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患肥胖的青少年的基于家庭的行为治疗:通过成年期的演变
Catherine Chamay Weber1,2, Claudine Gal-Duding3,4, Albane Br Maggio3
1Health and Movement Consultation, Division of Pediatric Specialties, Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals and University of Geneva, Geneva, Switzerland. Catherine.chamayweber@hcuge.ch.
BMC pediatrics
|January 10, 2024
概括
基于家庭的行为治疗 (FBBT) 显示了青少年肥胖的长期益处,身体活动和定期体重监测与有利的结果有关. 对于这一处于危险的群体来说,坚持治疗仍然是一个挑战.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 行为医学是一种行为医学.
- 公共卫生 公共卫生
背景情况:
- 基于家庭的行为治疗 (FBBT) 通过改善身体质量指数 (BMI) 来证明短期和中期有效管理青少年肥胖症.
- 长期结果和影响青少年FBBT后持续体重管理的因素需要进一步调查.
研究的目的:
- 评估FBBT治疗肥胖症的青少年BMIz-score的长期演变.
- 为了确定与FBBT后的有利或不利的长期体重状况变化相关的变量.
主要方法:
- 一项前性研究对131名青少年进行了FBBT后肥胖治疗.
- 经过平均5.5年的时间,76名参与者接受了临床采访,人体测量和生活方式问卷.
- 从医疗记录中提取了社会人口统计和初始人体统计数据.
主要成果:
- 超过一半 (52.6%) 的参与者表现出有利的BMIz-score演变 (降低或稳定) 在治疗后5.5年.
- 每日体育活动和每周体重监测与有利的结果显著相关 (分别为p=0.009和p=0.001).
- 不到一半的人保持了医疗体重管理的随访,许多人仍然具有BMI≥30.
结论:
- FBBT为青少年肥胖管理提供了潜在的长期益处,如BMIz-score持续改善所示.
- 在这种高风险人群中观察到长期体重管理随访和治疗坚持方面的挑战.
- 在护理过渡期间改善对体重管理的坚持对于肥胖青少年至关重要.
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