School of Public Health, Department of Epidemiology and Biostatistics, Imperial College London, St. Mary's Campus, W2 1PG London, UK; Wolfson Institute of Population Health, Centre for Psychiatry and Mental Health, Queen Mary University of London, UK.
Department of Pediatrics, Diabetology and Endocrinology, Medical University of Gdansk, 80-210 Gdansk, Poland.
Obes Res Clin Pract. 2023 Jan-Feb;17(1):86-90. doi: 10.1016/j.orcp.2022.11.002. Epub 2022 Nov 12.
Using data from a large-scale screening program (N = 19634), we aimed to prospectively identify factors predicting uptake (i.e. acceptance of the invitation) and engagement (i.e. participation in at least two sessions) in a multi-component-intensive-behavioral-intervention for obesity-management (MBIOM) intervention targeting adolescents (n = 2862; 12-14 years; BMI ≥90th percentile). Approximately one third of adolescents most in need of weight management declined the initial invitation to enter the MBIOM. Poor diet, sedentary behavior, and parental education predicted willingness to enter and stay in the intervention, however measured body mass index did not matter. Perceived family support, instead of initial motivation, facilitated engagement. Our results provide new insights on the importance of regional socio-geographical factors including trust in local authorities.
我们使用一项大规模筛查项目的数据（N=19634），旨在前瞻性地确定影响接受（即接受邀请）和参与（即至少参加两个疗程）多组分强化行为干预肥胖管理（MBIOM）的因素。该项目针对青少年（n=2862；12-14 岁；BMI≥第 90 百分位数）。大约三分之一最需要体重管理的青少年拒绝了最初参加 MBIOM 的邀请。不良饮食、久坐行为和父母教育水平预测了进入和留在干预中的意愿，而体重指数的测量值则无关紧要。与最初的动机相比，感知到的家庭支持促进了参与。我们的研究结果提供了新的见解，强调了区域社会地理因素的重要性，包括对地方当局的信任。
