Center for Obesity Research and Education, Temple University, 3223 N. Broad St, Suite 175, Philadelphia, PA 19140, USA.
Pediatrics. 2012 Oct;130(4):652-9. doi: 10.1542/peds.2012-0344. Epub 2012 Sep 17.
Clinic-based treatments of childhood obesity are effective but typically have limited reach and are costly. In this study, we evaluated the effects of a scalable weight management program for children and teenagers.
Participants were 155 children and their parent/guardian. Children had a mean ± SD age of 11.3 ± 2.8 years, BMI z score of 2.23 ± 0.41, and a percentage overweight of 72.5 ± 34.0. Most (92%) were obese, and nearly half (46.5%) were ≥ 99th percentile for BMI. The primary outcome was change in percentage overweight from baseline to 6 months.
At 6 months, children experienced a 3.4 percentage point reduction in percentage overweight (P = .001). Children <13 years had a 4.3 percentage point reduction in percentage overweight, whereas those ≥ 13 years had a 1.0 percentage point reduction. Those who attended a greater number of face-to-face group sessions experienced greater changes in percentage overweight. There were significant improvements in child health-related quality of life as reported by both children and their parents.
These data suggest that a scalable, community-based pediatric obesity intervention can result in clinically significant reductions in percentage overweight, as well as improvements in health-related quality of life.
基于诊所的儿童肥胖治疗方法是有效的，但通常覆盖范围有限且费用高昂。本研究评估了一种针对儿童和青少年的可扩展体重管理计划的效果。
参与者为 155 名儿童及其家长/监护人。儿童的平均年龄为 11.3 ± 2.8 岁，BMI z 评分为 2.23 ± 0.41，超重百分比为 72.5 ± 34.0。大多数（92%）为肥胖，近一半（46.5%）为 BMI 第 99 百分位以上。主要结局是从基线到 6 个月时超重百分比的变化。
6 个月时，儿童超重百分比降低了 3.4 个百分点（P =.001）。<13 岁的儿童超重百分比降低了 4.3 个百分点，而≥13 岁的儿童仅降低了 1.0 个百分点。参加面对面小组会议次数较多的儿童，超重百分比的变化更大。儿童及其父母报告的儿童健康相关生活质量均有显著改善。
这些数据表明，一种可扩展的基于社区的儿科肥胖干预措施可显著降低超重百分比，并改善健康相关生活质量。
