NOURISH-T: Targeting caregivers to improve health behaviors in pediatric cancer survivors with obesity.
NOURISH-T: Targeting caregivers to improve health behaviors in pediatric cancer survivors with obesity.
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DOI：
10.1002/pbc.26941
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发表时间：
2018-05
影响因子：
3.2
通讯作者：
Mazzeo S
中科院分区：
文献类型：
--
作者：
Stern M;Bleck J;Ewing LJ;Davila E;Lynn C;Hale G;Mazzeo S
儿童癌症幸存者(PCS)的肥胖率高得惊人。尽管改变健康的生活方式可能会预防未来的健康并发症，但在PCS中促进健康行为是具有挑战性的，而且很少有干预措施成功地解决这个问题。这项随机对照试验评估了以父母为中心的6次干预的可行性和初步有效性，并与增强型日常护理(EUC)相比，对照顾者和PCS的人体测量、饮食行为和体力活动的结果进行了比较。在基线、干预后和4个月的随访中，对照顾者和PCS在这两种情况下进行行为和自我报告评估。与EUC照顾者中没有变化相比，通过对BMI、腰臀比和每日总卡路里摄入量的随访，Nutiish-T照顾者显示出与基线相比略有但显著的下降。然而，每日脂肪和糖的摄入量没有变化。Nutiish-T照顾者在他们的儿童喂养行为方面也显示出积极的变化，包括减少对孩子进食的压力和限制孩子的进食，以及增加家庭一起进食。类似地，从基线到干预后，Nutiish-T PCS的BMI百分位数、腰臀比和含糖饮料消费量都有所下降。Nutiish-T PCS也显著增加了他们的每日步数，而EUC PCS减少了他们的每日步数。结果表明，以父母为目标的干预是可行的，并证明了初步的有效性。Nutiish-T显示出对照顾者的长期影响，虽然短期内对PCS本身有积极影响。对改善营养-T作为增加PCS健康行为的干预方法的含义进行了讨论。
Obesity rates in pediatric cancer survivors (PCS) are alarmingly high. Although healthy lifestyle changes may prevent future health complications, promoting healthy behaviors in PCS is challenging, and few interventions have successfully addressed this issue. This randomized control trial evaluated the feasibility and preliminary effectiveness of a parent-focused 6-session intervention, NOURISH-T, compared with enhanced usual care (EUC) on the outcomes of caregiver and PCS anthropometric measurements, eating behaviors, and physical activity. Behavioral and self-report assessments of caregivers and PCS in both conditions were conducted at baseline, post-intervention, and at a 4-month follow-up. In comparison to no change among EUC caregivers, NOURISH-T caregivers showed small yet significant decreases from baseline through follow-up on BMI, waist-hip ratio, and total daily caloric intake. However there was no change with regards to daily fat and sugar intake. NOURISH-T caregivers also showed positive changes in their child feeding behaviors, including decreases in pressuring their child to eat and restricting their child’s eating and increased eating together as a family. Similarly, decreases in BMI percentile, waist-hip ratio, and sugary beverage consumption were found for NOURISH-T PCS from baseline to post-intervention. NOURISH-T PCS also significantly increased their daily steps whereas EUC PCS decreased their daily steps. Results suggest that an intervention targeting parents is feasible and demonstrates preliminary effectiveness. NOURISH-T showed a longer-term effect on caregivers, and although shorter-term, a positive impact on the PCS themselves. Implications for ways to improve NOURISH-T as an intervention for increasing healthy behaviors of PCS are discussed.
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影响因子：
45.3
作者：
Green, Daniel M.;Cox, Cheryl L.;Robison, Leslie L.
通讯作者：
Robison, Leslie L.
DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
3.2
作者：
Huang, Jeannie S.;Dillon, Lindsay;Terrones, Laura;Schubert, Lynn;Roberts, William;Finklestein, Jerry;Swartz, Maria C.;Norman, Gregory J.;Patrick, Kevin
通讯作者：
Patrick, Kevin
影响因子：
3.6
作者：
Golan, M;Kaufman, V;Shahar, DR
通讯作者：
Shahar, DR
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.