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为低收入家庭提供家庭提供的儿科体重管理:一项随机对照试验
Bradley M Appelhans1,2, Simone A French3, Molly A Martin4
1Department of Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois.
Pediatrics
|March 4, 2025
概括
与临床治疗相比,在家进行的儿科体重管理干预措施并没有显著改善整体体重减轻. 然而,在宅配增加了出席率和接触时间,在COVID-19大流行之前显示了潜在的好处.
科学领域:
- 儿童肥胖症干预措施
- 公共卫生 公共卫生
- 行为科学是一种行为科学.
背景情况:
- 来自低收入家庭的儿童在体重管理干预中遇到更大的挑战.
- 治疗出勤和坚持治疗的障碍有助于减少这些人群的体重减轻.
- CHECK随机对照试验调查了家庭分娩,以克服这些障碍.
研究的目的:
- 为了比较家庭交付与诊所交付的儿科体重管理干预措施的有效性.
- 评估干预地点对减肥结果,出席率和坚持的影响.
- 确定影响低收入家庭儿童体重管理计划成功的因素.
主要方法:
- 一项随机对照试验 (CHECK研究) 涉及来自低收入家庭的269名超重/肥胖儿童 (6-12岁).
- 在12个月内进行的干预,计划进行面对面的会议和电话联系.
- 在家进行的和在诊所进行的个人干预会议之间的比较;使用的治疗意图分析.
主要成果:
- 在家庭分娩 (-0.031) 和诊所分娩 (-0.002) 之间,12个月BMI z-score (zBMI) 变化没有显著差异.
- 在家进行的干预显著增加了会议出席率 (11 vs 6.5 会议) 和接触时间 (500 vs 315.5 分钟).
- 在疫情前,家庭分娩显示出更大的zBMI降低;在疫情后没有观察到差异.
结论:
- 儿科体重管理干预的家庭交付并没有改善整体12个月的减肥结果.
- 通过增加会议出席率和接触时间,家庭交付增强了干预参与度.
- 在家提供干预措施的潜在减肥益处可能存在,特别是在疫情前的时代.
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