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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT.
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A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT.

机译：一项由家长主导的以家庭为中心的治疗方案，适用于5至9岁的超重儿童：PEACH RCT。

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OBJECTIVE: To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect. PARTICIPANTS AND METHODS: We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesity Task Force cut points) children, aged 5 to 9 years. The 6-month program targeted parents as the agents of change for implementing family lifestyle changes. Only parents attended group sessions. We measured BMI and waist z scores and parenting constructs at baseline, 6, 12, 18, 24 months. RESULTS: Participants (n = 169; 56% girls) were randomized to a parenting skills plus healthy lifestyle group (n = 85) or a healthy lifestyle-only group (n = 84). At final 24-month assessment 52 and 54 children remained in the parenting skills plus healthy lifestyle and the healthy lifestyle-only groups respectively. There were reductions (P < .001) in BMI z score (0.26 [95% confidence interval: 0.22-0.30]) and waist z score (0.33 [95% confidence interval: 0.26-0.40]). There was a 10% reduction in z scores from baseline to 6 months that was maintained to 24 months with no additional intervention. Overall, there was no significant group effect. A similar pattern of initial improvement followed by stability was observed for parenting outcomes and no group effect. CONCLUSIONS: Using approaches that specifically target parent behavior, relative weight loss of approximately 10% is achievable in moderately obese prepubertal children and can be maintained for 2 years from baseline. These results justify an investment in treatment as an effective secondary obesity-prevention strategy.
机译：目的：评估一种健康的生活方式干预措施，以减少5至9岁儿童的肥胖，并评估增加父母技能培训是否会增强这种效果。参与者和方法：我们对年龄为5至9岁的青春期前中度肥胖（国际肥胖病工作小组减产点）儿童进行了单盲随机对照试验。这项为期六个月的计划以父母为父母，实现家庭生活方式的改变。仅父母参加小组会议。我们在基线，6、12、18、24个月时测量了BMI和腰围z得分以及育儿结构。结果：参与者（n = 169; 56％的女孩）被随机分为育儿技能加健康生活方式组（n = 85）或仅健康生活方式组（n = 84）。在最后的24个月评估中，分别有52和54名儿童处于育儿技能，健康生活方式和仅健康生活方式组。 BMI z得分（0.26 [95％置信区间：0.22-0.30]）和腰部z得分（0.33 [95％置信区间：0.26-0.40]）降低（P <.001）。 z评分从基线到6个月减少了10％，在没有其他干预的情况下维持了24个月。总体而言，没有显着的群体效应。育儿结局观察到相似的初始改善方式，然后稳定下来，没有小组效应。结论：采用专门针对父母行为的方法，中度肥胖的青春期前儿童可实现约10％的相对体重减轻，并且可以保持从基线开始的2年。这些结果证明对治疗的投资是一种有效的预防继发性肥胖的策略。

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