Developing a Treatment Program for Obesity in Preschool Age Children: Preliminary Data.
Developing a Treatment Program for Obesity in Preschool Age Children: Preliminary Data.
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DOI：
10.1080/02739610903455137
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发表时间：
2010-01-01
期刊：
影响因子：
--
通讯作者：
Stark LJ
中科院分区：
文献类型：
--
作者：
Boles RE;Scharf C;Stark LJ
我们开发并测试了一种行为干预的可行性，该行为干预利用诊所和家访来减少 BMI 95% 以上的学龄前儿童的超重。五个家庭的 2 至 5 岁学龄前儿童的 BMI 在 95% 以上，以及一名超重的家长参加了为期 24 周的行为体重管理计划。第一阶段，强化治疗包括 12 周一次的疗程、交替的小组诊所疗程和家庭环境。第二阶段，维护包括 6 次每两周一次的疗程，在诊所和家庭环境中交替进行。治疗的重点是教导父母使用行为儿童管理策略来系统地实施饮料和零食、膳食的饮食改变，并增加身体活动。家访的重点是改变家庭饮食环境和体内运用儿童行为管理技能。治疗目标是维持体重或轻微减轻体重。结果测量是在基线（第 0 周）、治疗结束（第 24 周）以及治疗结束后 6 个月随访（第 52 周）时获得的。三名参与者完成了 24 周的治疗，并与两名未完成治疗的参与者进行了比较。治疗完成者的 zBMI 和超重百分比有所下降，而两个未完成治疗的家庭则增加了超重百分比，并在 6 个月的随访中维持了 zBMI。这些结果表明初步支持针对肥胖学龄前儿童及其家庭制定基于行为的体重管理干预措施。家访似乎增强了干预目标，其中改变食物环境以促进治疗目标。
We developed and tested the feasibility of a behavioral intervention that utilizes clinic and home visitations to reduce overweight in preschool children above the 95th BMI percentile. Five families of preschool children ages 2 to 5 years with a BMI above the 95th percentile and one overweight parent were enrolled in a 24-week behavioral weight management program. Phase I, Intensive Treatment included 12 weekly sessions, alternating group-based clinic sessions and home settings. Phase II, Maintenance included 6 bi-weekly sessions alternating between the clinic and home setting. Treatment focused on teaching parents to use behavioral child management strategies to systematically implement dietary changes across beverages and snacks, meals, and to increase physical activity. Home visits focused on modifying the home food environment and in vivo use of child behavior management skills. Treatment targeted either weight maintenance or a small weight loss. Outcome measures were obtained at baseline (week 0), end of treatment (week 24), and at 6 month follow up after treatment ended (week 52). Three participants completed 24 weeks of treatment and were compared to two participants who did not complete treatment. Treatment completers showed reductions in zBMI and percent overweight while two noncompleting families increased their percent overweight and maintained their zBMI at 6 month follow up. These results suggest initial support for development of a behavior-based weight management intervention for obese preschool children and their families. Intervention targets appear to be enhanced by the inclusion of home visitations, in which food environments are changed to facilitate treatment goals.
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