建筑环境可以在两年内减轻基于家庭的儿童肥胖治疗效果。
The built environment moderates effects of family-based childhood obesity treatment over 2 years.
机构信息
University at Buffalo School of Medicine and Biomedical Sciences, NY, USA.
出版信息
Ann Behav Med. 2012 Oct;44(2):248-58. doi: 10.1007/s12160-012-9383-4.
Abstract
BACKGROUND
Research suggests the neighborhood built environment is related to child physical activity and eating.
PURPOSE
The purpose of this study was to determine if characteristics of the neighborhood environment moderate the relationship between obesity treatment and weight loss, and if outcomes of particular treatments are moderated by built environment characteristics.
METHOD
The relationship between the built environment and standardized BMI (zBMI) changes for 191 8-12-year-old children who participated in one of four randomized, controlled trials of pediatric weight management was assessed using mixed models analysis of covariance.
RESULTS
At 2-year follow-up, greater parkland, fewer convenience stores, and fewer supermarkets were associated with greater zBMI reduction across all interventions. No treatments interacted with characteristics of the built environment.
CONCLUSIONS
Activity- and eating-related built neighborhood characteristics are associated with child success in behavioral obesity treatments. Efficacy may be improved by individualizing treatments based on built environment characteristics.
摘要
背景
研究表明，邻里环境与儿童的身体活动和饮食有关。
目的
本研究旨在确定邻里环境特征是否会调节肥胖症治疗与体重减轻之间的关系，以及特定治疗方法的结果是否会受到建成环境特征的调节。
方法
使用混合模型协方差分析，评估了参加四项小儿体重管理随机对照试验之一的 191 名 8-12 岁儿童的邻里环境与标准化 BMI（zBMI）变化之间的关系。
结果
在 2 年的随访中，所有干预措施中，公园绿地面积较大、便利店较少和超市较少与 zBMI 降低幅度较大相关。没有任何治疗方法与建成环境特征相互作用。
结论
与活动和饮食相关的邻里建成环境特征与儿童在行为肥胖治疗中的成功有关。根据建成环境特征对治疗方法进行个体化，可能会提高疗效。
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