BMI2+的结果:通过初级保健 AAP PROS 实践进行动机面试,以减少 BMI
Ken Resnicow1, Emerson Delacroix1, Kendrin R Sonneville1
1School of Public Health, University of Michigan, Ann Arbor, Michigan.
Pediatrics
|January 29, 2024
概括
这项研究发现,激励性采访干预措施对儿科肥胖治疗没有益处. 意想不到的是,干预组的儿童在BMI百分位数上表现出较大的增加,与通常的护理相比.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 美国的儿童肥胖症是一个重大的公共卫生问题.
- 初级保健医生和注册营养师是解决儿童肥胖问题的关键.
- 动机面试 (MI) 在以前的儿科体重管理试验中显示出潜力.
研究的目的:
- 评估简短的激励面试以减少BMI (BMI2+) 干预的有效性.
- 为了比较接受干预的儿童的BMI变化与通常的护理 (UC).
主要方法:
- 18个儿科初级保健实践被随机分配到BMI2+干预或UC.
- BMI2+干预包括MI咨询,营养师会议,短信和家长材料.
- 主要结局是研究期间 (2017-2021) 的BMI百分位相对于第95百分位的变化.
主要成果:
- 观察到一种显著的治疗时间相互作用,有利于通常的护理组.
- 干预组的儿童在他们的BMI百分位数中经历了较大的相对增加.
- 两组之间体重增加的绝对差异很小 (约. 0.5BMI单位,1公斤超过2年).
结论:
- BMI2+干预没有证明儿童肥胖的整体益处.
- 与假设相反,干预组与UC组相比,BMI百分位数略有增加.
- 讨论了意外发现的潜在解释,强调了儿科体重管理干预措施的复杂性.
相关概念视频
Stress Prevention and Stress Management Techniques VI
32
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
32
Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Obesity
505
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
505


