Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children.
Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children.
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DOI：
10.1002/oby.21866
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发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Land T
中科院分区：
文献类型：
--
作者：
Taveras EM;Perkins M;Anand S;Woo Baidal JA;Nelson CC;Kamdar N;Kwass JA;Gortmaker SL;Barrett JL;Davison KK;Land T
检查临床干预在多大程度上导致2-12岁儿童的体重指数(BMI)z得分低于常规做法(按常规治疗，TAU)。马萨诸塞州儿童肥胖研究示范项目(MA-CORD)是一个多方面的倡议，旨在预防低收入儿童中的儿童肥胖。在两个社区(干预地点#1和#2)的联邦合格社区卫生中心(FQHC)，我们实施了(1)儿科体重管理培训；(2)临床医生的电子决策支持；(3)现场健康体重诊所；(4)社区卫生工作者整合；(5)健康的临床环境改变。在人口统计匹配的社区中，有一家FQHC充当了TAU网站。使用电子健康记录，我们评估了BMI z得分，并使用线性混合模型来检查每个干预站点与TAU站点相比在两年内BMI z得分的变化。与TAU站点的儿童(n=2286)相比，干预站点#2(n=1368)的儿童在干预开始后体重指数z分数显著下降(−为0.16个单位/年；95%CI：−0.21，−0.12)。我们没有发现干预部位#1(n=111)有影响的证据。与TAU社区相比，MA-CORD临床干预与两个干预社区中的一个社区的BMI z得分的适度改善有关。
To examine the extent to which a clinical intervention resulted in reduced body mass index (BMI) z-scores among 2–12 year old children compared to routine practice (treatment as usual, TAU). The Massachusetts Childhood Obesity Research Demonstration project (MA-CORD) is a multifaceted initiative to prevent childhood obesity among low-income children. In the federally qualified community health centers (FQHC) of two communities (Intervention Site #1 and #2), we implemented (1) pediatric weight management training; (2) electronic decision supports for clinicians; (3) on-site Healthy Weight Clinics; (4) community health worker integration; and (5) healthful clinical environment changes. One FQHC in a demographically-matched community served as the TAU site. Using electronic health records, we assessed BMI z-scores and used linear mixed models to examine BMI z-score change over 2 years in each intervention site compared to a TAU site. Compared to children in the TAU site (n=2286), children in Intervention site #2 (n=1368) had a significant decline in BMI z-scores following the start of the intervention (−0.16 units/year; 95% CI: −0.21, −0.12). We found no evidence of an effect in Intervention site #1 (n=111). The MA-CORD clinical interventions were associated with modest improvement in BMI z-scores in one of two intervention communities compared to a TAU community.
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影响因子：
9.7
作者：
Singh, Gopal K.;Siahpush, Mohammad;Kogan, Michael D.
通讯作者：
Kogan, Michael D.
影响因子：
2.5
作者：
Taveras, Elsie M.;Blaine, Rachel E.;Smith, Lauren
通讯作者：
Smith, Lauren
影响因子：
5.6
作者：
Singh, Gopal K.;Siahpush, Mohammad;Kogan, Michael D.
通讯作者：
Kogan, Michael D.
DOI：
10.1001/jama.2016.6361
发表时间：
2016-06-07
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Lawman HG;Fryar CD;Kruszon-Moran D;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
2.4
作者：
Garnett, Sarah P.;Gow, Megan;Cowell, Chris T.
通讯作者：
Cowell, Chris T.