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针对超重幼儿的夏季健康生活方式干预项目:一项非随机试点试验的结果

Summer Healthy-Lifestyle Intervention Program for Young Children Who Are Overweight: Results from a Nonrandomized Pilot Trial.

作者信息

Graziano Paulo A, Garcia Alexis, Lim Crystal S

机构信息

*Center for Children and Families, Department of Psychology, Florida International University, Miami, FL; †Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS.

出版信息

J Dev Behav Pediatr. 2017 Nov/Dec;38(9):723-727. doi: 10.1097/DBP.0000000000000499.

Abstract

OBJECTIVE

To examine initial outcomes of an 8-week Healthy-Lifestyle Intervention Program (HIP) which included children's participation in a daily summer camp along with parents' participation in a parenting program focused on overweight/obesity.

METHODS

Using a nonrandomized pilot trial design, 16 children (M child age = 6.42 yr; 81% male; 100% Latino) classified as overweight/obese and their mothers completed 3 assessments (baseline, posttreatment, and 6-8 mo follow-up).

RESULTS

Children who completed HIP experienced significant decreases in their body mass index z-scores (primary outcome) from baseline to posttreatment (d = -1.11) with such decreases being moderately maintained at follow-up (d = -0.64). In terms of secondary outcomes, HIP was effective in improving and maintaining healthy habits in both children and mothers and children's nutritional knowledge and fitness. Objective food data showed that children's dietary intake during HIP improved. High attendance and satisfaction were reported for families who completed HIP.

CONCLUSION

This pilot treatment development study shows that a family lifestyle intervention conducted in a summer camp setting that targets both children and parents is a promising option for addressing pediatric obesity in young children.

摘要

目的

研究一项为期8周的健康生活方式干预项目(HIP)的初步效果,该项目包括儿童参加每日的夏令营以及家长参加一项针对超重/肥胖问题的育儿项目。

方法

采用非随机试点试验设计,16名被归类为超重/肥胖的儿童(儿童平均年龄 = 6.42岁;81%为男性;100%为拉丁裔)及其母亲完成了3次评估(基线、治疗后和6 - 8个月随访)。

结果

完成HIP项目的儿童从基线到治疗后其体重指数z评分(主要结果)显著下降(d = -1.11),且这种下降在随访时得到适度维持(d = -0.64)。在次要结果方面,HIP在改善和维持儿童及母亲的健康习惯以及儿童的营养知识和健康状况方面有效。客观食物数据显示,儿童在HIP项目期间的饮食摄入量有所改善。完成HIP项目的家庭报告出勤率高且满意度高。

结论

这项试点治疗开发研究表明,在夏令营环境中针对儿童和家长开展的家庭生活方式干预是解决幼儿肥胖问题的一个有前景的选择。

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