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首页> 外文期刊>Clinical obesity. >Childhood obesity treatment: telephone coaching is as good as usual care in maintaining weight loss -a randomized controlled trial
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Childhood obesity treatment: telephone coaching is as good as usual care in maintaining weight loss -a randomized controlled trial

机译：儿童肥胖治疗:电话指导维持体重一样好常规治疗——随机对照试验

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摘要

There is a need for more flexible treatment strategies to help patients reach relevant treatment outcomes and adhere better to treatment. The aim of this study was to evaluate the long-term efficacy, in terms of patients' weight status, of replacing usual care (UC) physical visits with more frequent but shorter telephone coaching (TC) sessions as part of a structured childhood obesity treatment. In this controlled study, patients aged 5-14 years from the Sodertalje outpatient clinic, Sweden were randomized to either UC or TC over an 18-month period after participating in an initial standard obesity treatment programme. The patients were followed for a mean of 3.7 years. In total, 37 children (UC, n = 18 and TC, n - 19) were included, with a mean (standard deviation, SD) age of 9.5 (2.6) years and a body mass index standard deviation score (BMI SDS) of 2.9 (0.7). The change in BMI SDS did not differ between the groups during the study (P = 0.8). Both groups had similar changes in BMI SDS 3.7 years after the first visit to the clinic, TC = - 0.42 and UC = -0.52 BMI SDS units (P = 0.6 between groups). There were no gender differences. Furthermore, the average time clinicians spent with each patient during the study did not differ between the groups (P = 0.5). No patients were lost to follow-up during the study. In conclusion, the use of TC may offer greater flexibility in the treatment of pae-diatric obesity as it was non-inferior for both treatment efficacy and the time spent on treatment by healthcare personnel.
机译：需要更灵活的治疗策略来帮助患者达到相关治疗结果和坚持更好治疗。方面的长期疗效,患者的体重,取代常规治疗(加州大学)物理访问更频繁,但短电话指导(TC)会话的一部分结构化的儿童肥胖症的治疗。控制研究中,5—14岁的病人Sodertalje门诊诊所,瑞典随机分配到加州大学或TC超过18个月后参与最初的标准肥胖治疗项目。平均随访3.7年。儿童(加州大学,n = 18和TC, n - 19)包括,意味着(标准差,SD)9.5(2.6)岁和身体质量指数标准偏差的分数(BMI SDS) 2.9(0.7)。体重指数的变化SDS之间没有差别组在研究(P = 0.8)。有相似的变化BMI SDS后3.7年第一次来诊所,TC = - 0.42和加州大学= -0.52 BMI SDS单位团体之间(P = 0.6)。没有性别差异。平均时间与每一个临床医生花了患者在研究过程中没有差异组(P = 0.5)。后续研究中。使用的TC可能提供更大的灵活性治疗pae-diatric肥胖治疗疗效和非劣时间由医疗人员治疗。

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