Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues
Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues
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DOI：
10.1097/00005768-199911001-00011
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发表时间：
1999-11-01
期刊：
影响因子：
--
通讯作者：
Goldfield, GS
中科院分区：
文献类型：
--
作者：
Epstein, LH;Goldfield, GS
目的：本文综述了运动作为超重和肥胖儿童和青少年治疗的效用。方法：计算机数据库检索确定了13项符合以下纳入标准的研究：1)为肥胖儿童或青少年提供不同类型的运动计划或与无运动对照组相比的运动计划；2)受试者随机分配到组或通过匹配人口统计学和人体测量变量分配；3)运动计划持续时间至少为2个月。结果：唯一有足够数量的研究可以进行定量分析的领域是饮食与饮食加运动方案的比较，这表明在儿童肥胖的短期治疗中，运动增加了饮食的效果。目前还没有足够的研究来评估单独锻炼的效果。大多数研究结果表明，单独进行运动或运动与饮食相结合的受试者与不进行运动（对照）或单独进行饮食的受试者相比，健康变化更大。结论：关于运动或体育活动对儿童肥胖治疗的影响的研究是令人鼓舞的，可能对改善肥胖和合并症的治疗结果很重要。并对今后的研究提出了建议。
Purpose: This paper reviews the utility of exercise as a treatment for overweight and obese children and adolescents. Methods: Computer database searches identified 13 studies that met the following criteria for inclusion: 1) obese children or adolescents were provided either different types of exercise programs or an exercise progam compared with a no-exercise control: 2) subjects were randomly assigned to groups or assigned by matching on demographic and anthropometric variables, and 3) the exercise program was at least 2 months in duration. Results: The only area in which there were a sufficient number of studies to make a quantitative analysis was the comparison of diet versus diet plus exercise programs, which suggested that exercise adds to the effect of diet in the short-term treatment of pediatric obesity. There was not enough research to evaluate the effects of exercise alone. The majority of findings indicate fitness changes are greater for subjects provided exercise alone or exercise combined with diet in comparison with subjects provided no exercise (control) or diet alone. Conclusions: Research on effects of exercise or physical activity in pediatric obesity treatments are encouraging and may be important for improving treatment outcome for obesity and comorbid conditions. Recommendations for future research are presented.