Impact of Race and Ethnicity on Weight-Loss Outcomes in Pediatric Family-Based Obesity Treatment
Impact of Race and Ethnicity on Weight-Loss Outcomes in Pediatric Family-Based Obesity Treatment
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DOI：
10.1007/s40615-019-00694-6
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发表时间：
2020-08-01
影响因子：
3.9
通讯作者：
Boutelle, Kerri N.
中科院分区：
文献类型：
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作者：
Eichen, Dawn M.;Rhee, Kyung E.;Boutelle, Kerri N.
简介 少数族裔儿童受到肥胖的影响尤为严重，而且人们对种族/族裔如何影响儿科减肥治疗的结果知之甚少。本研究旨在评估种族/民族是否影响儿童肥胖干预中的减肥结果。次要目标包括评估种族/民族是否与能量摄入、锻炼、计划遵守、可接受性和出勤率相关。方法 150 名父母/孩子（年龄 8-12 岁，BMI% 85-99.9；32% 西班牙裔，24% 非西班牙裔，非白人，44% 非西班牙裔白人）参加了一项随机对照试验，评估有（FBT）或没有儿童参与（即基于父母的治疗，PBT）的家庭行为治疗中的体重减轻。评估发生在基线、治疗中期（第 3 个月）、治疗后（第 6 个月）和随访（第 12 个月和第 24 个月）。分析包括线性混合效应模型、线性模型和负二项式模型。结果 西班牙裔、非西班牙裔白人和非西班牙裔、非白人儿童在第 6、12 和 24 个月时的体重减轻没有因种族/族裔的显着差异 (p = 0.259)，并且在两种治疗中相似 (FBT = - 0.16 BMIz; PBT = - 0.21 BMIz;p = 0.61)。能量摄入、体力活动、可接受性评级或治疗依从性（通过治疗后调查测量）没有差异（p > 0.123）。然而，西班牙裔家庭接受治疗的次数少于非西班牙裔白人家庭 (p = 0.017)。结论 平均而言，参加我们的儿童肥胖治疗的儿童体重减轻，且组间体重减轻没有统计学差异。未来的研究需要评估文化适应治疗是否对少数种族/族裔更有效，或者基于家庭的行为治疗固有的个性化是否足够。
Introduction Minority children are disproportionately affected by obesity and little is known about how race/ethnicity impacts outcomes in pediatric weight-loss treatment. This study aimed to evaluate whether race/ethnicity affected weight-loss outcomes in a pediatric obesity intervention. Secondary aims included evaluating whether race/ethnicity was associated with energy intake, exercise, program adherence, acceptability, and attendance. Methods One hundred fifty parent/child dyads (age 8-12 years, BMI% 85-99.9; 32% Hispanic, 24% Non-Hispanic, Non-White, 44% Non-Hispanic White) participated in a randomized control trial evaluating weight loss in family-based behavioral treatment with (FBT) or without child participation (i.e., Parent-Based Treatment, PBT). Assessments occurred at baseline, mid-treatment (month 3), post-treatment (month 6), and follow-up (months 12 and 24). Analyses included linear mixed effect models, linear models, and a negative binomial model. Results Weight loss in Hispanic, Non-Hispanic White, and Non-Hispanic, Non-White children was not significantly different by race/ethnicity at months 6, 12, and 24 (p = 0.259) and was similar across both treatments (FBT = - 0.16 BMIz; PBT = - 0.21 BMIz;p = 0.61). There were no differences in energy intake, physical activity, acceptability ratings, or adherence to treatment (as measured by a post-treatment survey) (p's > 0.123). However, Hispanic families attended fewer treatment visits than Non-Hispanic White families (p = 0.017). Conclusion On average, children lost weight participating in our pediatric obesity treatment and there was no statistical difference in weight loss between groups. Future research evaluating whether culturally adapted treatments would be more effective for racial/ethnic minorities or whether the personalization inherent in family-based behavioral treatment may be sufficient is needed.