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超重或肥胖儿童和青少年的认知行为干预:系统性审查和组件网络元分析
Xinran Xie1,2, Yunhe Mao3,4, Minghui Sun1,2
1Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
概括
行为疗法有效地管理儿科肥胖症,使用特定的技术,如父母参与和刺激控制,显示出显著的益处. 建议在认知行为疗法 (CBT) 中优先考虑这些组件,以获得儿童和青少年更好的结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 行为医学是一种行为医学.
- 公共卫生 公共卫生
背景情况:
- 对于儿童肥胖管理的认知行为疗法 (CBT) 内的单个组件的有效性尚未得到充分证实.
- 本系统评估调查了CBT及其特定技术对肥胖儿童和青少年的影响.
研究的目的:
- 系统地评估儿童肥胖症认知行为疗法 (CBT) 组件的疗效.
- 为了比较不同CBT技术与常规护理或最小教育对儿童肥胖管理的影响.
主要方法:
- 对PubMed,Embase和Cochrane CENTRAL进行了系统的搜索,截至2024年7月17日.
- 包括随机对照试验 (RCT),比较儿童群体肥胖管理的CBT技术.
- 用组件网络元分析和修改的GRADE方法来评估证据确定性和效果大小.
主要成果:
- 分析了125项涉及16513名参与者的试验.
- 行为疗法可能会降低身体脂肪百分比,腰围,并改善生活质量.
- 家长的参与和刺激控制可能会降低BMI的z-score;预先规划和反可能会降低身体脂肪百分比.
结论:
- 行为疗法,独立于认知成分,似乎有效治疗儿科肥胖症.
- 确定优先级的关键CBT技术包括家长参与,刺激控制,预先规划和反以获得最佳结果.
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