Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth
Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth
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DOI：
10.1542/peds.2011-1568
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发表时间：
2012-03-01
期刊：
影响因子：
8
通讯作者：
Ogedegbe, Gbenga
中科院分区：
文献类型：
--
作者：
Brotman, Laurie Miller;Dawson-McClure, Spring;Ogedegbe, Gbenga
目的：为了检验这一假设，家庭干预，以促进有效的育儿在儿童早期影响肥胖preadolescence.METHODS：参与者是186少数民族青年在行为问题的风险谁参加了长期的随访研究后，随机分配到家庭干预或控制条件在4岁。后续研究1包括40名女孩在家庭行为问题的风险;后续研究2包括146名男孩和女孩在行为问题的风险的基础上，教师的评级。家庭干预的目的是促进有效的养育和预防儿童早期的行为问题;它不注重身体健康。研究1干预后平均5年测量BMI和健康行为，研究2干预后平均3年测量BMI和健康行为。结果：与对照组相比，随机分配到干预组的青年在随访时BMI显著降低（研究1 P = .05;研究2 P = .006）。干预组女孩和男孩的肥胖率（BMI >=第95百分位数）低于对照组（研究2：24% vs 54%，P = 0.002），证明了临床影响。有显着的干预控制组的差异，身体和久坐不动的活动，血压，和diet.CONCLUSIONS：两个长期的随机试验的后续研究表明，相对于对照组，青少年在4岁时接受家庭干预的行为问题的风险有较低的BMI和改善健康行为，因为他们接近青春期。努力促进有效的养育和预防生命早期的行为问题可能有助于减少肥胖和健康差距。儿科2012; 129：e621-e628
OBJECTIVES: To test the hypothesis that family intervention to promote effective parenting in early childhood affects obesity in preadolescence.METHODS: Participants were 186 minority youth at risk for behavior problems who enrolled in long-term follow-up studies after random assignment to family intervention or control condition at age 4. Follow-up Study 1 included 40 girls at familial risk for behavior problems; Follow-up Study 2 included 146 boys and girls at risk for behavior problems based on teacher ratings. Family intervention aimed to promote effective parenting and prevent behavior problems during early childhood; it did not focus on physical health. BMI and health behaviors were measured an average of 5 years after intervention in Study 1 and 3 years after intervention in Study 2.RESULTS: Youth randomized to intervention had significantly lower BMI at follow-up relative to controls (Study 1 P = .05; Study 2 P = .006). Clinical impact is evidenced by lower rates of obesity (BMI >= 95th percentile) among intervention girls and boys relative to controls (Study 2: 24% vs 54%, P = .002). There were significant intervention-control group differences on physical and sedentary activity, blood pressure, and diet.CONCLUSIONS: Two long-term follow-up studies of randomized trials show that relative to controls, youth at risk for behavior problems who received family intervention at age 4 had lower BMI and improved health behaviors as they approached adolescence. Efforts to promote effective parenting and prevent behavior problems early in life may contribute to the reduction of obesity and health disparities. Pediatrics 2012; 129: e621-e628