The centre for healthy weights--shapedown BC: a family-centered, multidisciplinary program that reduces weight gain in obese children over the short-term.
The centre for healthy weights--shapedown BC: a family-centered, multidisciplinary program that reduces weight gain in obese children over the short-term.
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DOI：
10.3390/ijerph8124662
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发表时间：
2011-12
影响因子：
--
通讯作者：
Mâsse LC
中科院分区：
文献类型：
--
作者：
Panagiotopoulos C;Ronsley R;Al-Dubayee M;Brant R;Kuzeljevic B;Rurak E;Cristall A;Marks G;Sneddon P;Hinchliffe M;Chanoine JP;Mâsse LC
目的是通过评估从项目开始到完成的体重轨迹变化，对BC健康体重中心（CHW-SB）进行项目评估，CHW-SB是一个以家庭为中心的多学科肥胖儿童项目。次要结果包括临床、生化和心理参数以及体力活动（PA）水平的变化。CHW-SB计划进行了为期10周的评估。数据收集包括人体测量、代谢、PA和心理测量。进行纵向混合效应回归，以评价从第1阶段（等待名单上的项目前）到第2阶段（项目期间）的体重变化。238名18岁以下的儿童被转介到该方案，其中119人有资格参加。进入项目后，儿童的体重轨迹显着下降。参与者在进入项目前平均每月增加0.89%，而之后每月下降0.37%，下降1.26%（p < 0.0001，95%CI 1.08至1.44）。在参加最后一次访视的参与者中，zBMI（2.26 ± 0.33至2.20 ± 0.36，p < 0.001）、腰围（99 ± 15.7至97 ± 16 cm，p < 0.0001）和空腹胰岛素（137 ± 94.8至121 ± 83.4 pmol/L，p < 0.001）也有所下降。在PA、自我概念和焦虑的所有测量中均观察到显著改善。CHW-SB是一个政府资助的项目，是加拿大第一个接受评估的肥胖治疗项目。虽然短期评估显示肥胖、PA和心理指标有显著改善，但缺乏全面随访限制了对该计划临床有效性的解释，因为脱落可能与未能成功实现计划目标有关。这些数据还强调需要进行持续评估，以评估这一独特方案的长期影响，并最终优化政府资源的利用。
The objective was to conduct a program evaluation of the Centre for Healthy Weights—Shapedown BC (CHW-SB), a family-centered, multidisciplinary program for obese children, by assessing the change in weight trajectories from program intake to completion. Secondary outcomes included changes in clinical, biochemical and psychological parameters, and in physical activity (PA) levels. The CHW-SB program was evaluated over 10 weeks. Data collection included anthropometric, metabolic, PA and psychological measures. Longitudinal mixed effects regression was performed to evaluate weight change from Phase 1 (before program on waitlist) to Phase 2 (during program). 238 children <18 years of age were referred to the program of which 119 were eligible for participation. There was a significant decrease in weight trajectory in children following program entry. Participants experienced an average .89% monthly increase before program entry, compared to a .37% monthly decline afterwards, a drop of 1.26% (p < 0.0001, 95%CI 1.08 to 1.44). zBMI (2.26 ± 0.33 to 2.20 ± 0.36, p < 0.001), waist circumference (99 ± 15.7 to 97 ± 16 cm, p < 0.0001) and fasting insulin (137 ± 94.8 to 121 ± 83.4 pmol/L, p < 0.001) also decreased in participants who attended the final visit. Significant improvements were seen in all measures of PA, self-concept, and anxiety. CHW-SB, a government-funded program, is the first obesity-treatment program to be evaluated in Canada. While short-term evaluation revealed significant improvements in adiposity, PA, and psychological measures, the lack of full follow-up is a limitation in interpreting the clinical effectiveness of this program, as drop-out may be associated with lack of success in meeting program goals. These data also emphasize the need for ongoing evaluation to assess the long-term implications of this unique program and ultimately optimize utilization of governmental resources.
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