Epstein L H, Valoski A, McCurley J
School of Medicine, University of Pittsburgh, Pa.
Am J Dis Child. 1993 Oct;147(10):1076-80. doi: 10.1001/archpedi.1993.02160340062015.
To assess height growth over 10 years in children treated for obesity.
Longitudinal, prospective follow-up of a series of randomized, controlled weight control trials.
Specialized pediatric weight control clinic.
One hundred fifty-eight 6- to 12-year-old obese children who were followed up for 10 years after treatment.
Family-based behavioral weight control.
MEASUREMENTS/MAIN RESULTS: At entry the height percentiles of the obese children were significantly higher (71.6 percentile) than same-sex parent (52.0 percentile) or midparent (51.5 percentile) height (an estimate of parental contribution to height). After an average growth of 22.7 cm, children were 2.2 cm taller than their same-sex parent and decreased to an average height percentile of 57.8. Multiple regression analysis showed that child sex, age, baseline height and percent overweight, midparent height, and height change of the child from baseline to 5 years accounted for 94% of the variance in growth. Child percent overweight change made no contribution to predicting height change. Comparison between children obese and nonobese at 10 years showed no differences in growth.
Moderate energy restriction with dietary guidance by overweight children did not negatively influence long-term growth.
评估接受肥胖治疗的儿童10年间的身高增长情况。
对一系列随机对照体重控制试验进行纵向、前瞻性随访。
专业儿科体重控制诊所。
158名6至12岁的肥胖儿童，治疗后进行了10年的随访。
基于家庭的行为体重控制。
测量指标/主要结果：入组时，肥胖儿童的身高百分位数（第71.6百分位数）显著高于同性父母（第52.0百分位数）或父母平均身高（第51.5百分位数）（对父母身高贡献的估计）。平均增长22.7厘米后，儿童比同性父母高2.2厘米，平均身高百分位数降至57.8。多元回归分析表明，儿童性别、年龄、基线身高和超重百分比、父母平均身高以及儿童从基线到5岁时的身高变化占生长差异的94%。儿童超重百分比变化对预测身高变化没有贡献。10岁时肥胖儿童与非肥胖儿童的生长情况比较无差异。
超重儿童在饮食指导下进行适度能量限制对长期生长没有负面影响。
