FAMILY-BASED TREATMENT OF SEVERE PEDIATRIC OBESITY

严重儿童肥胖的家庭治疗

• 批准号: 6637051
• 负责人: MARSHA D MARCUS
• 金额: $ 42.61万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2005-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6637051
• 关键词: adolescence (12-20); behavior therapy; behavioral /social science research tag; body composition; body weight; child (0-11); developmental nutrition; diet; exercise; family therapy; gender difference; human subject; human therapy evaluation; interview; longitudinal human study; nutrient intake activity; nutrition related tag; obesity; parents; patient oriented research; racial /ethnic difference; therapy compliance; weight control

DESCRIPTION: (adapted from investigator's abstract) The prevalence of pediatric obesity has increased significantly and approximately 11 percent of American children and adolescents are obese. Of particular concern, the greatest increase in prevalence has occurred among the heaviest medical and psychosocial morbidity than milder obesity is. Moreover, severely obese children are likelier than less severely obese children are to be become obese adults and suffer the long term health consequences of obesity. Although the efficacy of family based behavioral weight control programs in the treatment of moderate pediatric obesity is well established, few studies have focused on the treatment of severe obesity. Thus in this application, we propose a randomized controlled trial to evaluate the efficacy of a family-based behavioral weight control program in the management of severe pediatric obesity. Two hundred children aged 8-12 will be randomized to a 6-month family-based program or usual care, and will complete assessments at pre- and post-treatment and 6 month and 12 month follow-ups. It is hypothesized that: Children who participate in the family based program, when compared to children who receive usual care, will report symptoms. A secondary aim of the proposed investigation is to examine the relationships among gender, race, compliance to diet and exercise, level of parent adherence and treatment outcome. The proposed investigation will gather data about a serious public health problem and establish a foundation for programmatic research to develop effective treatments for an underserved population.

描述：（改编自研究者摘要） 肥胖率显著上升，大约11%的美国人 儿童和青少年肥胖。特别值得关注的是， 在最严重的医疗和心理社会问题中， 比轻度肥胖的发病率高。此外，严重肥胖的儿童 比不太严重的肥胖儿童更有可能成为肥胖的成年人， 遭受肥胖的长期健康后果。虽然疗效 以家庭为基础的行为体重控制计划在治疗中度 儿童肥胖是公认的，很少有研究集中在 治疗严重肥胖症。因此，在本申请中，我们提出了一种随机的 对照试验，以评估基于家庭的行为体重的有效性 控制程序在严重的儿童肥胖症的管理。 200名8-12岁的儿童将被随机分配到一个6个月的家庭为基础的 计划或常规护理，并将在治疗前和治疗后完成评估 并进行6个月和12个月随访。据推测， 与接受家庭教育的儿童相比， 常规护理，将报告症状。拟议调查的次要目的是 是检查性别、种族、饮食依从性和 运动、父母依从性水平和治疗结果。拟议 调查将收集有关严重公共卫生问题的数据， 为项目研究奠定基础，以开发有效的 为弱势群体提供治疗。