Tackling childhood overweight: treating parents exclusively is effective
Tackling childhood overweight: treating parents exclusively is effective
复制标题
DOI：
10.1038/ijo.2011.16
复制
发表时间：
2011-04-01
影响因子：
4.9
通讯作者：
Jansen, A.
中科院分区：
文献类型：
--
作者：
Jansen, E.;Mulkens, S.;Jansen, A.
目的：总体来说，儿童肥胖的治疗重点是治疗肥胖儿童。从长远来看，针对儿童的治疗结果令人失望。在当前的研究中，测试了仅针对肥胖儿童父母的治疗是否会对儿童的体重状况产生积极影响。此外，还确定了治疗成功的潜在预测因素。方法：98 名超重或肥胖儿童（7-13 岁）的父母被随机分配到认知行为组治疗（八次疗程）或等待名单对照组。结果：就儿童体重指数（BMI）百分位而言，父母的治疗从治疗前到治疗后成功减少了超重：治疗组的 BMI 百分位显着下降了 2.4%，而治疗组的 BMI 百分位显着下降等候名单对照组没有变化。随访（3个月）无明显复发。等待名单对照组的儿童 BMI 百分位数没有下降。此外，在饮食精神病理学（减少）、自尊（增加）和消极想法（减少）方面，时间对两组都有显着的主效应。最后，仅治疗组父母的体重指数显着下降。确定了治疗成功的四个预测因素，即较低的社会经济地位、孩子的年龄较小、父母出勤率较高以及治疗前孩子的BMI百分位较低。结论：父母的治疗对孩子和父母的BMI有显着影响。这些积极影响的长期持续性需要研究。引人注目的是等待名单对照组的时间对某些心理结果测量的积极影响。显然，等待治疗已经影响了儿童的心理过程（但不影响行为）。国际肥胖杂志 (2011) 35, 501-509； doi：10.1038/ijo.2011.16； 2011 年 3 月 1 日在线发布
Objective: In general, treatment of childhood obesity focuses on treating the obese children. The results of child-directed treatments are disappointing in the long run. In the current study, it is tested whether a treatment aimed solely at obese children's parents results in positive effects on the children's weight status. In addition, potential predictors of treatment success are identified.Methods: The parents of 98 overweight or obese children (aged 7-13 years) were randomly assigned to either the cognitive-behavioural group treatment (eight sessions) or the waiting-list control group.Results: With respect to child body mass index (BMI) percentile, the parents' treatment was successful in reducing overweight from pretreatment to posttreatment: BMI percentile decreased significantly by 2.4% in the treatment group, whereas there was no change in the waiting-list control group. There was no significant relapse at follow-up (3 months). Child BMI percentile did not decrease in the waiting-list control group. In addition, significant main effects of time were found for both groups with respect to eating psychopathology (decrease), self-esteem (increase) and negative thoughts (decrease). Finally, parental BMI decreased significantly only in the treatment group. Four predictors were identified with respect to treatment success, namely, lower socioeconomic status, younger age of the child, higher parental attendance and lower BMI percentile of the child before treatment.Conclusions: The parents' treatment had significant effects on child and parent BMI. Long-term endurance of these positive effects needs to be studied. Striking are the positive effects of time in the waiting-list control group for some psychological outcome measures. Obviously, waiting for treatment already affects psychological processes (but not behaviour) in the children. International Journal of Obesity (2011) 35, 501-509; doi: 10.1038/ijo.2011.16; published online 1 March 2011