Alberga Angela S, Medd Emily R, Adamo Kristi B, Goldfield Gary S, Prud'homme Denis, Kenny Glen P, Sigal Ronald J
a School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, 125 University Private, Montpetit Hall, Ottawa, ON K1N 6N5, Canada.
Appl Physiol Nutr Metab. 2013 Mar;38(3):249-58. doi: 10.1139/apnm-2012-0227. Epub 2013 Feb 21.
Physical activity (PA) interventions targeting overweight and obese children and adolescents have shown only modest success, and dropout is an area of concern. Proper design and implementation of a PA intervention is critical for maximizing adherence and thus increasing the overall health benefits from PA participation. We propose practical advice based on our collective clinical trial experience with support from the literature on best practices related to PA interventions in overweight and obese children and adolescents. The top 10 lessons learned are (i) PA setting-context is important; (ii) choice of fitness trainer matters; (iii) physical activities should be varied and fun; (iv) the role of the parent-guardian should be considered; (v) individual physical and psychosocial characteristics should be accounted for; (vi) realistic goals should be set; (vii) regular reminders should be offered; (viii) a multidisciplinary approach should be taken; (ix) barriers should be identified early and a plan to overcome them developed; and (x) the right message should be communicated: specifically, what's in it for them? The recommendations in this paper can be used in other pediatric PA programs, physical education settings, and public health programs, with the hope of decreasing attrition and increasing the benefits of PA participation to promote health in children and adolescents.
针对超重和肥胖儿童及青少年的体育活动（PA）干预仅取得了一定程度的成功，而退出率是一个令人担忧的问题。正确设计和实施PA干预对于最大限度地提高依从性，从而增加参与PA带来的整体健康益处至关重要。我们基于我们的集体临床试验经验，并在有关超重和肥胖儿童及青少年PA干预最佳实践的文献支持下，提出实用建议。吸取的十大经验教训是：（i）PA的环境背景很重要；（ii）健身教练的选择很重要；（iii）体育活动应多样化且有趣；（iv）应考虑父母-监护人的作用；（v）应考虑个体的身体和心理社会特征；（vi）应设定现实的目标；（vii）应定期提供提醒；（viii）应采取多学科方法；（ix）应尽早识别障碍并制定克服障碍的计划；（x）应传达正确的信息：具体而言，这对他们有什么好处？本文中的建议可用于其他儿科PA项目、体育教育环境和公共卫生项目，以期减少退出率并增加参与PA的益处，从而促进儿童和青少年的健康。
