The Effectiveness of a Primary Care-Based Pediatric Obesity Program
The Effectiveness of a Primary Care-Based Pediatric Obesity Program
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DOI：
10.1177/0009922811425232
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发表时间：
2012-04-01
影响因子：
1.6
通讯作者：
Kemper, Alex R.
中科院分区：
文献类型：
--
作者：
Dolinsky, Diana H.;Armstrong, Sarah C.;Kemper, Alex R.
这项回顾性队列研究的目的是评估杜克大学健康生活方式计划（HLP）的有效性，这是一项以初级保健为基础的儿童肥胖治疗计划。研究人群包括2006年10月至2008年12月期间进入HLP的2至19岁肥胖患者，以及在进入后第6个月至第8个月期间访问HLP的患者。282例患者中大多数为女性（57%）和非西班牙裔/非白人（61%）。中位年龄为11岁。基线时，平均体重指数标准差评分（BMI SDS）为2.51，患者BMI SDS平均降低0.10（标准差= 0.20）。对于基线和随访测量合并症的患者，血压、甘油三酯、总胆固醇和胰岛素抵抗均有改善（P <0.05）。我们的肥胖项目中的患者表现出肥胖严重程度的小幅降低。一些肥胖相关的合并症得到改善。
The objective of this retrospective cohort study was to evaluate the effectiveness of the Duke University Healthy Lifestyles Program (HLP), a primary care-based childhood obesity treatment program. The study population included obese 2-through 19-year-old patients who entered the HLP between October 2006 through December 2008 and who had a visit to the HLP between the sixth and eighth month after entry. Most of the 282 patients were female (57%) and non-Hispanic/non-White (61%). The median age was 11 years. At baseline, the mean body mass index standard deviation score (BMI SDS) was 2.51, and patients achieved a mean reduction in BMI SDS of 0.10 (standard deviation = 0.20). For patients with baseline and follow-up measures of comorbidities, there were improvements in blood pressure, triglycerides, total cholesterol, and insulin resistance (P < .05). The patients in our obesity program demonstrated a small reduction in the severity of obesity. Improvements occurred in some obesity-associated comorbidities.