照料者体重减轻与肥胖青少年治疗试验中青少年之间的关联。
The association between weight loss in caregivers and adolescents in a treatment trial of adolescents with obesity.
机构信息
Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
出版信息
J Pediatr Psychol. 2013 Aug;38(7):766-74. doi: 10.1093/jpepsy/jst024. Epub 2013 Apr 28.
Abstract
OBJECTIVE
The relationship between weight change in caregivers and their adolescents was evaluated following a randomized trial of lifestyle modification for adolescents, which included either a conventional diet or meal replacements.
METHODS
Adolescents (N = 113) had an M ± SD age of 15.0 ± 1.3 years (62% African American; 26% Caucasian, 12% other; 81% female) and body mass index of 37.1 ± 5.1 kg/m(2).
RESULTS
Mixed effects models yielded a significant association between percentage change in body mass index of caregivers and adolescents from baseline to months 4 and 12 (p = .01). When caregivers lost above the median (-1.67%) at month 4, their adolescents achieved a significantly greater loss at month 12 (-9.1 ± 1.3%) compared with adolescents whose caregivers lost less than the median (-4.3 ± 1.3%) (p = .003).
CONCLUSION
Engaging caregivers in their own weight loss efforts during adolescent weight loss treatment may improve adolescent weight loss.
摘要
目的
在一项针对青少年生活方式改变的随机试验后，评估照顾者体重变化与其青少年之间的关系，该试验包括常规饮食或代餐。
方法
青少年（N=113）的平均年龄为 15.0±1.3 岁（62%为非裔美国人；26%为白种人，12%为其他种族；81%为女性），体重指数为 37.1±5.1kg/m²。
结果
混合效应模型得出了照顾者和青少年从基线到第 4 个月和第 12 个月的体重指数百分比变化之间的显著关联（p=.01）。当照顾者在第 4 个月时减重超过中位数（-1.67%）时，与照顾者减重少于中位数（-4.3±1.3%）的青少年相比，他们的青少年在第 12 个月时体重减轻明显更多（-9.1±1.3%）（p=.003）。
结论
在青少年减肥治疗期间，让照顾者参与自己的减肥努力可能会提高青少年的减肥效果。
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