Epstein L H, Valoski A, Koeske R, Wing R R
J Am Diet Assoc. 1986 Apr;86(4):481-4.
The effects of a family-based, behavioral weight control program on weight, linear growth, and nutrient intake among 17 obese children aged 1 to 6 were studied. The 1-year behavioral treatment involved three components: diet, exercise, and child management. Treatment meetings were held weekly for 10 weeks and then monthly for the remainder of the year. Relative body weight decreased significantly from 42.1% at baseline to 24.0% overweight at 1 year and 27.8% overweight at 2 years, while height increased normally over the 2 years of observation, suggesting that the children were obtaining adequate calories to maintain growth. The caloric and nutrient intakes of the children were analyzed from 3-day food records kept by the mothers during baseline and the tenth week of treatment. The mean caloric intake was 1,457 kcal prior to treatment and 1,025 kcal during treatment. Nutrient intake exceeded the Recommended Dietary Allowances at pretreatment for the nutrients investigated and continued to exceed the RDAs for all nutrients except calcium (96% of RDA) and iron (84% of RDA) during treatment. Improvements in nutrient density were shown for all nutrients. The results suggest that obesity can be treated successfully in young children without detrimental effects on growth or nutrient intake.
研究了一项基于家庭的行为体重控制计划对17名1至6岁肥胖儿童体重、线性生长和营养摄入的影响。为期1年的行为治疗包括三个部分：饮食、运动和儿童管理。治疗会议每周举行一次，共10周，之后在该年剩余时间每月举行一次。相对体重从基线时的42.1%显著下降到1年时超重24.0%，2年时超重27.8%，而在2年的观察期内身高正常增长，这表明儿童获得了足够的热量来维持生长。根据母亲们在基线期和治疗第10周记录的3天食物记录，分析了儿童的热量和营养摄入情况。治疗前平均热量摄入为1457千卡，治疗期间为1025千卡。所研究营养素的摄入量在治疗前超过了推荐膳食摄入量，并且在治疗期间除钙（达到推荐膳食摄入量的96%）和铁（达到推荐膳食摄入量的84%）外，所有营养素的摄入量继续超过推荐膳食摄入量。所有营养素的营养密度均有改善。结果表明，幼儿肥胖可以成功治疗，且对生长或营养摄入没有不利影响。
