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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Efficacy of family-based weight control program for preschool children in primary care
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Efficacy of family-based weight control program for preschool children in primary care

机译：基于家庭的体重控制计划对学龄前儿童在初级保健中的功效

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OBJECTIVE: To test the efficacy of an innovative family-based intervention for overweight preschool-aged children and overweight parents conducted in the primary care setting. METHODS: Children with BMI ≥85th percentile and an overweight parent were randomized to intervention or information control (IC). Trained staff delivered dietary and physical/sedentary activities education to parents over 6 months (10 group meetings and 8 calls). Parents in the intervention received also behavioral modification. An intention-to-treat analysis was performed by using mixed analysis of variance models to test changes in child percent over BMI (%OBMI) and z-BMI and to explore potential moderators of group differences in treatment response. RESULTS: Ninety-six of 105 randomized families started the program: 46 children (31 girls/15 boys) in the intervention and 50 (33 girls/17 boys) in the IC, with 33 and 39 mothers and 13 and 11 fathers in intervention and IC, respectively. Baseline characteristics did not differ between groups. Children in the intervention group had greater %OBMI and z-BMI decreases at 3 and 6 months compared with those assigned to IC (P < .0021). A greater BMI reduction over time was also observed in parents in the intervention compared with parents assigned to IC (P < .0001). Child %OBMI and parent BMI changes were correlated (r = .31; P = .003). Children with greater baseline %OBMI were more likely to have a greater %OBMI decrease over time (P = .02). CONCLUSIONS: Concurrently targeting preschool-aged overweight youth and their overweight parents for behavioral weight control in a primary care setting reduced child %OBMI and parent BMI, with parent and child weight changes correlating.
机译：目的：测试在初级保健机构中针对超重学龄前儿童和超重父母进行的基于家庭的创新干预措施的有效性。方法：将BMI≥85％的儿童和父母超重的儿童随机分为干预或信息控制（IC）组。经过培训的工作人员在6个月内为父母提供了饮食和身体/牙齿活动教育（10次小组会议和8次电话咨询）。干预中的父母也得到了行为改变。通过使用方差模型的混合分析来进行意向性治疗分析，以测试儿童BMI（％OBMI）和z-BMI百分比的变化，并探索治疗反应中组差异的潜在调节剂。结果：105个随机家庭中的96个开始了该计划：干预中有46名儿童（31名女孩/ 15个男孩），在国际中心有50名（33名女孩/ 17个男孩），有33和39名母亲以及13和11名父亲参与了干预和IC分别。各组之间的基线特征没有差异。与分配给IC的孩子相比，干预组的孩子在3和6个月时的OBMI百分比更高，z-BMI降低（P <.0021）。与分配给IC的父母相比，干预中的父母BMI随时间的推移也更大（P <.0001）。儿童％OBMI与父母BMI变化相关（r = .31; P = .003）。基线％OBMI较高的儿童更有可能随着时间的推移而具有更大的％OBMI下降（P = .02）。结论：在基层医疗机构中，同时针对学龄前超重的青年及其超重的父母进行行为体重控制，可降低儿童的％OBMI和父母的BMI，并与父母和儿童的体重变化相关。

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