Impact of Lifestyle Intervention Programs for Children and Adolescents with Overweight or Obesity on Body Weight and Selected Cardiometabolic Factors-A Systematic Review.

Impact of Lifestyle Intervention Programs for Children and Adolescents with Overweight or Obesity on Body Weight and Selected Cardiometabolic Factors-A Systematic Review.
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DOI:
10.3390/ijerph18042061
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发表时间:
2021-02-20
影响因子:
--
通讯作者:
Harton A
Harton A
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bondyra-Wiśniewska B;Myszkowska-Ryciak J;Harton A

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体重过多是儿童和青少年的一个健康问题,会导致血脂紊乱和血压异常的发生。有效治疗儿童体重过多对于未来人口的健康至关重要。该研究的目的是确定超重或肥胖儿童和青少年生活方式干预的普遍组成部分,从而导致体重减轻和选定的心脏代谢参数的改善。该综述纳入了 2010-2019 年发表的 PubMed 和 Google Scholar 数据库中的研究,对这些研究的资格标准进行了分析,包括参与者的年龄、定义为超重或肥胖的 BMI、营养干预以及 BMI 和/或 BMI z 分数的评估以及至少一个血脂参数。审查纳入了 18 项研究,展示了 23 项干预计划的结果,共有 1587 名儿童和青少年参与。除一项外,所有干预措施都是多方面的。数据分析表明,BMI 和/或 BMI z 分数的降低与饮食和体力活动、治疗团队中营养师/营养专家和医生的参与以及干预持续时间较长之间存在关系。此外,BMI的下降似乎主要与总胆固醇、甘油三酯、低密度脂蛋白胆固醇和血压的下降有关。 BMI 和/或 BMI z 分数的变化与血压的变化无关。公共卫生当局可以使用我们的数据为儿童和青少年设计有效的减肥计划。
Excessive body mass is a health problem among children and adolescents that contributes to the occurrence of lipid disorders and abnormal blood pressure. Effective treatment of excessive body mass in children is essential for the health of population in the future. The aim of the study was to identify universal components of lifestyle interventions in children and adolescents with overweight or obesity leading to weight loss and improvement of selected cardiometabolic parameters. The review included studies from the PubMed and Google Scholar databases published in 2010–2019, which were analyzed for eligibility criteria including age of the participants, BMI defined as overweight or obese, nutritional intervention and the assessment of BMI and/or BMI z-score and at least one lipid profile parameter. Eighteen studies were included in the review, presenting the results of 23 intervention programs in which a total of 1587 children and adolescents participated. All interventions, except one, were multi-component. Data analysis suggests a relationship between a decrease in BMI and/or BMI z-score with diet and physical activity, the involvement of a dietician/nutrition specialist and physician in the treatment team and a longer duration of intervention. Moreover, it seems that a decrease in BMI is mostly associated with decreases in total cholesterol, triglycerides, low density lipoprotein cholesterol and blood pressure. No change in BMI and/or BMI z-score is associated with no change in blood pressure. Our data can be used by public health authorities to design effective weight loss programs for children and adolescents.
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