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体重管理计划对超重儿童的身体组成和代谢参数的影响:一项随机对照试验
Mary Savoye1, Melissa Shaw, James Dziura
1Yale Center for Clinical Investigation, Yale University School of Medicine, New Haven, CT 06520, USA. mary.savoye@yale.edu
JAMA
|June 28, 2007
概括
"明亮的身体"计划有效地减少了肥胖和改善了超重儿童的胰岛素耐药性,长达12个月. 这种以家庭为基础的干预为儿童肥胖及其相关的代谢并发症提供了可持续的解决方案.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肥胖医学 肥胖医学
- 代谢健康 代谢健康
背景情况:
- 儿童肥胖是一个不断增长的流行病,增加了2型糖尿病和长期代谢并发症的风险.
- 超重儿童往往会成为超重的成年人,需要早期和有效的干预.
- 青年2型糖尿病是与儿童肥胖相关的重大公共卫生问题.
研究的目的:
- 评估Bright Bodies基于家庭的体重管理计划的有效性.
- 为了比较干预对超重儿童的脂肪和胰岛素抵抗的影响,与对照组相比.
- 评估治疗效果在12个月的持续性.
主要方法:
- 这是一项为期一年的随机对照试验,涉及209名超重儿童 (8-16岁).
- 参与者被分配到对照组 (传统咨询) 或基于家庭的密集体重管理计划.
- 主要结局包括体重,BMI,身体脂肪和HOMA-IR在6个月和12个月的变化.
主要成果:
- 体重管理组在6个月后显示体重,BMI,体脂和HOMA-IR的显著改善,在12个月后持续.
- 相比之下,对照组在研究期间体重,BMI和身体脂肪增加.
- 与对照组相比,干预组观察到对胰岛素耐药性 (HOMA-IR) 稳态模型评估的改善.
结论:
- "明亮的身体"计划对超重儿童的身体构成和胰岛素抵抗产生了显著和持续的好处.
- 基于家庭的,密集的干预措施在管理儿科肥胖和减轻代谢风险方面是有效的.
- 这些发现支持明亮的身体计划作为解决儿童肥胖和预防长期健康问题的可行策略.
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