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跨学科干预肥胖儿童及其对健康和生活质量的影响。

Interdisciplinary intervention in obese children and impact on health and quality of life.

机构信息

PhD, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.

出版信息

J Pediatr (Rio J). 2013 Sep-Oct;89(5):499-504. doi: 10.1016/j.jped.2013.01.007. Epub 2013 Jul 11.

Abstract

OBJECTIVE

To verify the effects of an intervention program including physical exercise and recreational activities, as well as nutritional counseling, on the health-related quality of life of obese children.

METHODS

This was a controlled clinical trial. The initial study population included children aged eight to 11 years with a body mass index (BMI) > 97th percentile for age and gender, according to the criteria of the World Health Organization, totaling 44 children matched by gender and age, as case (n = 22) and control groups (n = 22). BMI and self-reported health-related quality of life by Pediatric Quality of Life Inventory were measured before and after 12 weeks of intervention (three times weekly). The control group did not participate in the intervention.

RESULTS

Thirty-two children completed the study (16 in each group). The case group showed significant reduction in BMI (p = 0.001) and improved quality of life in the physical (p = 0.001), emotional (p = 0.014), social (p = 0.004), and psychosocial (p = 0.002) domains, as well as in overall quality of life (p = 0.001), which was not observed in the control group.

CONCLUSION

The program was effective in improving the health and quality of life of obese children.

摘要

目的

验证包括体育锻炼和娱乐活动以及营养咨询在内的干预计划对肥胖儿童健康相关生活质量的影响。

方法

这是一项对照临床试验。初始研究人群包括年龄在 8 至 11 岁之间、体重指数(BMI)超过世界卫生组织(WHO)规定的性别和年龄第 97 百分位的儿童,共有 44 名儿童按性别和年龄匹配为病例组(n=22)和对照组(n=22)。在干预 12 周前后(每周 3 次)测量 BMI 和儿童生活质量量表(PedsQL)自评的健康相关生活质量。对照组不参与干预。

结果

32 名儿童完成了研究(每组 16 名)。病例组 BMI 显著下降(p=0.001),身体(p=0.001)、情绪(p=0.014)、社会(p=0.004)和心理社会(p=0.002)领域以及总体生活质量(p=0.001)的生活质量均得到改善,而对照组则没有观察到这种情况。

结论

该方案有效改善了肥胖儿童的健康和生活质量。

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