Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment
Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment
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DOI：
10.1001/archpedi.158.4.342
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发表时间：
2004-04-01
影响因子：
--
通讯作者：
Roemmich, JN
中科院分区：
文献类型：
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作者：
Wrotniak, BH;Epstein, LH;Roemmich, JN
背景资料：以家庭为基础的行为体重控制治疗涉及的修改儿童和父母的饮食和activitychanges.Objective：为了评估父母的标准化体重指数（z-BMI）的变化预测儿童z-BMI的changes.Design：次要数据分析的基础上，父母和儿童z-BMI的变化从3个家庭为基础的，随机的，对照的体重控制研究。分层回归模型测试了父母z-BMI变化是否通过治疗和24个月随访增加了对儿童z-BMI变化的预测，超过了影响儿童体重变化的其他因素，如儿童年龄，性别，社会经济地位以及基线儿童和父母z-BMI。使用协方差分析来测试儿童z-BMI变化与父母z-BMI变化四分位数的函数的差异。设置：儿科肥胖研究诊所。参与者：来自142个参加家庭体重控制计划的家庭的8至12岁肥胖儿童及其父母。主要结果指标：儿童和父母z-BMI随着时间的推移而变化。结果：父母z-BMI变化显著预测0 - 6个月儿童z-BMI变化（P
Background: Family-based behavioral weight control treatment involves the parent in the modification of child and parent eating and activity change.Objective: To assess if parent standardized body mass index (z-BMI) change predicts child z-BMI change.Design: Secondary data analysis based on parent and child z-BMI changes from 3 family-based, randomized, controlled weight control studies. Hierarchical regression models tested whether parent z-BMI change increased prediction of child z-BMI change through treatment and 24-month follow-up beyond other factors that influence child weight change, such as child age, sex, socioeconomic status, and baseline child and parent z-BMI. Differences in child z-BMI change as a function of quartiles of parental z-BMI change were tested using an analysis of covariance.Setting: Pediatric obesity research clinic.Participants: Obese 8- to 12-year-old children and their parents from 142 families who participated in family-based weight control programs.Main Outcome Measures: Child and parent z-BMI changes over time.Results: Parent z-BMI change significantly predicted child z-BMI change for the 0- to 6-month (P