强化生活方式干预对超重/肥胖儿童及青少年的治疗效果
Effects of an Intensive Lifestyle Intervention to Treat Overweight/Obese Children and Adolescents.
作者信息
Ranucci Claudia, Pippi Roberto, Buratta Livia, Aiello Cristina, Gianfredi Vincenza, Piana Natalia, Reginato Elisa, Tirimagni Alberto, Chiodini Emanuele, Sbroma Tomaro Emilia, Gili Alessio, De Feo Pierpaolo, Fanelli Carmine, Mazzeschi Claudia
机构信息
Centro Universitario di Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.Mo.), Healthy Lifestyle Institute, University of Perugia, Perugia, Italy.
School of Specialization in Hygiene and Public Health, Department of Experimental Medicine, University of Perugia, Perugia, Italy.
出版信息
Biomed Res Int. 2017;2017:8573725. doi: 10.1155/2017/8573725. Epub 2017 Jun 5.
OBJECTIVE
The purpose of the present study is to examine the effects of a multidisciplinary lifestyle intervention to treat overweight/obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance.
METHOD
The study involved 74 overweight/obese children or adolescents. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures (height, body weight, body mass index or BMI, waist circumference, and body composition), cardiometabolic risk index (waist-to-height ratio or WHTR), and nutrition habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures.
RESULTS
After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance.
CONCLUSION
A family-based multidisciplinary approach is effective in the short term in ameliorating the health status, the nutrition habits, and physical performance in children and adolescents.
目的
本研究旨在探讨多学科生活方式干预对超重/肥胖儿童及青少年的影响。主要结局指标是基于腰高比（WHTR）测量的心血管代谢风险。次要结局指标包括：（1）身体成分的变化；（2）对地中海饮食的依从性；（3）身体机能。
方法
该研究纳入了74名超重/肥胖儿童或青少年。干预措施是多学科的，包括基于家庭模式的营养、运动和心理方面的内容；对儿童进行为期六个月的干预，对青少年进行为期三个月的干预。在干预前后，评估了多项人体测量指标（身高、体重、体重指数即BMI、腰围和身体成分）、心血管代谢风险指数（腰高比即WHTR）以及参与者及其家庭的营养习惯。此外，还进行了一系列功能性运动体能测试以评估身体机能指标。
结果
干预后，儿童和青少年的体重、BMI、腰围、脂肪量和WHTR指数均显著降低，去脂体重、对地中海饮食的依从性和身体素质均有所改善。
结论
基于家庭的多学科方法在短期内可有效改善儿童和青少年的健康状况、营养习惯和身体机能。
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