Benestad Beate, Lekhal Samira, Småstuen Milada Cvancarova, Hertel Jens Kristoffer, Halsteinli Vidar, Ødegård Rønnaug Astri, Hjelmesæth Jøran
Department of Medicine, The Morbid Obesity Centre (MOC), Vestfold Hospital Trust, Tønsberg, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.
Arch Dis Child. 2017 Apr;102(4):303-310. doi: 10.1136/archdischild-2015-309813. Epub 2016 Nov 2.
To compare the effectiveness of a 2-year camp-based family treatment programme and an outpatient programme on obesity in two generations.
Pragmatic randomised controlled trial.
Rehabilitation clinic, tertiary care hospital and primary care.
Families with at least one child (7-12 years) and one parent with obesity.
Summer camp for 2 weeks and 4 repetition weekends or lifestyle school including 4 days family education Behavioural techniques motivating participants to healthier lifestyle.
Children: 2-year changes in body mass index (BMI) SD score (SDS). Parents: 2-year change in BMI. Main analyses: linear mixed models.
Ninety children (50% girls) were included. Baseline mean (SD) age was 9.7 (1.2) years, BMI 28.7 (3.9) kg/m and BMI SDS 3.46 (0.75). The summer-camp children had a lower adjusted estimated mean (95% CI) increase in BMI (-0.8 (-3.5 to -0.2) kg/m), but the BMI SDS reductions did not differ significantly (-0.11 (-0.49 to 0.05)). The 2-year baseline adjusted BMI and BMI SDS did not differ significantly between summer-camp and lifestyle-school completers, BMI 29.8 (29.1 to 30.6) vs 30.7 (29.8 to 31.6) kg/m and BMI SDS 2.96 (2.85 to 3.08) vs 3.11 (2.97 to 3.24), respectively. The summer-camp parents had a small reduction in BMI (-0.9 (-1.8 to -0.03) vs -0.8 (-2.1 to 0.4) in the lifestyle-school group), but the within-group changes did not differ significantly (0.3 (-1.7 to 2.2)).
A 2-year family camp-based obesity treatment programme had no significant effect on BMI SDS in children with severe obesity compared with an outpatient family-based treatment programme.
NCT01110096.
比较一项为期两年的以营地为基础的家庭治疗方案和一项门诊方案对两代人肥胖问题的治疗效果。
实用随机对照试验。
康复诊所、三级护理医院和初级护理机构。
至少有一个孩子（7 - 12岁）且有一位肥胖父母的家庭。
为期2周的夏令营及4个重复周末，或生活方式学校，包括4天的家庭教育，采用行为技术激励参与者采用更健康的生活方式。
儿童：体重指数（BMI）标准差评分（SDS）的2年变化。父母：BMI的2年变化。主要分析：线性混合模型。
纳入90名儿童（50%为女孩）。基线平均（标准差）年龄为9.7（1.2）岁，BMI为28.7（3.9）kg/m，BMI SDS为3.46（0.75）。参加夏令营的儿童BMI调整后的估计平均增加值较低（95%置信区间）（-0.8（-3.5至-0.2）kg/m），但BMI SDS的降低没有显著差异（-0.11（-0.49至0.05））。在完成夏令营和生活方式学校课程的儿童中，2年基线调整后的BMI和BMI SDS没有显著差异，BMI分别为29.8（29.1至30.6）kg/m和30.7（29.8至31.6）kg/m，BMI SDS分别为2.96（2.85至3.08）和3.11（2.97至3.24）。参加夏令营的父母BMI略有下降（-0.9（-1.8至-0.03），而生活方式学校组为-0.8（-2.1至0.4）），但组内变化没有显著差异（0.3（-1.7至2.2））。
与基于门诊家庭治疗方案相比，一项为期两年的以家庭营地为基础的肥胖治疗方案对重度肥胖儿童的BMI SDS没有显著影响。
NCT01110096。
