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Updated: Jun 15, 2025

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育儿培训加上对肥胖儿童的行为治疗:一个随机临床试验
Kyung E Rhee1, Takisha Corbett1, Shamin Patel1
1Department of Pediatrics, University of California, San Diego School of Medicine, La Jolla.
JAMA network open
|May 5, 2025
概括
加上基于家庭的行为治疗 (FBT),强化育儿培训 (PT) 并没有显著改变儿童肥胖指标. 然而,与单独接受FBT相比,更多接受FBT加PT的儿童实现了临床上有意义的体重减轻.
科学领域:
- 治疗儿童肥胖症的治疗方法
- 行为健康干预措施 行为健康干预
- 家庭为中心的护理.
背景情况:
- 基于家庭的行为治疗 (FBT) 是儿童肥胖症的标准,但并不普遍有效.
- 家长培训 (PT) 与儿童体重和饮食行为改善有关.
- 强化PT可以通过改善行为改变策略和儿童减肥来增强FBT.
研究的目的:
- 为了比较将强化PT添加到标准FBT和单独FBT治疗儿童超重和肥胖的有效性.
主要方法:
- 一项双臂随机临床试验 (ReFRESH) 涉及140名超重/肥胖儿童 (7-12岁) 和父母.
- 参与者被随机分配到FBT加PT或FBT单独,在6个月内接受20次会议.
- 主要结局包括BMIz-score和BMI百分位数的变化;次要结局是临床上有意义的减肥和学率.
主要成果:
- 在6个月或12个月后,FBT加PT和FBT单独组之间没有发现BMIz-score或BMI百分位数的显著差异.
- 两组都显示了体重状况的显著降低.
- 在FBT加PT组中,更高比例的儿童实现了临床上有意义的体重减轻 (48.6%对31.4%).
结论:
- 虽然将强化PT添加到FBT中并没有显著改变整体体重状况指标,但它增加了在儿童中实现临床上有意义的体重减轻的可能性.
- 这两种治疗方法都得到了很好的接受,并且学率相似.
- 需要进一步的研究来确定影响治疗反应和育儿技能变化的因素.
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