Bocca G, Kuitert M W B, Sauer P J J, Stolk R P, Flapper B C, Corpeleijn E
Department of Paediatrics, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Acta Paediatr. 2014 Sep;103(9):962-7. doi: 10.1111/apa.12701. Epub 2014 Aug 1.
Up to 18.1% of Dutch children aged 3-5 are overweight and up to 3.3% are obese, with higher levels in girls. This study assessed the effect of a multidisciplinary intervention programme on health-related quality of life (HRQoL) in this patient group.
We randomised 75 children to a multidisciplinary intervention, comprising dietary advice, exercise sessions and psychological counselling for parents or the standard care programme, providing healthy lifestyle advice. The parents completed quality of life and child health questionnaires at baseline and after 16 weeks and 12 months.
At 16 weeks, children in the intervention group experienced more bodily pain and less mental health than the standard care group, but at 12 months, this difference disappeared and they showed a more positive change in HRQoL than the standard care group, especially for the physical domain. When we combined both groups, a decreased BMIz-score over 12 months was associated with increased global health and reduced visceral fat correlated with increased general health.
At 12 months, a multidisciplinary intervention programme for overweight and obese children aged 3-5 years had beneficial effects on HRQoL, especially for the physical domain. Reduced obesity parameters correlated with several increased HRQoL parameters.
在荷兰，3至5岁的儿童中，超重比例高达18.1%，肥胖比例高达3.3%，女孩的比例更高。本研究评估了多学科干预计划对该患者群体健康相关生活质量（HRQoL）的影响。
我们将75名儿童随机分为两组，一组接受多学科干预，包括饮食建议、运动课程以及为家长提供心理咨询；另一组接受标准护理计划，即提供健康生活方式建议。家长在基线、16周和12个月后完成生活质量和儿童健康问卷。
在16周时，干预组儿童比标准护理组经历更多身体疼痛且心理健康状况更差，但在12个月时，这种差异消失，且他们在健康相关生活质量方面比标准护理组有更积极的变化，尤其是在身体领域。当我们将两组合并分析时，12个月内BMI z评分的降低与整体健康状况的改善相关，内脏脂肪的减少与总体健康状况的改善相关。
在12个月时，针对3至5岁超重和肥胖儿童的多学科干预计划对健康相关生活质量有有益影响，尤其是在身体领域。肥胖参数的降低与几个健康相关生活质量参数的提高相关。
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