The role of structure in dietary approaches for the treatment of pediatric overweight and obesity: A critical review.
The role of structure in dietary approaches for the treatment of pediatric overweight and obesity: A critical review.
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结构在治疗儿童超重和肥胖的饮食方法中的作用：一个重要的回顾。
DOI：
10.1111/obr.13266
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Raynor HA
中科院分区：
文献类型：
--
作者：
Griffiths LA;Douglas SM;Raynor HA
一个多组分的方法来治疗儿童超重/肥胖，其中包括行为策略，改变饮食和体力活动/久坐不动的行为，分级建议其使用。在这种方法中使用的饮食干预措施没有。研究表明，对于成年人来说，提供更大结构（或更多地控制所摄入食物的类型/数量）的强烈分级饮食干预会产生更好的体重结果。在这篇评论中，专家委员会推荐的用于治疗儿童超重/肥胖的饮食干预措施根据其潜在的饮食结构程度进行了分类，并描述了其对体重结果的影响。四个层次的饮食结构进行了审查，操作为改变以下：食物组，如水果和蔬菜（低结构）;日常饮食场合，如膳食（中等结构）;大量的营养素，如能量（高结构）;和能量加额外的饮食改变（非常高的结构）。总共确定并审查了24项干预措施（4项低结构、3项中等结构、5项高结构和12项非常高结构）。标准化体重指数的降低随着结构的增加而增加，干预≥6个月比干预<6个月的结果更好。未来的研究应实证检验饮食干预结构，以确定其对儿童超重/肥胖治疗期间体重状况的影响。
A multicomponent approach for the treatment of pediatric overweight/obesity, which includes behavioral strategies to alter diet and physical activity/sedentary behavior, has graded recommendations for its use. Dietary interventions to be used within this approach do not. In adults, research indicates that strongly graded dietary interventions providing greater structure (or more control over the types/amount of food consumed) produce better weight outcomes. For this critical review, dietary interventions recommended by the Expert Committee for the treatment of pediatric overweight/obesity were categorized according to their potential degree of dietary structure, and their impact on weight outcomes was described. Four levels of dietary structure were reviewed, operationalized as alterations to the following: food groups, such as fruits and vegetables (low structure); daily eating occasions, such as meals (moderate structure); large nutrients, such as energy (high structure); and energy plus additional dietary alterations (very high structure). In total, 24 interventions (four low, three moderate, five high, and 12 very high structure structure) were identified and reviewed. Reductions in standardized body mass index increased with increasing structure, and interventions ≥6 months had better outcomes than interventions <6 months. Future research should empirically test dietary intervention structure to determine its impact on weight status during pediatric overweight/obesity treatment.
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影响因子：
6.1
作者：
Jensen, M. E.;Gibson, P. G.;Wood, L. G.
通讯作者：
Wood, L. G.
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
120.7
作者：
Piercy, Katrina L.;Troiano, Richard P.;Ballard, Rachel M.;Carlson, Susan A.;Fulton, Janet E.;Galuska, Deborah A.;George, Stephanie M.;Olson, Richard D.
通讯作者：
Olson, Richard D.
DOI：
10.1177/0272989x12447240
发表时间：
2013-02
期刊：
Medical decision making : an international journal of the Society for Medical Decision Making
影响因子：
--
作者：
Goldhaber-Fiebert JD;Rubinfeld RE;Bhattacharya J;Robinson TN;Wise PH
通讯作者：
Wise PH
影响因子：
1.6
作者：
Looney, Shannon M.;Raynor, Hollie A.
通讯作者：
Raynor, Hollie A.