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首页> 外文期刊>Journal of Molecular Biochemistry >The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence
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The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence

机译：压力管理干预计划在管理儿童和青少年超重和肥胖中的有效性

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Background: Obesity in childhood and adolescence represents a major health problem of our century, and accounts for a significant increase in morbidity and mortality in adulthood. In addition to the increased consumption of calories and lack of exercise, accumulating evidence suggests that childhood obesity is strongly associated with prolonged and excessive activation of the stress system. Aim: The aim of our study was to assess the effectiveness of a stress-management intervention program, which included progressive muscle relaxation, diaphragmatic breathing, guided imagery and cognitive restructuring, in overweight and obese children and adolescents. Methods: Forty-nine children and adolescents (mean age ± SEM: 11.15 ± 1.48 years) were prospectively recruited to participate in this randomized controlled study. Of those, 23 participants were assigned into the intervention group, while 26 participants represented the control group. Anthropometric measurements were recorded at the beginning and at the end of the study, and participants were asked to complete the Screen for Child Anxiety Related Disorders (S.C.A.R.E.D.), the Child Depression Inventory (C.D.I.), the Child Behavior Checklist (C.B.C.L.) and the Youth Self Report (Y.S.R.). Results: The applied stress-management methods resulted in a significant reduction in the body mass index (BMI) in the intervention group compared with the control group [ΔBMI=1.18 vs 0.10 kg/m 2 (p?0.001)]. In addition to BMI, these methods ameliorated depression and anxiety, and reduced the internalizing and externalizing problems in the intervention group. Conclusions: Our study demonstrated that the application of an 8-week stress management program could facilitate weight loss in Greek overweight and obese children and adolescents. Further larger studies are required to evaluate the effectiveness of stress-management methods in overweight and obese subjects.
机译：背景：儿童期和青少年期的肥胖症是本世纪的主要健康问题，并且导致成年人的发病率和死亡率显着增加。除了增加卡路里的消耗和缺乏运动外，越来越多的证据表明，儿童肥胖与长期和过度激活压力系统密切相关。目的：我们的研究旨在评估压力管理干预计划在超重和肥胖儿童及青少年中的有效性，包括逐步进行的肌肉放松，diaphragm肌呼吸，引导性影像和认知重构。方法：前瞻性招募49名儿童和青少年（平均年龄±SEM：11.15±1.48岁）参加这项随机对照研究。其中，有23名参与者被分配到干预组，而有26名参与者代表对照组。在研究开始和结束时记录人体测量值，并要求参与者完成儿童焦虑相关疾病筛查（SCARED），儿童抑郁量表（CDI），儿童行为清单（CBCL）和青少年自我报告（YSR）。结果：与对照组相比，采用的压力管理方法导致干预组的体重指数（BMI）显着降低[ΔBMI= 1.18 vs 0.10 kg / m 2（p？0.001）]。除了BMI之外，这些方法还可以减轻抑郁和焦虑，并减少干预组的内在化和外在化问题。结论：我们的研究表明，为期8周的压力管理程序的应用可以促进希腊超重和肥胖儿童及青少年的体重减轻。需要进行更大的研究来评估压力管理方法在超重和肥胖受试者中的有效性。

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