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在以家庭为中心的生活方式干预中治疗肥胖儿童的BMI的长期变化

Rasmus Møller Jørgensen^1,2,3,4, Henrik Støvring^1,5, Jane Nautrup Østergaard¹

¹Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.

|September 12, 2024

概括

这项关于儿童肥胖干预的研究发现,虽然一个计划显示了适度的,持续的BMIz-score降低,但这两项干预都没有证明长期有效. 为了更有影响力的肥胖治疗,需要进一步的研究.

科学领域:

儿科儿科儿科
公共卫生公共卫生
肥胖问题研究研究

背景情况:

儿童肥胖症需要进行长期干预评估.
之前的研究往往缺乏延长后续期.
这项研究解决了对儿童肥胖生活方式干预的长期数据的需求.

研究的目的:

为了研究肥胖儿童的长期体重增加.
为了比较两个务实的,以家庭为中心的生活方式干预措施.
评估干预措施在两年以后的持续影响.

主要方法:

2010年至2020年,对丹麦儿童 (4-17岁) 患有肥胖的观察性研究.
来自两个社区干预 (阿尔胡斯和兰德斯) 的数据与国家登记处的数据合并.
调整后的混合效应模型分析了身体质量指数 (BMI) z-score 的变化,并进行了子组和效应修改分析.

主要成果:

703名干预参与者和2,337名非参与者的中位随访时间为2.8年.
这两种干预措施最初都降低了BMI z-score,但只有兰德斯干预措施持续减少 (-0.05 SD/年).
较低的家庭收入,移民背景和1年以下的干预与BMI z-score的增加有关.

结论:

一个动态的,更长时间的干预措施实现了适度的,持续的BMIz-score降低.
这些干预措施的临床影响可能对肥胖儿童的长期有益的BMI发展有限.
有效性各不相同,某些子组显示出不太有利的结果.

关键词:

基于社区的基于社区的基础.生活方式干预措施长期的长期的长期的肥胖问题肥胖问题轨迹轨迹的轨迹.

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