Childhood obesity treatment:: targeting parents exclusively v. parents and children
Childhood obesity treatment:: targeting parents exclusively v. parents and children
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DOI：
10.1079/bjn20061757
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发表时间：
2006-05-01
影响因子：
3.6
通讯作者：
Shahar, DR
中科院分区：
文献类型：
--
作者：
Golan, M;Kaufman, V;Shahar, DR
人们一致认为，预防和治疗儿童肥胖症的干预措施应该涉及家庭;然而，儿童参与的程度却很少受到关注。本研究的目的是评估通过以家庭为基础的健康为中心的干预措施治疗儿童肥胖症的相对有效性，仅针对父母与父母和肥胖儿童一起。将32个6-11岁肥胖儿童家庭随机分组，为参与者提供为期6个月的健康生活方式综合教育和行为计划。这些群体在他们的主要变化媒介上有所不同：只有父母与父母和肥胖儿童。在这两个群体中，父母都被鼓励培养权威的养育方式（父母既坚定又支持;在环境变化中发挥领导作用，适当给予儿童自主权）。只有针对父母的干预措施导致在方案结束时（P=0.02）以及在1年的随访会议上超重的百分比显著降低。两个时间点组间比较差异有显著性（P < 0.05）。在只有父母的组中，家庭中食物刺激的减少更大（P < 0.05）。在这两组中，父母的体重状况没有改变。回归分析表明，参加会议的水平解释了儿童体重状况变化的28%的变异性，治疗组解释了另外10%的变异性，而致胖负荷的改善解释了11%的变异性。这些结果表明，忽略肥胖儿童积极参与以健康为中心的计划可能有利于减肥和促进肥胖儿童的健康生活方式。
There is a consensus that interventions to prevent and treat childhood obesity should involve the family; however, the extent of the child's involvement has received little attention. The goal of the present study was to evaluate the relative efficacy of treating childhood obesity via a family-based health-centred intervention, targeting parents alone v. parents and obese children together. Thirty-two families with obese children of 6-11 years of age were randomised into groups, in which participants were provided for 6 months a comprehensive educational and behavioural programme for a healthy lifestyle. These groups differed in their main agent of change: parents-only v. the parents and the obese child. In both groups, parents were encouraged to foster authoritative parenting styles (parents are both firm and supportive; assume a leadership role in the environmental change with appropriate granting of child's autonomy). Only the intervention aimed at parents-only resulted in a significant reduction in the percentage overweight at the end of the programme (P=0.02) as well as at the 1-year follow-up meeting. The differences between groups at both times were significant (P < 0.05). A greater reduction in food stimuli in the home (P < 0.05) was noted in the parents-only group. In both groups, the parents' weight status did not change. Regression analysis shows that the level of attendance in sessions explained 28 % of the variability in the children's weight status change, the treatment group explained another 10 %, and the improvement in the obesogenic load explained 11 % of the variability. These results suggest that omitting the obese child from active participation in the health-centred programme may be beneficial for weight loss and for the promotion of a healthy lifestyle among obese children.