随机自由选择的运动处方计划与儿童肥胖患者视频培训计划的代谢和人体测量效应:随机临床试验
Karen Pedraza-Escudero1, Nayely Garibay-Nieto1, Eréndira Villanueva-Ortega1
1Pediatric Obesity Clinic at Child Wellness Unit, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, MEX.
Cureus
|April 1, 2025
概括
这项研究发现,基于视频的运动处方 (EPV) 和自由选择的运动 (FCE) 程序都改善了肥胖儿童的身体组成和代谢健康. 这两种方法都有效地降低了体重指数和身体脂肪,同时增加了瘦肉体质量.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖是一个日益严重的全球健康问题,增加了非传染性疾病的风险.
- 运动对于控制肥胖和改善儿童和青少年的福祉至关重要.
- 在肥胖年轻人中行使参与的障碍需要可访问和引人入胜的干预措施.
研究的目的:
- 为了比较基于视频的运动处方程序 (EPV) 与自由选择运动 (FCE) 的有效性.
- 评估这些计划对肥胖儿童的人类测量和代谢指标的影响.
- 评估EPV和FCE作为多学科生活方式干预中的互补策略.
主要方法:
- 一个开放的,随机对照试验,涉及42名肥胖儿童和青少年 (8-16岁).
- 参与者被随机分配到一个为期6个月的EPV计划或FCE计划,以及多学科的生活方式干预.
- 测量的主要结果包括身体质量指数 (BMI),体脂质量,瘦体质量和各种代谢标志物.
主要成果:
- 无论是EPV和FCE组都显示出身体组成的显著改善:体重指数下降 (p < 0.001),体脂量减少 (p < 0.001),瘦体量增加 (p = 0.003).
- 在EPV组中,LDL胆固醇,ALT,AST和尿酸的降低,HDL胆固醇的增加.
- 在FCE组中,HOMA-IR,胰岛素,LDL胆固醇,ALT,AST和GGT的降低.
结论:
- 基于视频的运动处方和自由选择的运动都是有效的干预措施,用于改善儿童肥胖症的身体组成.
- 这些运动计划,当整合到多学科的护理,产生有利的变化在代谢健康标志物.
- 像EPV这样的可访问的运动计划为管理儿童肥胖及其相关健康风险提供了可行的选择.
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