Cluster randomized control trial promoting child self-regulation around energy-dense food.
Cluster randomized control trial promoting child self-regulation around energy-dense food.
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DOI：
10.1016/j.appet.2018.10.035
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发表时间：
2019-02-01
期刊：
影响因子：
5.4
通讯作者：
Boutelle KN
中科院分区：
文献类型：
--
作者：
Rhee KE;Kessl S;Manzano MA;Strong DR;Boutelle KN
抑制控制能力较低的儿童随着时间的推移体重增加更大，并且消耗更多的零食。我们的目标是测试一个基于增强学龄前儿童自我调节的试点项目是否可以减少高能量食物的消费。92名学龄前儿童被随机分为干预组和对照组。干预是一个为期三周的，以游戏为基础的计划，重点是提高执行功能技能和减少能量密集型零食的消费。对照组在相似的时间内会面，但重点是牙齿卫生，良好的睡眠习惯/例程和身体活动。主要结果包括在干预后的“在没有饥饿的情况下进食”范例中消耗的卡路里，控制基线消耗的卡路里。使用“日/夜”和“少即是多”任务评估抑制控制。两组之间的干预后卡路里消耗没有差异（p=0.42）。然而，事后分析显示组和体重状态之间存在显著的相互作用（p=0.04）。在干预组中，超重/肥胖和健康体重儿童消耗的卡路里数量相似（分别为118.0千卡和124.1千卡，p=0.64）。然而，在对照组中，超重/肥胖儿童的摄入量高于正常体重儿童（分别为155.9 kcal和103.6 kcal; p=0.01）。关于抑制控制，事后分析显示组与年龄之间存在显著的相互作用（p=0.03），干预组中的幼儿得分高于对照组中的幼儿（分别为0.93 vs 0.78，p=0.007）。年龄较大的儿童中未观察到组间差异（0.93 vs 0.96，p=0.42）。这些类型的学龄前儿童计划可能有助于缓和超重/肥胖儿童的过量卡路里消耗。进一步发展和研究儿科项目，防止消耗多余的热量是必要的。
Children with lower inhibitory control have greater weight gain over time and consume more snack food. Our goal was to test whether a pilot program based on enhancing self-regulation in preschool children could decrease consumption of energy-dense foods. Ninety-two preschool children were randomized to the intervention or control group. The intervention was a three-week, play-based program that focused on enhancing executive function skills and decreasing consumption of energy dense snack foods. Controls met for a similar length of time, but focused on dental hygiene, good sleep habits/routines, and physical activity. Primary outcome included calories consumed during the post-intervention “Eating in the Absence of Hunger” paradigm, controlling for baseline calories consumed. Inhibitory control was assessed using the “Day/Night” and “Less is More” tasks. There were no differences in post-intervention calories consumed between groups (p=0.42). However, post-hoc analysis revealed a significant interaction between group and weight status (p=0.04). In the intervention group, overweight/obese and healthy weight children consumed a similar number of calories (118.0 kcals vs. 124.1 kcals respectively, p=0.64). However, in the control group, overweight/obese children consumed more than normal weight children (155.9 kcals vs. 103.6 kcals respectively; p=0.01). With regards to inhibitory control, post-hoc analysis revealed a significant interaction between group and age (p=0.03), with younger children in the intervention group scoring higher than younger children in the control group (0.93 vs 0.78 respectively, p=0.007). No differences were observed between groups among older children (0.93 vs 0.96, p=0.42). These types of programs for preschool children may help to temper consumption of excess calories among overweight/obese children. Further development and investigation of pediatric programs that prevent consumption of excess calories are warranted.
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DOI：
10.1016/j.jbtep.2011.02.008
发表时间：
2011-09-01
影响因子：
1.8
作者：
Houben, Katrijn
通讯作者：
Houben, Katrijn
影响因子：
6.9
作者：
Faith, Myles S.;Berkowitz, Robert I.;Stunkard, Albert J.
通讯作者：
Stunkard, Albert J.
3至12岁的儿童的自我调节和体重快速增加。
影响因子：
--
作者：
Francis, Lori A.;Susman, Elizabeth J.
通讯作者：
Susman, Elizabeth J.
影响因子：
4.2
作者：
Houben, Katrijn;Nederkoorn, Chantal;Jansen, Anita
通讯作者：
Jansen, Anita
影响因子：
5.9
作者：
Boutelle, Kerri N.;Zucker, Nancy L.;Harnack, Lisa
通讯作者：
Harnack, Lisa