Parents as agents of change in childhood obesity - from research to practice
Parents as agents of change in childhood obesity - from research to practice
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DOI：
10.1080/17477160600644272
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发表时间：
2006-01-01
影响因子：
--
通讯作者：
Golan, Moria
中科院分区：
文献类型：
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作者：
Golan, Moria
家庭环境无疑是塑造儿童饮食和体育活动行为的最重要的环境。以家庭为基础的行为治疗是治疗儿童肥胖症最成熟的干预措施。从历史上看，以家庭为基础的干预措施的目标是肥胖儿童和至少一个或两个父母。这里提出的是一个审查的文献父母作为独家代理人的变化，除了最近的一些结果表明这种方法的有效性时，在公共卫生项目中实施。有针对性的父母作为唯一的调解人，导致更好地减少儿童的超重比例，并改善肥胖的环境和行为，在设置中，父母参加会议与肥胖的孩子，或只有孩子参加会议。这些研究的结果随后在全国社区调查中得到落实。虽然只有父母参加了小组会议，但儿童和父母的体重状况都得到了显着改善。家庭中的肥胖负荷也显著降低。宽容的父母教养方式与家庭中的肥胖负荷降低较少相关（p
The home environment is undoubtedly the most important setting in relation to shaping children's eating and physical activity behaviors. Family-based behavioral treatment is the most well-established intervention for the treatment of childhood obesity. Historically, family based interventions target the obese child and at least one or both parents. Presented here is a review of the literature on parents as exclusive agents of change, with the addition of some recent results indicating the effectiveness of this approach when implemented in public health programs. Targeting parents as the exclusive mediator has resulted in a better reduction in children's percentage overweight, and improvement in the obesogenic environment and behaviors, in comparison to a setting in which parents attended sessions with the obese child, or only children attended sessions. The findings from these studies were subsequently implemented in a national community-based survey. Both children's and parents' weight status were significantly improved, although only parents attended the group sessions. A significant reduction in the obesogenic load at home was also found. Permissive parenting style was associated with less reduction in obesogenic load at home (p