Management of overweight pre-pubertal children - a randomised controlled trial

青春期前超重儿童的管理——一项随机对照试验

• 批准号: nhmrc : 275526
• 负责人: A/Pr Anthea Magarey
• 金额: $ 27.16万
• 依托单位: Flinders University
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2004
• 资助国家: 澳大利亚
• 起止时间: 2004-01-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/management-overweight-pre-controlled-trial/81014
• 关键词: Management; overweight; pre; pubertal; children

Obesity is an increasingly common problem in the Australian community, affecting both adults and children. Up to 1 in 4 Australian children are overweight or obese, making it one of the most common chronic disorders in this age-group. Obesity in childhood is associated with such complications as high blood pressure, risk of diabetes, high cholesterol levels, hip, knee and ankle problems, and psychological distress. Given the impact of overweight and obesity on the health of children, how can it be best treated? Surprisingly, there is little information available to guide the management of this common problem. In this study we will test the hypothesis that the addition of a parent skills training program will significantly increase the effectiveness of a diet-activity program designed to reduce weight in overweight 6 to 9-year-olds. Children enrolled in the study will receive one of two interventions (i) parenting + activity-diet or (ii) diet-activity. Parents in the parenting intervention will participate in a parenting skills training program (Triple P) preceding the diet-activity program. Triple P comprises four 2-hour weekly group sessions and four, 15 minute follow-up phone calls which will focus on the skills and strategies required to supervise lifestyle changes. The diet-activity program comprises 8 group sessions for parents over a 5 month period on specific dietary and activity changes and simultaneous structured activity sessions for the children. Success will be judged in several ways. Over a 2 year period, we will monitor the child's weight, self-esteem, sense of well-being, blood pressure and cholesterol levels. We will also monitor the family's functioning and the parents' parenting skills and sense of efficacy. Results from the study should allow us to determine which treatment approach for management of childhood obesity is the most appropriate to be established in community settings.

在澳大利亚，肥胖是一个越来越普遍的问题，成年人和儿童都受到影响。多达四分之一的澳大利亚儿童超重或肥胖，使其成为该年龄段最常见的慢性疾病之一。儿童期肥胖与高血压、糖尿病风险、高胆固醇水平、髋关节、膝关节和踝关节问题以及心理困扰等并发症有关。鉴于超重和肥胖对儿童健康的影响，如何才能最好地治疗它？令人惊讶的是，几乎没有可用的信息来指导这个常见问题的管理。在这项研究中，我们将测试一个假设，即增加父母技能培训计划将显著提高饮食活动计划的有效性，该计划旨在减轻6至9岁超重儿童的体重。参加研究的儿童将接受两种干预措施中的一种(i)养育+活动-饮食或（ii）饮食-活动。参与父母干预的父母将在饮食活动计划之前参加父母技能培训计划（Triple P）。3p包括每周4次2小时的小组会议和4次15分钟的后续电话会议，这些电话会议将重点关注监督生活方式改变所需的技能和策略。饮食活动计划包括为期5个月的8次家长小组会议，讨论具体的饮食和活动变化，同时为儿童安排有组织的活动会议。评判成功的标准有几个方面。在两年的时间里，我们将监测孩子的体重、自尊、幸福感、血压和胆固醇水平。我们也会监察家庭的运作，以及家长的育儿技巧和效能感。这项研究的结果应该使我们能够确定哪种治疗儿童肥胖的方法最适合在社区环境中建立。