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首页> 外文期刊>The American psychologist >Summary of the Clinical Practice Guideline for Multicomponent Behavioral Treatment of Obesity and Overweight in Children and Adolescents
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Summary of the Clinical Practice Guideline for Multicomponent Behavioral Treatment of Obesity and Overweight in Children and Adolescents

机译：肥胖行为治疗儿童与青少年肥胖和超重的临床实践指南综述

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The purpose of this clinical practice guideline developed by the American Psychological Association (APA) is to provide recommendations concerning multicomponent behavioral treatment of obesity and overweight in children and adolescents. Intended users of the guideline include psychologists, other health and mental health professionals, patients, families, and policymakers. The guideline development panel (GDP) used a systematic review conducted by the Kaiser Permanente Research Affiliates Evidence-Based Practice Center as its primary evidence base (O'Connor, Burda, Eder, Walsh, & Evans, 2016). The GDP consisted of researchers and clinicians in psychology, medicine, nursing, and nutrition as well as adult community members who had childhood and adolescent experience with obesity. Critical outcomes used in rating evidence and formulating recommendations were change in body mass index (BMI or zBMI) and serious adverse events. For child and adolescent patients aged 2 to 18 years with obesity or overweight, the GDP strongly recommends the provision of family-based multicomponent behavioral interventions, with a minimum of 26 contact hours, initiated at the earliest age possible. Due to insufficient evidence, the GDP was not able to make recommendations about specific forms of family-based multicomponent behavioral interventions with respect to their comparative effectiveness; associations with adherence, engagement, or retention in treatment; or specific effectiveness with patients or families with particular characteristics. Considerations and challenges related to implementing the recommended interventions are discussed, and areas in which additional research is needed are identified.
机译：美国心理协会（APA）开发了这种临床实践指南的目的是为儿童和青少年的肥胖和超重提供多组分行为治疗的建议。指南的预期用户包括心理学家，其他健康和心理健康专业人士，患者，家庭和政策制定者。指南开发小组（GDP）使用了Kaiser Permanente Research循证实践中心作为其主要证据基础（O'Connor，Burda，Eder，Walsh，＆Evans，2016）进行的系统审查。 GDP由心理学，医学，护理和营养和营养和肥胖的成年社区成员组成的研究人员和临床医生组成。评级证据和制定建议的关键结果是体重指数（BMI或ZBMI）和严重不良事件的变化。对于肥胖或超重2至18年的儿童和青少年患者，GDP强烈建议提供基于家庭的多组分行为干预，最低26个联系时间，最早发起。由于证据不足，国内生产总值无法对其比较效果有关基于家庭的多组分行为干预的具体形式的建议;治疗中的粘附，参与或保留的关联;或具有特殊特征的患者或家庭的特定效果。讨论了与实施建议干预措施相关的考虑和挑战，并确定了需要额外研究的领域。

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