Epstein L H, Valoski A, Wing R R, McCurley J
University of Pittsburgh School of Medicine.
Health Psychol. 1994 Sep;13(5):373-83. doi: 10.1037//0278-6133.13.5.373.
We report 10-year treatment outcomes for obese children in 4 randomized treatment studies. At 10 years, 34% decreased percentage overweight by 20% or more, and 30% were not obese. Significant effects were observed when parents and children were targeted and reinforced for weight loss in comparison with nontargeted controls and for children given lifestyle or aerobic exercise in comparison with a calisthenics control. Thirty-four percent of the variance in change in percentage overweight was predicted from sex, baseline percentage overweight, self-monitoring weight, meals eaten at home, and family and friends' support for eating and exercise. Results show long-term changes in children depend on the treatment, and evidence converges on the importance of the family and other sources of support for eating and activity change.
我们报告了4项随机治疗研究中肥胖儿童的10年治疗结果。10年后，34%的儿童超重百分比下降了20%或更多，30%不再肥胖。与未接受针对性干预的对照组相比，当针对父母和孩子进行减肥干预并给予强化时，以及与接受健美操训练的对照组相比，给予儿童生活方式干预或有氧运动时，观察到了显著效果。超重百分比变化的34%的方差可由性别、基线超重百分比、自我监测体重、在家用餐情况以及家人和朋友对饮食和运动的支持来预测。结果表明，儿童的长期变化取决于治疗方法，并且越来越多的证据表明家庭以及饮食和活动改变的其他支持来源很重要。
