可行性，可以大规模采用，而不需要大量费用。
