Ten-year follow-up of behavioral, family-based treatment for obese children.
Ten-year follow-up of behavioral, family-based treatment for obese children.
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DOI：
10.1001/jama.1990.03450190051027
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发表时间：
1990-11
期刊：
影响因子：
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通讯作者：
L. Epstein;A. Valoski;R. Wing;J. McCurley
中科院分区：
文献类型：
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作者：
L. Epstein;A. Valoski;R. Wing;J. McCurley
采用前瞻性、随机、对照设计，我们研究了以行为家庭为基础的治疗对6- 12岁肥胖儿童10年内超重百分比和成长的影响。肥胖儿童及其父母被随机分为三组，提供相似的饮食、运动和行为管理训练，但在减肥和行为改变的强化方面有所不同。儿童和父母组加强父母和儿童行为改变和减肥，儿童组加强儿童行为改变和减肥，非特定对照组加强家庭出席。儿童和父母组的儿童在5年和10年后的超重百分比下降幅度（分别为-11.2%和-7.5%）明显大于非特异性对照组的儿童（分别为+ 7.9%和+ 14.3%）。儿童组的儿童在5岁和10岁后超重百分比增加（分别为+ 2.7%和+ 4.5%），介于儿童和父母以及非特定组之间，与任何一组都没有显著差异。10岁时，儿童身高与同性父母的身高密切相关(r = .78名儿童比父母高1.8 cm，组间身高无差异。
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.