Department of Pediatrics, Rīga Stradiņš University, Rīga LV-1007, Latvia.
Children's Clinical University Hospital, Rīga LV-1004, Latvia.
Medicina (Kaunas). 2019 Mar 21;55(3):75. doi: 10.3390/medicina55030075.
The efficacy of a weight correction programme can be affected by such predictors as the number of contact hours, gender, age, baseline weight, parental weight status, psycho-emotional status, insulin resistance, and socioeconomic status. The aim of this current study was to evaluate the overall efficacy of the Weight Correction Programme at Children's Clinical University Hospital, and explore the impact of the probable predictors. We evaluated the efficacy depending on gender, age, parental weight status, signs of depression, baseline body mass index z-score (z-BMI), and baseline waist circumference. The data were gathered from medical records. The inclusion criteria were as follows: Entered the programme by 13 June 2017, at least five years old, follow-up data available. All the respondents were divided into two age groups: <10 years old and ≥10 years old. The study included 181 respondents. They were 5 to 17 years old on the first day of participation in the Weight Correction Programme. Results indicated that 117 (65%) patients managed to reduce z-BMI and 69 (38%) patients achieved clinically significant reduction of z-BMI. Boys had four times higher odds (odds ratio (OR) = 4,22; CI 1.37⁻13.05; = 0.012) to reduce their z-BMI by at least 0.20 units than girls. The respondents of the older age group (≥10 years) had a better chance to reduce z-BMI than the younger ones (OR = 11,51; CI 2.04⁻64.83; = 0.006). The odds to reduce z-BMI were lower by 7% for every extra cm of waist circumference (OR = 0.93; CI 0.88⁻0.99; = 0.014) for reducing z-BMI. The follow-up time was also a positive predictor, and with every month the odds for clinically significant z-BMI reduction increased by 7% (OR = 1.07; CI 1.00⁻1.15; = 0.047). The parental weight status, signs of depression, and baseline z-BMI were not significant predictors. More than half of the patients of the respondents managed to reduce their z-BMI. Female gender, younger age, and larger waist circumference were negative predictors.
接触小时数、性别、年龄、基线体重、父母体重状况、心理情绪状况、胰岛素抵抗和社会经济地位。本研究的目的是评估儿童临床大学医院体重矫正计划的整体疗效，并探讨可能的预测因素的影响。我们根据性别、年龄、父母体重状况、抑郁迹象、基线体重指数 z 分数（zBMI）和基线腰围评估疗效。数据来自病历。纳入标准如下：2017 年 6 月 13 日之前进入该计划，年龄至少 5 岁，有随访数据。所有受访者被分为两个年龄组：<10 岁和≥10 岁。该研究包括 181 名受访者。他们在参加体重矫正计划的第一天年龄为 5 至 17 岁。结果表明，117 名（65%）患者成功降低了 zBMI，69 名（38%）患者达到了 zBMI 的临床显著降低。男孩降低 zBMI 至少 0.20 单位的几率是女孩的四倍（比值比（OR）=4.22；95%置信区间（CI）1.37-13.05；=0.012）。年龄较大组（≥10 岁）的患者比年龄较小组（OR=11.51；95%CI 2.04-64.83；=0.006）更有可能降低 zBMI。腰围每增加 1 厘米，zBMI 降低的几率就降低 7%（OR=0.93；95%CI 0.88-0.99；=0.014）。随访时间也是一个积极的预测因素，随着时间的推移，zBMI 显著降低的几率每月增加 7%（OR=1.07；95%CI 1.00-1.15；=0.047）。父母体重状况、抑郁迹象和基线 zBMI 不是显著的预测因素。超过一半的受访者的患者成功降低了他们的 zBMI。女性性别、年轻年龄和更大的腰围是负面预测因素。
