Warwick Business School, University of Warwick, Coventry, UK.
Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK.
BMC Public Health. 2021 Apr 29;21(1):824. doi: 10.1186/s12889-021-10838-1.
Childhood obesity is a major global health concern. Weight-management camps involving delivery of a program of physical activity, health education, and healthy eating are an effective treatment, although post-intervention weight-management is less well understood. Our objective was to assess the effectiveness of a weight-management camp followed by a community intervention in supporting weight-management for overweight children and children with obesity.
Participants were overweight Qatari schoolchildren or schoolchildren with obesity, ages 8-14 years, (n = 300) recruited over a three-year period across 14 randomly selected schools in the Doha area. They attended a two-week weight management camp, then a 10-week program of weekly lifestyle education and physical activity sessions, which also included behavior change techniques. The programme was cognitive behavioural therapy (CBT)-focused with a strong element of behavioural economics blended in.
Participants saw a significant BMI SDS reduction as a result of the entire intervention (camp + education and activity sessions) both at the individual (p < 0.0001) and cluster/school (p = 0.0002) levels, and weight loss occurred during each intervention stage separately for the camp (p < 0.0001 for both the individual and cluster/school levels) and the lifestyle education and activity phase (p < 0.0001 and p = 0.0220 at the individual and cluster/school levels, respectively).
Weekly lifestyle education and activity sessions which include behavior change techniques may be useful in promoting continued weight management in the period following intensive, immersive childhood obesity interventions.
ClinicalTrials.gov NCT02972164 , November 23, 2016.
儿童肥胖是一个全球性的主要健康问题。涉及提供身体活动、健康教育和健康饮食计划的体重管理营是一种有效的治疗方法，尽管干预后体重管理的情况了解得较少。我们的目的是评估体重管理营后进行社区干预在支持超重和肥胖儿童的体重管理方面的效果。
参与者是超重的卡塔尔学龄儿童或肥胖的学龄儿童，年龄在 8-14 岁之间（n=300），在多哈地区的 14 所随机选择的学校中招募了三年。他们参加了为期两周的体重管理营，然后参加了为期 10 周的每周生活方式教育和体育活动课程，其中还包括行为改变技术。该计划以认知行为疗法（CBT）为重点，融合了强烈的行为经济学元素。
由于整个干预（营地+教育和活动课程），参与者的 BMI SDS 显著降低，无论是在个体（p<0.0001）和聚类/学校（p=0.0002）水平上，而且体重在营地（p<0.0001 个体和聚类/学校水平）和生活方式教育和活动阶段（p<0.0001 和 p=0.0220 个体和聚类/学校水平）分别在每个干预阶段都有下降。
每周生活方式教育和活动课程，包括行为改变技术，可能有助于在密集、沉浸式儿童肥胖干预后促进持续的体重管理。
ClinicalTrials.gov NCT02972164，2016 年 11 月 23 日。
