Hayes Jacqueline F, Altman Myra, Coppock Jackson H, Wilfley Denise E, Goldschmidt Andrea B
Washington University in St. Louis 660 S. Euclid Street Campus Box 8134 St. Louis, MO 63110.
The University of Chicago 5841 S. Maryland Ave., MC 3077 Chicago, IL 60637.
Curr Cardiovasc Risk Rep. 2015 Apr;9(4):16. doi: 10.1007/s12170-015-0443-8.
There is limited research on optimal treatment formats for childhood obesity. Group-based interventions are popular, but it is unclear whether outcomes can be obtained without an additional individual component.
To examine statistically and clinically significant outcomes of recent group-based and mixed-format (group + Individual) pediatric obesity interventions.
Effect sizes and magnitudes of weight change were calculated for studies published between January 2013 and September 2014.
Approximately half of the group-based studies reviewed produced significant results compared to control, and effect sizes were small. Mixed-format studies were less likely to include a control group, but those that did evidenced medium to large effects. Magnitudes of weight change post-intervention were generally greater in mixed-format studies than group-only studies.
Recent studies in pediatric obesity interventions suggest including an individual component in a group-based intervention produces optimal outcomes. Future research should directly compare group-only and mixed formats to confirm this observation.
关于儿童肥胖症的最佳治疗形式的研究有限。基于小组的干预措施很常见,但尚不清楚在没有额外个体组成部分的情况下是否能取得成效。
研究近期基于小组和混合形式(小组+个体)的儿童肥胖症干预措施在统计学和临床上的显著成效。
计算2013年1月至2014年9月发表的研究中的效应量和体重变化幅度。
与对照组相比,约一半经审查的基于小组的研究产生了显著结果,且效应量较小。混合形式的研究较少可能纳入对照组,但纳入对照组的那些研究证明有中等到较大的效果。干预后体重变化幅度在混合形式研究中通常大于仅基于小组的研究。
近期儿童肥胖症干预措施的研究表明,在基于小组的干预中纳入个体组成部分可产生最佳效果。未来研究应直接比较仅小组形式和混合形式以证实这一观察结果。