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超重儿童参与综合减肥计划对身体成分和身体机能的影响。

Changes in Body Composition and Physical Performance in Children with Excessive Body Weight Participating in an Integrated Weight-Loss Programme.

机构信息

Department of Paediatrics, Gastroenterology, Allergology and Paediatric Nutrition, Medical University of Gdańsk, 80-803 Gdańsk, Poland.

出版信息

Nutrients. 2022 Sep 3;14(17):3647. doi: 10.3390/nu14173647.

Abstract

The problem of overweight and obesity is a growing phenomenon in the entire population. Obesity is associated with many different metabolic disorders and is directly associated with an increased risk of death. The aim of the study was to assess the changes in body composition and physical fitness in children participating in an integrated weight-loss programme and to analyse the possible relationship between changes in body composition and improvements in fitness. Participants of the study were recruited from the "6-10-14 for Health"-multidisciplinary intervention programme for children aged 6 to 15 years old. A total of 170 patients qualified for the study, and 152 patients were enrolled. Statistically significant changes in body composition were found after the end of the intervention program, as measured by both BIA (bioimpedance) and DXA (Dual Energy X-ray Absorptiometry). The differences in KPRT (Kasch Pulse Recovery Test) results at baseline and after intervention are positively correlated with the difference in fat mass between baseline and the after-intervention measure. Improving physical fitness is positively correlated with a decrease in FM (fat mass) and an increase in FFM (fat-free mass) measured in both absolute values and %. Both BIA and DXA methods proved to be equally useful for measuring body composition.

摘要

超重和肥胖问题在整个人群中都是一个日益严重的现象。肥胖与许多不同的代谢紊乱有关,并且与死亡风险的增加直接相关。本研究的目的是评估参与综合减肥计划的儿童的身体成分和体能变化,并分析身体成分变化与体能改善之间的可能关系。研究参与者是从“6-10-14 为健康”——针对 6 至 15 岁儿童的多学科干预计划中招募的。共有 170 名符合研究条件的患者,其中 152 名患者入组。通过生物电阻抗(BIA)和双能 X 射线吸收法(DXA)测量,在干预结束后发现身体成分有统计学意义的变化。在基线和干预后,KPRT(Kasch 脉搏恢复测试)结果的差异与基线和干预后测量的体脂量之间的差异呈正相关。体能的改善与 FM(脂肪量)的减少和 FFM(无脂肪量)的增加呈正相关,无论是绝对值还是%。BIA 和 DXA 两种方法均被证明对测量身体成分同样有用。

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