Brownell K D, Kelman J H, Stunkard A J
Pediatrics. 1983 Apr;71(4):515-23.
Weight and blood pressure changes were evaluated in a 16-month controlled trial comparing three methods of involving mothers in the treatment of their obese adolescents (aged 12 to 16 years). The treatments were: (1) Mother-Child Separately--children and mothers attended separate groups; (2) Mother-Child Together--the children and mothers met together in the same group; and (3) Child Alone--the children met in groups and mothers were not involved. The program consisted of behavior modification, social support, nutrition, and exercise. The Mother-Child Separately group lost more weight (8.4 kg) during treatment than did the other two groups (5.3 and 3.3 kg). Differences between the groups increased at the 1-year follow-up: compared to pretreatment weight, the Mother-Child Separately group lost 7.7 kg compared with gains of approximately 3 kg in the other two groups. Blood pressures of children with the highest initial pressures decreased by 16/9 mm Hg at the end of treatment and by 16/5 mm Hg at the 1-year follow-up. These results suggest that a program of behavior modification and parent involvement can lead to significant weight losses in obese children, and that the nature of parent involvement may be important.
在一项为期16个月的对照试验中，对三种让母亲参与治疗肥胖青少年（12至16岁）的方法进行了评估，观察体重和血压的变化。治疗方法包括：（1）母子分开——孩子和母亲参加不同的小组；（2）母子一起——孩子和母亲在同一小组见面；（3）孩子单独——孩子分组见面，母亲不参与。该项目包括行为矫正、社会支持、营养和运动。在治疗期间，母子分开组比其他两组（分别减重5.3千克和3.3千克）减重更多（8.4千克）。在1年随访时，组间差异增大：与治疗前体重相比，母子分开组减重7.7千克，而其他两组体重增加约3千克。初始血压最高的孩子，其血压在治疗结束时下降了16/9毫米汞柱，在1年随访时下降了16/5毫米汞柱。这些结果表明，行为矫正和家长参与的项目可使肥胖儿童显著减重，而且家长参与的方式可能很重要。
