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儿童和青少年高体重指数的干预措施:美国预防服务工作组建议声明
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|June 18, 2024
概括
美国近20%的青少年患有肥胖症. 美国预防服务工作组建议对6岁及以上高体重指数 (BMI) 的儿童进行密集的行为干预.
科学领域:
- 儿童肥胖和公共卫生
- 预防医学
- 基于证据的临床建议
背景情况:
- 高体重指数 (BMI) 影响约19.7%的美国儿童和青少年 (2-19岁).
- 高BMI的患病率随着年龄的增长而增加,不成比例地影响西班牙裔/拉丁裔,美国原住民/阿拉斯加原住民,非西班牙裔黑人青年以及来自低收入家庭的年轻人.
研究的目的:
- 系统地审查儿童和青少年体重管理干预措施的证据.
- 根据美国预防服务工作组 (USPSTF) 对初级保健机构的建议.
主要方法:
- 对减肥或体重管理的干预措施进行系统审查.
- 评估行为咨询和药物治疗.
主要成果:
- 在6岁及以上的高BMI儿童和青少年中,综合性,密集的行为干预显示出中等的净益.
- 证据支持从初级保健提供或转移的干预措施.
结论:
- USPSTF建议临床医生为高BMI (≥95百分位) 的儿童和青少年提供或推全面,密集的行为干预措施.
- 这一建议是基于对中等净益处的中等确定性 (B建议).
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