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超重或肥胖儿童 6 个月非随机对照群组试验后健康相关生活质量和睡眠习惯的变化。

Changes in health-related quality of life and sleep habits after a 6-month non-randomised cluster-controlled trial among children with overweight or obesity.

机构信息

Faculty of Health and Sport Sciences, Department of Health and Nursing Science, University of Agder, Post-Box 422, 4604, Kristiansand, Norway.

Department of Public Health and Sport Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.

出版信息

Eur Child Adolesc Psychiatry. 2024 Sep;33(9):3179-3187. doi: 10.1007/s00787-024-02375-0. Epub 2024 Feb 23.

Abstract

Being overweight or obese can have severe negative psychological impacts and reduce health-related functioning. To improve health-related quality of life (HRQoL) and sleep habits for children with overweight or obesity, it is important to design and implement effective interventions. The aim of this study was to evaluate the effects of a 6-month family-based lifestyle intervention on HRQoL and sleep habits in Norwegian children with overweight or obesity in a primary-care setting. This 6-month, non-randomised, cluster-controlled trial included Norwegian children aged 5-13 years with overweight or obesity and their parents. A questionnaire was filled out by the parents. A total of 33 and 52 children in the control group and 41 and 78 children in the intervention group answered the HRQoL and sleep habits questions, respectively, and were included. The intervention group received individual family counselling and participated in physical activity groups and nutrition courses. The Children's Sleep Habits Questionnaire (CSHQ) and Kidscreen-10 index were used to assess sleep habits and HRQoL. At baseline, the mean average scores for HRQoL were 50.0 [standard deviation (SD) 8.1] for the intervention group and 49.0 (SD 10.1) for the control group. For sleep habits at baseline, the mean average scores were 45.2 (SD 11.8) for the intervention group and 46.0 (SD 11.9) for the control group. No significant changes in HRQoL and sleep habits after the intervention were revealed. Overall, the family-based lifestyle intervention targeting overweight and obese children in a primary-care setting showed no significant effect on HRQoL or sleep quality.

摘要

超重或肥胖会对儿童心理健康产生严重负面影响,并降低其健康相关功能。为了提高超重或肥胖儿童的健康相关生活质量(HRQoL)和睡眠习惯,设计和实施有效的干预措施非常重要。本研究旨在评估在初级保健环境中针对超重或肥胖儿童的为期 6 个月的基于家庭的生活方式干预对 HRQoL 和睡眠习惯的影响。这是一项为期 6 个月的非随机、聚类对照试验,纳入了挪威 5-13 岁超重或肥胖的儿童及其父母。父母填写问卷。对照组共有 33 名和 52 名儿童,干预组有 41 名和 78 名儿童分别回答了 HRQoL 和睡眠习惯问题,并被纳入研究。干预组接受了个体家庭咨询,并参加了体育活动小组和营养课程。采用儿童睡眠习惯问卷(CSHQ)和儿童生活质量问卷(Kidscreen-10)评估睡眠习惯和 HRQoL。基线时,干预组 HRQoL 的平均得分为 50.0(标准差 [SD] 8.1),对照组为 49.0(SD 10.1)。基线时,干预组的睡眠习惯平均得分为 45.2(SD 11.8),对照组为 46.0(SD 11.9)。干预后,HRQoL 和睡眠习惯均无显著变化。总体而言,针对初级保健环境中超重和肥胖儿童的基于家庭的生活方式干预对 HRQoL 或睡眠质量没有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/11424663/9c158078ec13/787_2024_2375_Fig1_HTML.jpg

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