FOLLOW-UP OF BEHAVIORAL CHILDHOOD OBESITY TREATMENT

肥胖的儿童成为肥胖的成年人的风险增加， 与非肥胖者相比，发病率和死亡率风险升高 孩子发展强有力的干预措施，改变童年 肥胖并在整个发育过程中保持这些效应可能会减少 成人肥胖症的患病率，并改善这些儿童的健康， 成年人了我们在开发有效的治疗方法方面取得了初步进展 对于肥胖儿童，使用这些方法已经显示出显着 治疗效果维持10年以上，平均 10 - 20岁的孩子被跟踪。在这些研究中，我们发现 两个因素似乎在治疗中很重要，针对父母和 儿童和使用锻炼计划。此外，我们还记录了 与长期随访相关的各种回顾性因素， 包括膳食脂肪、自我监测体重、父母和朋友的支持 饮食和锻炼。 这项研究旨在启动一项新的随机、对照 一项旨在评估问题解决干预措施对 儿童肥胖症治疗解决问题的干预措施已经 成功地用于治疗各种儿童和成人问题， 对肥胖症的初步研究是有希望的。拟定研究 将有肥胖儿童的家庭和父母随机分组， 父母和孩子都接受了解决问题的培训，孩子 单独接受解决问题的训练，或对照组，其中 父母和孩子都没有接受解决问题的培训。家庭将 提供为期六个月的标准干预，并举行后续会议 在12、24和36个月时。问题解决将通过实验室评估 在家测量。家庭支持饮食和运动改变 以及收支指标。

Obese children are at an increased risk of becoming obese adults, with an elevated risk of morbidity and mortality in comparison to non-obese children. The development of powerful interventions that modify childhood obesity and maintain these effects throughout development may decrease the prevalence of adult obesity, and improve the health of these children as adults. We have made initial progress in developing effective treatments for obese children, and using these methods have shown significant maintenance of treatment effects over ten year intervals, with the average child being followed from ages 10-20. In these studies we have identified two factors that appear important in treatment, targeting both parents and children and use of exercise programs. In addition, we have documented a variety of retrospective factors that were related to long term follow-up, including dietary fat, self-monitoring weight, parent and friend support for eating and exercise. The proposed research is designed to initiate a new randomized, controlled study to evaluate the effect of problem solving interventions for childhood obesity treatment. Problem solving interventions have been successfully used to treat a variety of child and adult problems, and the initial research on obesity has been promising. The proposed study randomizes families with obese children and parents to groups in which both the parent and child receive problem solving training, the child alone receives problem solving training, or a control group in which neither parent nor child receive problem solving training. Families will be provided a standardized six month intervention, with follow-up meetings at 12, 24 and 36 months. Problem solving will be assessed using laboratory and at home measurements. Family support for eating and exercise change and intake and expenditure measures will also be collected.