Recent Updates on the Efficacy of Group Based Treatments for Pediatric Obesity.
Recent Updates on the Efficacy of Group Based Treatments for Pediatric Obesity.
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DOI：
10.1007/s12170-015-0443-8
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发表时间：
2015-04
影响因子：
1.9
通讯作者：
Goldschmidt AB
中科院分区：
文献类型：
--
作者：
Hayes JF;Altman M;Coppock JH;Wilfley DE;Goldschmidt AB
关于儿童肥胖症的最佳治疗方式的研究有限。以群体为基础的干预措施很受欢迎，但目前尚不清楚是否可以在没有额外的个人组成部分的情况下获得结果。检查近期基于群体和混合形式(群体+个体)的儿童肥胖干预的统计学和临床显著结果。2013年1月至2014年9月发表的研究计算了体重变化的影响大小和幅度。与对照组相比，大约一半的基于小组的研究回顾产生了显著的结果，而且影响范围很小。混合格式的研究不太可能包括对照组，但那些确实证明了中等或较大影响的研究。在混合格式研究中，干预后体重变化的幅度通常大于仅分组研究。最近对儿童肥胖干预的研究表明，在以群体为基础的干预中包括个人成分可以产生最佳结果。未来的研究应该直接比较仅分组和混合形式，以证实这一观察结果。
There is limited research on optimal treatment formats for childhood obesity. Group-based interventions are popular, but it is unclear whether outcomes can be obtained without an additional individual component. To examine statistically and clinically significant outcomes of recent group-based and mixed-format (group + Individual) pediatric obesity interventions. Effect sizes and magnitudes of weight change were calculated for studies published between January 2013 and September 2014. Approximately half of the group-based studies reviewed produced significant results compared to control, and effect sizes were small. Mixed-format studies were less likely to include a control group, but those that did evidenced medium to large effects. Magnitudes of weight change post-intervention were generally greater in mixed-format studies than group-only studies. Recent studies in pediatric obesity interventions suggest including an individual component in a group-based intervention produces optimal outcomes. Future research should directly compare group-only and mixed formats to confirm this observation.