Changes in fat mass, fat-free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme
Changes in fat mass, fat-free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme
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DOI：
10.1007/s00431-003-1247-2
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发表时间：
2003-09-01
影响因子：
3.6
通讯作者：
Bouckaert, J
中科院分区：
文献类型：
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作者：
Deforche, B;De Bourdeaudhuij, I;Bouckaert, J
本研究的目的是描述严重肥胖儿童和青少年在Zeepreventorium医学儿科中心住院治疗期间脂肪量（FM）、无脂肪量（FFM）和有氧适能的变化。治疗包括适度饮食限制、体育活动和心理支持。本研究对20名重度肥胖儿童和青少年（8名男孩和12名女孩，年龄15.4 +/- 1.8岁）进行了临床观察，他们完成了为期10个月的住院治疗项目。在干预期间测量身高、体重、FM、FFM和有氧适能四次：基线、11周、24周和33周（计划结束时）。超重水平平均下降46% (P < 0.001)，平均减少8.9%的FM （P < 0.001）。次最大性能（PWC150）从123 +/- 35瓦提高到152 +/- 37瓦（P < 0.001）。最大性能水平增加（性能时间从14 +/- 2.9分钟增加到15.3 +/- 3.5分钟，峰值功率从18638瓦增加到20545瓦，P < 0.01），但绝对(V)比点O-2（峰值）没有改善。结论：在重度肥胖儿童青少年中，适度限制饮食并辅以体育锻炼和心理支持，可有效降低体脂，提高运动能力。需要进一步的研究来评价这种方案的长期影响。
The purpose of this study was to describe changes in fat mass (FM), fat-free mass (FFM) and aerobic fitness in severely obese children and adolescents during residential treatment in the Medical Paediatric Centre Zeepreventorium. Treatment consisted of moderate dietary restriction, physical activity and psychological support. This study was a clinical observation of 20 severely obese children and adolescents (8 boys and 12 girls, aged 15.4 +/- 1.8 years) who completed the 10-month residential programme. Height, weight, FM, FFM and aerobic fitness was measured four times during the intervention: at baseline, 11 weeks, 24 weeks and at 33 weeks (at the end of the programme). The mean decrease in level of overweight was 46% (P < 0.001), with a mean loss of 8.9% FM (P < 0.001). Submaximal performance (PWC150) improved from 123 +/- 35 Watt to 152 +/- 37 Watt (P < 0.001). Maximal performance levels increased (performance time: from 14 +/- 2.9 min to 15.3 +/- 3.5 min, peak power: from 186 38 Watt to 205 45 Watt, P < 0.01) without an improvement in absolute (V) over dot O-2 (peak).(.) Conclusion: A moderate dietary restriction in combination with physical activity and psychological support in severely obese children and adolescents is effective in decreasing body fat and improving physical performance. Further research is needed to evaluate the longer-term effects of such a programme.