Decreasing sedentary behaviors in treating pediatric obesity
Decreasing sedentary behaviors in treating pediatric obesity
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DOI：
10.1001/archpedi.154.3.220
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发表时间：
2000-03-01
影响因子：
--
通讯作者：
Dorn, J
中科院分区：
文献类型：
--
作者：
Epstein, LH;Paluch, RA;Dorn, J
背景：流行病学研究表明，看电视是儿童肥胖的危险因素。减少看电视和其他久坐行为作为综合性肥胖治疗计划的一个组成部分的效果尚未得到彻底的测试。目的：比较在8至12岁儿童的肥胖综合治疗中，减少久坐行为与增加体力活动的影响。设计：随机对照结果研究。设置：儿童肥胖研究诊所。设计：90个有8- 12岁肥胖儿童的家庭被随机分配到提供全面的以家庭为基础的行为体重控制计划的组中，该计划包括饮食和行为改变信息，但在针对久坐或身体活动行为以及所需的行为改变程度方面存在差异。2年的结果表明，减少久坐行为或增加体力活动与超重和体脂百分比的显着降低以及有氧健身的改善有关。治疗期间，自我报告的活动分钟数增加，目标久坐时间减少。儿童取代非目标久坐行为的一些有针对性的seditary behaviors.Conclusion：这些结果支持减少久坐行为作为一种辅助治疗儿童肥胖。
Background: Epidemiogical studies have shown television watching to be a risk factor for the development of obesity in children. The effect of reducing television watching and other sedentary behaviors as a component of a comprehensive obesity treatment program has not been thoroughly tested.Objective: To compare the influence of targeting decreases in sedentary behavior vs increases in physical activity in the comprehensive treatment of obesity in 8- to 12-year-old children.Design: Randomized, controlled outcome study.Setting: Childhood obesity research clinic.Design: Ninety families with obese 8- to 12-year-old children were randomly assigned to groups that were provided a comprehensive family-based behavioral weight control program that included dietary and behavior change information but differed in whether sedentary or physically active behaviors were targeted and the degree of behavior change required.Results: Results during 2 years showed that targeting either decreased sedentary behaviors or increased physical activity was associated with significant decreases in percent overweight and body fat and improved aerobic fitness. Self-reported activity minutes increased and targeted sedentary time decreased during treatment. Children substituted nontargeted sedentary behaviors for some of their targeted sedentary behaviors.Conclusion: These results support reducing sedentary behaviors as an adjunct in the treatment of pediatric obesity.