Department of Radiology, Helse Møre og Romsdal, Molde Sjukehus, Molde, Norway.
Research Unit for General Practice, Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Acta Paediatr. 2022 Jul;111(7):1412-1419. doi: 10.1111/apa.16339. Epub 2022 Apr 2.
To explore associations between baseline factors and weight-related outcomes among participants enrolled in a paediatric obesity trial.
We included children aged 6-12 years participating in a 2-year multidisciplinary family programme who attended a postintervention follow-up 36 months from baseline (n = 62). Outcome measures were change in body mass index standard deviation score (BMI SDS), reduction in BMI SDS ≥0.25 and change in waist circumference (WC). Independent variables included in linear and logistic regression models were age, sex, household income, parents' education, sleep duration, screen time and physical activity.
Altogether, 26 children (42%) attained a reduction of BMI SDS ≥0.25. Higher family income and longer sleep duration were associated with greater change in BMI SDS (-0.05 per 100.000 NOK, p = 0.02, and -0.24 per hour, p = 0.02, respectively). Higher age was associated with greater change in WC (-2.1 cm per year, p = 0.01) but lower odds of attaining a reduction in BMI SDS ≥0.25 (OR per year 0.70, p = 0.04). There was a borderline statistically significant trend towards greater increase in WC with longer daily screen time (p = 0.05).
Age, family income and sleep duration at baseline were associated with weight-related outcomes 1-year postintervention.
探讨参加儿科肥胖试验的参与者的基线因素与体重相关结局之间的关联。
我们纳入了参加为期 2 年的多学科家庭计划的 6-12 岁儿童,他们在基线后 36 个月(n=62)参加了干预后随访。结局测量指标为体重指数标准差评分(BMI SDS)的变化、BMI SDS 降低≥0.25 以及腰围(WC)的变化。线性和逻辑回归模型中纳入的自变量包括年龄、性别、家庭收入、父母教育程度、睡眠时间、屏幕时间和身体活动。
共有 26 名儿童(42%)达到 BMI SDS 降低≥0.25。较高的家庭收入和较长的睡眠时间与 BMI SDS 的更大变化相关(每增加 100.000 挪威克朗,BMI SDS 降低 0.05,p=0.02,每增加 1 小时,BMI SDS 降低 0.24,p=0.02)。较高的年龄与 WC 的更大变化相关(每年增加 2.1 厘米,p=0.01),但达到 BMI SDS 降低≥0.25的可能性降低(每年每增加 1 岁,OR 为 0.70,p=0.04)。每日屏幕时间较长与 WC 增加呈统计学上的显著趋势(p=0.05)。
基线时的年龄、家庭收入和睡眠时间与干预后 1 年的体重相关结局相关。