A randomized controlled trial to prevent obesity among Latino paediatric patients.
A randomized controlled trial to prevent obesity among Latino paediatric patients.
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DOI：
10.1111/ijpo.12466
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发表时间：
2018-11
影响因子：
3.8
通讯作者：
Elder JP
中科院分区：
文献类型：
--
作者：
Crespo NC;Talavera GA;Campbell NR;Shadron LM;Behar AI;Slymen D;Ayala GX;Wilfley D;Elder JP
肥胖对拉美裔青年的影响不成比例。社区诊所是一项重要的资源，但几乎没有证据表明以诊所为基础的方法在这一人群中的有效性。这项研究的目的是测试以临床为基础的干预措施在超重拉美裔儿童中降低身体质量指数(BMI)和改善身体成分的有效性。对297例5~10岁超重儿童及其父母进行了随机抽样的2组×3次重复试验。为期12个月的以家庭为基础的文化定制行为干预(Luces De Cambio)是基于“红绿灯”的概念，以解决行为变化，由诊所健康教育人员和中层提供者提供。主要研究结果是在基线、基线后6个月(n=191)和12个月(n=201)评估儿童BMI(kg/m2)。采用双能X射线吸收法(DXA)对79名儿童进行了总体和局部肥胖症检查。干预对儿童BMI无显著影响(p>；0.05)，但与常规护理条件相比，干预儿童的总脂肪和躯干脂肪百分比显著降低(p<；0.05)。Luces干预没有降低儿童BMI，但观察到儿童体脂百分比有很小但显著的下降。需要进行进一步研究，以查明和减少拉丁裔家庭招募和参与的障碍。
Obesity disproportionately affects Latino youth. Community clinics are an important resource, yet there is little evidence for the efficacy of clinic-based approaches in this population. The purpose of this study was to test the efficacy of a clinic-based intervention to lower body mass index (BMI) and improve body composition among overweight Latino children. A randomized trial (2 group × 3 repeated measures) was conducted among 297 randomly sampled, overweight pediatric patients (5 – 10 years old) and their parents. The 12-month family-based culturally tailored behavioral intervention (Luces de Cambio) was based on the “traffic light” concepts to address behavior change and was delivered by clinic health educators and mid-level providers. The primary study outcome was child BMI (kg/m2) assessed at baseline, 6-months (n=191) and 12-months post-baseline (n=201). A subsample of the children was examined for overall and site-specific adiposity using Dual-energy X-ray Absorptiometry (DXA) (n=79). There were no significant intervention effects on child BMI (p>0.05), however, intervention children showed significantly (p<0.05) lower total and trunk percent fat compared to the usual care condition. The Luces intervention did not reduce child BMI, yet small but significant reductions were observed for child percent body fat. Further research is needed to identify and reduce barriers to recruitment and participation among Latino families.
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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：
5.6
作者：
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通讯作者：
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影响因子：
8
作者：
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通讯作者：
Barlow, Sarah E.
影响因子：
2.8
作者：
Gonzalez, Giulliana
通讯作者：
Gonzalez, Giulliana
影响因子：
8
作者：
Davison, KK;Susman, EJ;Birch, LL
通讯作者：
Birch, LL