Bennett A E, Johnston Molloy C, Glennon-Slattery C, Loane D
Department of Clinical Medicine, School of Medicine, Trinity Centre for Health Sciences, St. James' Hospital Campus, Dublin 8, Ireland.
Community Nutrition and Dietetic Service, Health Service Executive, CHO Area 8, Primary Care Unit, St Loman's Hospital, Mullingar, County Westmeath, Ireland.
Ir Med J. 2018 Feb 9;111(2):689.
Ongoing investigation is needed into feasible approaches which reduce excess weight in childhood. This study aimed to assess the effectiveness of an adapted version of the Scottish Childhood Overweight Treatment Trial (SCOTT) in an Irish primary care setting. Families were offered monthly dietitian-led sessions for six months. These sessions targeted dietary habits, family meals, screen time and exercise. Of the 95 children (mean age 7.6 years) referred, 90.5% (n86) were obese and 9.5% (n9) were overweight. Fifty-one (53.7%) families opted into the programme from referral, and 18 completed the programme (64.7% attrition). Statistically significant reductions in body mass index (BMI) were observed between sessions one and six (25.7±4.2kg/m2 and 25.3±4.8kg/m2, respectively, p<0.01). BMI z-score modestly decreased by 0.2 (p=0.01). Despite these reductions, issues with programme referral, attrition and long-term effectiveness were evident. Further investigation into strategies which reduce paediatric overweight is warranted.
需要对减轻儿童超重的可行方法进行持续研究。本研究旨在评估在爱尔兰初级保健环境中改编版的苏格兰儿童超重治疗试验（SCOTT）的有效性。为家庭提供为期六个月的每月一次由营养师主导的课程。这些课程针对饮食习惯、家庭用餐、屏幕时间和运动。在转诊的95名儿童（平均年龄7.6岁）中，90.5%（n = 86）肥胖，9.5%（n = 9）超重。51个（53.7%）家庭从转诊中选择加入该计划，18个家庭完成了该计划（损耗率为64.7%）。在第一阶段和第六阶段之间观察到体重指数（BMI）有统计学意义的降低（分别为25.7±4.2kg/m²和25.3±4.8kg/m²，p<0.01）。BMI z评分适度下降了0.2（p = 0.01）。尽管有这些降低，但该计划在转诊、损耗和长期有效性方面的问题仍然明显。有必要对减轻儿童超重的策略进行进一步研究。
