Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
Department of Epidemiology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
Clin Nutr. 2014 Dec;33(6):1095-100. doi: 10.1016/j.clnu.2013.12.002. Epub 2013 Dec 18.
BACKGROUND & AIMS: Little is known on the long-term effects of obesity intervention programs in preschool-aged children. We compared the long-term effects of a multidisciplinary treatment program with a usual-care program in seventy-five 3- to 5-year-old overweight or obese children who had participated in a randomized controlled clinical trial.
A follow-up study collecting data at 18 and 36 months after starting both programs. The multidisciplinary program consisted of diet counseling, exercise sessions teaching motor skills and focusing on an active lifestyle, and psychoeducation for parents. Outcome measures were changes in anthropometry and body composition, determined by bioelectrical impedance analysis and ultrasound.
At the end of the 16-week treatment program, the multidisciplinary intervention showed a greater decrease in body mass index z score (BMI-z) (mean (SD) 0.2 (0.1)) and waist circumference z score (WC-z) (mean (SD) 0.3 (0.1)), than usual-care. During the 36-month follow-up, a significant overall treatment effect of the multidisciplinary intervention program was demonstrated on BMI-z (0.28, 95% CI 0.03-0.54) and abdominal subcutaneous fat (SCF) (0.23, 95% CI 0.01-0.45), compared with the usual-care program.
A multidisciplinary intervention program in 3- to 5-year-old overweight and obese children shows greater long-term effects on reductions in BMI-z and SCF, compared with a usual-care program.
对于学龄前儿童肥胖干预计划的长期效果知之甚少。我们比较了一项多学科治疗计划与常规护理计划对 75 名 3 至 5 岁超重或肥胖儿童的长期影响，这些儿童曾参加过一项随机对照临床试验。
一项随访研究，在开始两项计划 18 个月和 36 个月后收集数据。多学科计划包括饮食咨询、教授运动技能和注重积极生活方式的运动课程，以及对父母的心理教育。评估指标是通过生物电阻抗分析和超声确定的人体测量和身体成分的变化。
在 16 周的治疗计划结束时，多学科干预组的体重指数 z 分数（BMI-z）（平均值（标准差）0.2（0.1））和腰围 z 分数（WC-z）（平均值（标准差）0.3（0.1））的下降幅度明显大于常规护理组。在 36 个月的随访期间，与常规护理组相比，多学科干预计划在 BMI-z（0.28，95%置信区间 0.03-0.54）和腹部皮下脂肪（SCF）（0.23，95%置信区间 0.01-0.45）方面表现出显著的整体治疗效果。
与常规护理计划相比，3 至 5 岁超重和肥胖儿童的多学科干预计划在降低 BMI-z 和 SCF 方面显示出更大的长期效果。
