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超越 BMI:儿童肥胖管理的新篇章。

Beyond BMI: The Next Chapter in Childhood Obesity Management.

机构信息

Janeway Pediatric Research Unit, Rm 415, 4th floor, Janeway Hostel, HSC, 300 Prince Philip Drive, St. John's, NL, A1B 3 V6, Canada.

Janeway Pediatric Research Unit, Rm 416, 4th floor, Janeway Hostel, HSC, 300 Prince Philip Drive, St. John's, NL, A1B 3 V6, Canada.

出版信息

Curr Obes Rep. 2014 Sep;3(3):321-9. doi: 10.1007/s13679-014-0114-y.

DOI:10.1007/s13679-014-0114-y
PMID:26626762
Abstract

Pediatric obesity treatment has traditionally focused on body mass index (BMI) and has had limited success. Recent research has suggested new ways to approach this topic that focuses more on holistic measures of health and inclusion of a larger population of children. This paper discusses new evidence in the prevention of chronic disease and treatment of obesity that has a body positive and mental health lens as well as integrating research from several areas of health, including the prevention of chronic disease. Practical medical and mental health assessments tools are suggested for clinical use. Implications for an individualized, positive treatment future are presented.

摘要

儿科肥胖症的治疗传统上侧重于体重指数(BMI),但收效甚微。最近的研究提出了一些新的方法来解决这个问题,这些方法更侧重于健康的整体衡量标准,并纳入了更多的儿童群体。本文讨论了在预防慢性病和治疗肥胖症方面的新证据,这些证据从身体积极和心理健康的角度出发,综合了包括预防慢性病在内的多个健康领域的研究。本文还提出了一些实用的医疗和心理健康评估工具,用于临床应用。此外,本文还对个性化、积极的治疗未来提出了一些启示。

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Beyond BMI: The Next Chapter in Childhood Obesity Management.超越 BMI:儿童肥胖管理的新篇章。
Curr Obes Rep. 2014 Sep;3(3):321-9. doi: 10.1007/s13679-014-0114-y.
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引用本文的文献

1
Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity: A multi-centre, qualitative study.肥胖青少年采用生活方式行为改变的障碍和促进因素:一项多中心定性研究。
PLoS One. 2018 Dec 18;13(12):e0209219. doi: 10.1371/journal.pone.0209219. eCollection 2018.

本文引用的文献

1
Predictors of metabolically healthy obesity in children.儿童代谢健康型肥胖的预测因素。
Diabetes Care. 2014 May;37(5):1462-8. doi: 10.2337/dc13-1697. Epub 2014 Feb 26.
2
Prevalence of childhood and adult obesity in the United States, 2011-2012.美国儿童和成人肥胖率,2011-2012 年。
JAMA. 2014 Feb 26;311(8):806-14. doi: 10.1001/jama.2014.732.
3
Overeating phenotypes in overweight and obese children.超重和肥胖儿童的暴饮暴食表型。
Appetite. 2014 May;76:95-100. doi: 10.1016/j.appet.2014.01.076. Epub 2014 Feb 10.
4
School based interventions versus family based interventions in the treatment of childhood obesity- a systematic review.学校为基础的干预措施与家庭为基础的干预措施在儿童肥胖治疗中的比较——系统综述。
Arch Public Health. 2014 Jan 29;72(1):3. doi: 10.1186/2049-3258-72-3.
5
The Canadian Sedentary Behaviour Guidelines for the Early Years (zero to four years of age) and screen time among children from Kingston, Ontario.《加拿大早年(零至四岁)久坐行为指南》以及安大略省金斯敦儿童的屏幕使用时间。
Paediatr Child Health. 2013 Jan;18(1):25-8. doi: 10.1093/pch/18.1.25.
6
The CANHEART health index: a tool for monitoring the cardiovascular health of the Canadian population.CANHEART 健康指数:监测加拿大人口心血管健康的工具。
CMAJ. 2014 Feb 18;186(3):180-7. doi: 10.1503/cmaj.131358. Epub 2013 Dec 23.
7
Treatment of obesity in children: Parent's perceived emotional barriers as predictor of change in body fat.儿童肥胖症的治疗:父母感知到的情绪障碍是体脂变化的预测因素。
Obes Res Clin Pract. 2011 Jul-Sep;5(3):e169-266. doi: 10.1016/j.orcp.2011.03.001.
8
Attention-deficit/hyperactivity disorder and impairment in executive functions: a barrier to weight loss in individuals with obesity?注意缺陷多动障碍与执行功能障碍:肥胖个体减肥的障碍?
BMC Psychiatry. 2013 Nov 7;13:286. doi: 10.1186/1471-244X-13-286.
9
Context matters in pediatric obesity: commentary on innovative treatment and prevention programs for pediatric overweight and obesity.儿童肥胖的语境至关重要:论儿童超重和肥胖的创新性治疗和预防方案。
J Pediatr Psychol. 2013 Oct;38(9):1037-43. doi: 10.1093/jpepsy/jst069.
10
When to prevent cardiovascular disease? As early as possible: lessons from prospective cohorts beginning in childhood.何时预防心血管疾病?尽早:从儿童时期开始的前瞻性队列研究的经验。
Curr Opin Cardiol. 2013 Sep;28(5):561-8. doi: 10.1097/HCO.0b013e32836428f4.