Nie Yang, Xiong Fei, Wang Hong, Yang Fengqiong, Chen Jianxin
Children's Health Department, Chongzhou Maternal and Child Health Hospital, Chongzhou, People's Republic of China.
Department of Child Health Care, West China Second Hospital, Sichuan University, Chengdu, People's Republic of China.
J Multidiscip Healthc. 2025 Jun 14;18:3455-3464. doi: 10.2147/JMDH.S521927. eCollection 2025.
To evaluate the effects of a combined dietary and exercise intervention on anthropometric measurements and blood lipid profiles in obese children, and to provide evidence-based support for pediatric obesity management.
This retrospective study included 130 obese children who underwent routine health examinations and interventions between January 2020 and October 2023. Participants were divided into two groups: the control group received health education only, while the observation group received additional dietary and exercise interventions. Pre- and post-intervention changes in anthropometric indicators, body fat levels, lipid profiles, inflammatory markers, physical activity levels, and parental satisfaction were assessed.
Baseline characteristics were similar between groups (P > 0.05). After intervention, the observation group showed significantly lower body weight, BMI, waist-to-hip ratio, body fat percentage, visceral fat area, and lipid levels (TG, TC, LDL-C), along with higher basal metabolic rate (P < 0.05). Physical activity increased and sedentary time decreased significantly in the observation group (P < 0.001). Additionally, inflammatory markers (IL-6, IL-8, TNF-α) were markedly reduced in the observation group (P < 0.05), and parental satisfaction was significantly higher compared to the control group.
A combined dietary and exercise intervention significantly improves body composition, lipid metabolism, physical activity levels, and inflammatory status in obese children. This comprehensive model may be an effective, non-pharmacological strategy for promoting healthy growth and managing childhood obesity.
评估饮食与运动联合干预对肥胖儿童人体测量指标和血脂谱的影响,为儿童肥胖管理提供循证支持。
这项回顾性研究纳入了2020年1月至2023年10月期间接受常规健康检查和干预的130名肥胖儿童。参与者分为两组:对照组仅接受健康教育,观察组则接受额外的饮食和运动干预。评估干预前后人体测量指标、体脂水平、血脂谱、炎症标志物、身体活动水平和家长满意度的变化。
两组间基线特征相似(P>0.05)。干预后,观察组的体重、BMI、腰臀比、体脂百分比、内脏脂肪面积和血脂水平(TG、TC、LDL-C)显著降低,基础代谢率升高(P<0.05)。观察组的身体活动增加,久坐时间显著减少(P<0.001)。此外,观察组的炎症标志物(IL-6、IL-8、TNF-α)明显降低(P<0.05),家长满意度显著高于对照组。
饮食与运动联合干预可显著改善肥胖儿童的身体成分、脂质代谢、身体活动水平和炎症状态。这种综合模式可能是促进健康成长和管理儿童肥胖的一种有效的非药物策略。