Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
Department of Pediatrics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
BMC Public Health. 2018 Mar 1;18(1):299. doi: 10.1186/s12889-018-5206-2.
Interventions that encompass behavioural modifications of dietary intake and physical activity are essential for the management of obesity in children. This study assessed the effectiveness of a stage-based lifestyle modification intervention for obese children.
A total of 50 obese children (7-11 years old) were randomized to the intervention group (IG, n = 25) or the control group (CG, n = 25). Data were collected at baseline, at follow-up (every month) and at six months after the end of the intervention. IG received stage-based lifestyle modification intervention based on the Nutrition Practice Guideline for the Management of Childhood Obesity, while CG received standard treatment. Changes in body composition, physical activity and dietary intake were examined in both the intervention and control groups.
Both groups had significant increases in weight (IG: 1.5 ± 0.5 kg; CG: 3.9 ± 0.6 kg) (p < 0.01) and waist circumference (IG: 0.1 ± 0.5 cm; CG: 2.2 ± 0.7 cm) (p < 0.05), but the increases were significantly higher in CG than IG. Body Mass Index (BMI)-for-age z scores decreased significantly in IG (- 0.2 ± 0.0, p < 0.01) but not in CG. The physical activity of the IG significantly increased (0.44 ± 0.13) compared with that of CG (- 0.28 ± 0.18), and the difference in mean change between groups was statistically significant (p < 0.05). Dietary intake was not significantly different between the two groups. However, calorie and carbohydrate intake decreased significantly in both groups.
A stage-based intervention that modified dietary and physical activity behaviour may be effective in weight management for obese children.
NCT03429699 retrospectively registered 9 February 2018.
包含饮食摄入和身体活动行为改变的干预措施对于儿童肥胖症的管理至关重要。本研究评估了基于阶段的生活方式改变干预措施对肥胖儿童的有效性。
共招募了 50 名肥胖儿童（7-11 岁），随机分为干预组（IG，n=25）或对照组（CG，n=25）。数据在基线、随访（每月一次）和干预结束后六个月收集。IG 接受基于《儿童肥胖管理营养实践指南》的基于阶段的生活方式改变干预，而 CG 接受标准治疗。在干预组和对照组中都检查了身体成分、身体活动和饮食摄入的变化。
两组体重均显著增加（IG：1.5±0.5kg；CG：3.9±0.6kg）（p<0.01）和腰围（IG：0.1±0.5cm；CG：2.2±0.7cm）（p<0.05），但 CG 组的增幅明显高于 IG 组。IG 组的 BMI 年龄 z 评分显著降低（-0.2±0.0，p<0.01），但 CG 组没有。IG 的身体活动量显著增加（0.44±0.13），与 CG 相比（-0.28±0.18），组间平均变化差异有统计学意义（p<0.05）。两组的饮食摄入量无显著差异。然而，两组的卡路里和碳水化合物摄入量均显著减少。
改变饮食和身体活动行为的基于阶段的干预措施可能对肥胖儿童的体重管理有效。
NCT03429699 于 2018 年 2 月 9 日回顾性注册。
