汕头市儿童青少年肥胖的干预措施
Intervention of childhood and adolescents obesity in Shantou city.
作者信息
Guo Haiting, Zeng Xiaoshan, Zhuang Qiaoyu, Zheng Yubin, Chen Shenren
机构信息
Department of Endocrinology, The 2nd Affiliated Hospital of SUMC, Shantou, Guangdong Province 515043, China; Shantou University Medical College, Shantou, Guangdong Province 515043, China.
Shantou University Medical College, Shantou, Guangdong Province 515043, China; Shantou Central Hospital, Shantou, Guangdong Province 515043, China.
出版信息
Obes Res Clin Pract. 2015 Jul-Aug;9(4):357-64. doi: 10.1016/j.orcp.2014.11.006. Epub 2015 Jan 13.
OBJECTIVES
The purpose of this study was to evaluate the effects of multicomponent school based intervention constituted of diet modification, regular exercise and psychosocial consultation on body status in overweight and obese children and adolescents. And to come up with an appropriate intervention protocol for controlling children and adolescents obesity in Shantou city.
METHODS
Two schools were randomised to intervention group and control group respectively. A total of 41 students enrolled were diagnosed as overweight or obese. Twenty-six students of the intervention group completed the one-year intervention programme consisted of diet modification, regular exercise and psychological consultation except two of them were transferred to another school. The differences of BMI, anthropometric measures, metabolic profile and the scores of questionnaire and the scale were compared to evaluate the effects of the intervention programme.
RESULTS
After one-year intervention, it observed in the intervention group that BMI-Z score, WHR and WHtR had significant improvements, and there was a nonsignificant trend (P=0.053) for a decrease in BMI-P. Fasting plasma glucose, cholesterol (CH) and low-density-lipoprotein cholesterol (LDL-C) levels in the intervention group showed nonsignificant trend for a decrease (PFPG=0.084, PCH=0.057, PLDLC=0.098), compared with a significant increase of triglycerides (TG) and LDL-C levels in the control group (PTG=0.041, PLDL-C=0.038). There were some positive dietary, physical activity, or sedentary behaviour changes found in the students of the intervention group as the scores of the questionnaire got significant improvement (P=0.04).
CONCLUSIONS
Our one-year multicomponent school-based intervention programme did have positive effects to some extents on health state and lifestyle behaviour of overweight and obese children and adolescents, which indicated that it is feasible and important to implement such a school-based intervention programme in Shantou city.
目的
本研究旨在评估由饮食调整、规律运动和心理社会咨询组成的多组分学校干预措施对超重和肥胖儿童及青少年身体状况的影响。并提出适合汕头市控制儿童及青少年肥胖的干预方案。
方法
两所学校分别随机分为干预组和对照组。共纳入41名被诊断为超重或肥胖的学生。干预组26名学生完成了为期一年的干预计划，该计划包括饮食调整、规律运动和心理咨询，其中两名学生转至另一所学校除外。比较身体质量指数（BMI）、人体测量指标、代谢指标以及问卷和量表得分的差异，以评估干预计划的效果。
结果
经过一年的干预，干预组的BMI-Z评分、腰臀比（WHR）和腰高比（WHtR）有显著改善，BMI-P有下降趋势但不显著（P = 0.053）。干预组空腹血糖、胆固醇（CH）和低密度脂蛋白胆固醇（LDL-C）水平有下降趋势但不显著（PFPG = 0.084，PCH = 0.057，PLDLC = 0.098），而对照组甘油三酯（TG）和LDL-C水平显著升高（PTG = 0.041，PLDL-C = 0.038）。干预组学生在饮食、身体活动或久坐行为方面有一些积极变化，问卷得分有显著改善（P = 0.04）。
结论
我们为期一年的多组分学校干预计划在一定程度上对超重和肥胖儿童及青少年的健康状况和生活方式行为产生了积极影响，这表明在汕头市实施此类基于学校的干预计划是可行且重要的。
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