10-YEAR FOLLOW-UP OF BEHAVIORAL, FAMILY-BASED TREATMENT FOR OBESE CHILDREN
10-YEAR FOLLOW-UP OF BEHAVIORAL, FAMILY-BASED TREATMENT FOR OBESE CHILDREN
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DOI：
10.1001/jama.264.19.2519
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发表时间：
1990-11-21
影响因子：
120.7
通讯作者：
MCCURLEY, J
中科院分区：
文献类型：
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作者：
EPSTEIN, LH;VALOSKI, A;MCCURLEY, J
使用前瞻性、随机、对照设计，我们检验了基于行为的家庭治疗对6至12岁肥胖儿童10年来超重百分比和生长发育的影响。肥胖儿童和他们的父母被随机分为三组，这些组提供类似的饮食、锻炼和行为管理培训，但在减肥和行为改变的强化方面存在差异。儿童和家长组强化了父母和孩子的行为改变和体重减轻，儿童组加强了儿童行为改变和体重减轻，而非特异性控制组加强了家庭的照顾。儿童组和家长组的儿童在5年和10年后超重百分比的降幅(分别为-11.2%和-7.5%)明显高于非特异性对照组儿童(分别为+7.9%和+14.3%)。儿童组的儿童在5岁和10岁后显示出超重百分比的增加(分别为+2.7%和+4.5%)，介于儿童组、父母组和非特定组之间，两者都没有显著差异。在10岁时，孩子的身高与同性父母的身高有很强的相关性(r=0.78)：孩子比父母高1.8厘米，不同组之间的身高没有差异。
Using a prospective, randomized, controlled design, we examined the effects of behavioral family-based treatment on percent overweight and growth over 10 years in obese 6- to 12-year-old children. Obese children and their parents were randomized to three groups that were provided similar diet, exercise, and behavior management training but differed in the reinforcement for weight loss and behavior change. The child and parent group reinforced parent and child behavior change and weight loss, the child group reinforced child behavior change and weight loss, and the nonspecific control group reinforced families for attendance. Children in the child and parent group showed significantly greater decreases in percent overweight after 5 and 10 years (-11.2% and -7.5%, respectively) than children in the nonspecific control group (+7.9% and +14.3%, respectively). Children in the child group showed increases in percent overweight after 5 and 10 years (+2.7% and +4.5%, respectively) that were midway between those for the child and parent and nonspecific groups and not significantly different from either. At 10 years, child height was related strongly to the height of the parent of the same sex (r = .78): children were 1.8 cm taller than their parents, with no differences in height between groups.