Use of Prevention and Prevention Plus Weight Management Guidelines for Youth With Developmental Disabilities Living in Group Homes
Use of Prevention and Prevention Plus Weight Management Guidelines for Youth With Developmental Disabilities Living in Group Homes
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DOI：
10.1016/j.pedhc.2011.07.004
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发表时间：
2013-03-01
影响因子：
2.8
通讯作者：
Loman, Deborah G.
中科院分区：
文献类型：
--
作者：
Gephart, Elizabeth F.;Loman, Deborah G.
简介：对居住在中西部教育/住宿中心社区团体之家的发育障碍青少年实施体重管理的预防和预防加策略。方法：向护理人员提供体重管理教育、青少年体重指数、体重和体力活动目标、饮食指令以及每月后续沟通的沟通工具。这项为期 4 个月的研究使用 t 检验、chi(2) 检验和 Wilcoxon 符号秩检验检验了体重指数、营养、体力活动和工作人员对青年状况认知的变化。结果：发现平均体重指数百分位显着下降（t(39) = 2.93，p < .01，95% 置信区间 1.29 至 7.04），这主要是由于健康体重类别的变化。 40 名青少年中超过 80% 实现了体重目标。据报告，每日水果消耗量 (p = .001) 和蔬菜消耗量 (p < .001) 显着改善。 讨论：这些预防策略有助于促进工作人员了解居住在集体之家的发育障碍青少年的体重管理饮食目标，并应由医疗保健提供者纳入实践。需要付出更多努力来增加冬季的身体活动。 J 儿科保健。 (2013) 27, 98-108。
Introduction: Prevention and Prevention Plus strategies for weight management were implemented for youth with developmental disabilities living in community group homes at a Midwestern educational/residential center.Methods: Caregiver staff were provided with weight management education, a communication tool for youth weight indices, weight and physical activity goals, dietary orders, and monthly follow-up communication. This 4-month study examined changes in weight indices, nutrition, physical activity, and staff perceptions of youth status using t tests, chi(2) tests, and Wilcoxon signed-rank tests.Results: A significant decrease in mean body mass index percentile was found (t(39) = 2.93, p < .01, 95% confidence interval 1.29 to 7.04) that was primarily from change in the healthy weight category. More than 80% of the 40 youth achieved their weight goal. A significant improvement in daily fruit consumption (p = .001) and vegetable consumption (p < .001) was reported.Discussion: These prevention strategies are useful to promote staff understanding of dietary goals for weight management in youth with developmental disabilities living in group homes and should be incorporated into practice by health care providers. Additional efforts are needed to increase physical activity during the winter months. J Pediatr Health Care. (2013) 27, 98-108.