儿童和青少年在实施个性化肥胖管理干预计划前后的饮食和体育锻炼习惯。

Dietary and Physical Activity Habits of Children and Adolescents before and after the Implementation of a Personalized, Intervention Program for the Management of Obesity.

机构信息

Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, 'Aghia Sophia' Children's Hospital, 11527 Athens, Greece.

Department of Informatics and Telematics, Harokopio University of Athens, 17671 Athens, Greece.

出版信息

Nutrients. 2024 Oct 14;16(20):3477. doi: 10.3390/nu16203477.

DOI:10.3390/nu16203477

PMID:39458473

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11510330/

Abstract

BACKGROUND

Obesity in childhood and adolescence represents a major public health problem, mostly attributed to dietary and physical activity factors. We aimed to determine the dietary and physical activity habits of participants before and after the implementation of a personalized, multidisciplinary, lifestyle intervention program for the management of obesity in the context of the Horizon Research Project 'BigO: Big Data against Childhood Obesity'.

METHODS

Three hundred and eighty-six (n = 386) children and adolescents (mean age ± SD: 12.495 ± 1.988 years, 199 males and 187 females) participated in the study prospectively. Based on body mass index (BMI), subjects were classified as having obesity (n = 293, 75.9%) and overweight (n = 93, 24.1%) according to the International Obesity Task Force (IOTF) cut-off points. We implemented a personalized, multidisciplinary, lifestyle intervention program providing guidance on diet, sleep, and exercise, and utilized the BigO technology platform to objectively record data collected via a Smartphone and Smartwatch for each patient.

RESULTS

Following the intervention, a statistically significant decrease was noted in the consumption of cheese, cereal with added sugar, savory snacks, pasta, and fried potatoes across both BMI categories. Also, there was an increase in daily water intake between meals among all participants ( = 0.001) and a reduction in the consumption of evening snack or dinner while watching television ( < 0.05). Boys showed a decrease in the consumption of savory snacks, fried potato products, and pasta ( < 0.05), an increase in the consumption of sugar-free breakfast cereal ( < 0.05), and drank more water between meals daily ( < 0.001).

CONCLUSIONS

Our findings suggest that a personalized, multidisciplinary, lifestyle intervention improves the dietary habits of children and adolescents.

摘要

背景

儿童和青少年时期的肥胖是一个主要的公共卫生问题，主要归因于饮食和身体活动因素。我们旨在确定在“BigO：大数据对抗儿童肥胖”地平线研究项目的背景下实施个性化、多学科、生活方式干预肥胖管理计划前后参与者的饮食和身体活动习惯。

方法

386 名（n = 386）儿童和青少年（平均年龄 ± SD：12.495 ± 1.988 岁，199 名男性和 187 名女性）前瞻性参与了这项研究。根据国际肥胖工作组（IOTF）的切点，根据体重指数（BMI）将受试者分为肥胖（n = 293，75.9%）和超重（n = 93，24.1%）。我们实施了个性化、多学科、生活方式干预计划，提供饮食、睡眠和运动方面的指导，并利用 BigO 技术平台客观记录每位患者通过智能手机和智能手表收集的数据。

结果

干预后，BMI 类别中奶酪、添加糖的谷物、咸味零食、意大利面和炸薯条的消耗量均显著下降。此外，所有参与者的两餐之间每日水摄入量增加（ = 0.001），而边看电视边吃晚餐或晚餐的摄入量减少（ < 0.05）。男孩的咸味零食、炸薯条产品和意大利面的消耗量减少（ < 0.05），无糖早餐谷物的消耗量增加（ < 0.05），两餐之间每日饮水量增加（ < 0.001）。