摘要
目的探讨医学饮食营养联合运动疗法对小儿肥胖患儿的干预效果。方法选择2017年1月—2021年1月于濮阳市某医院儿童营养与喂养科就诊的100例肥胖患儿为研究对象,采用随机数字表法分为对照组和观察组,各50例。对照组患儿采用运动疗法联合常规饮食干预,观察组患儿采用运动疗法联合医学饮食营养干预(包括个体化均衡饮食管理方案制定、行为矫正、营养疗法),2组患儿均连续干预6个月。比较2组患儿干预前后体质量指数(BMI)及体脂改善情况、血脂指标[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)]及干预期间肥胖相关风险发生情况。结果干预后,2组患儿BMI、脂肪百分比均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预后,2组患儿TC、TG、LDL-C水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患儿干预期间肥胖相关风险发生率为2.00%,低于对照组的14.00%,差异有统计学意义(P<0.05)。结论医学饮食营养联合运动疗法可有效改善小儿肥胖患儿BMI、脂肪百分比及血脂指标,降低肥胖相关风险发生率,值得在临床上推广使用。
Objective To investigate the intervention effect of medical diet nutrition combined with exercise therapy on childhood obesity.Methods A total of 100 obese children who visited the Department of Child Nutrition and Feeding of a hospital in Puyang City from January 2017 to January 2021 were selected as subjects,and assigned to a control group and an observation group by random number table method,with 50 cases in each group.The patients in the control group received exercise therapy combined with conventional diet intervention,while the patients in the observation group received exercise therapy combined with medical diet nutrition intervention(including the formulation of an individualized balanced diet plan,behavior modification,and nutrition therapy).Both groups received continuous intervention for 6 months.The improvement of body mass index(BMI)and body fat,blood lipid indexes[triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C)],and obesity-related risks were compared between the two groups.Results After the intervention,the BMI and fat percentage of the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After the intervention,the levels of TC,TG and LDL-C in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of obesity-related risk in the observation group during the intervention was 2.00%,which was lower than that in the control group(14.00%),and the difference was statistically significant(P<0.05).Conclusion Medical diet nutrition in combination with exercise therapy can effectively improve BMI,fat percentage and blood lipid indexes in children with obesity,and reduce the incidence of obesity-related risks,which is worthy of clinical promotion.
作者
范丽莎
宋建伟
史壮丽
Fan Lisha;Song Jianwei;Shi Zhuangli(Department of Child Nutrition and Feeding,Puyang Maternity and Child Care Centers,Puyang Henan 457000,China;Department of Children Health Care,Puyang Maternity and Child Care Centers,Puyang Henan 457000,China;Department of Child Growth&Development,Puyang Maternity and Child Care Centers,Puyang Henan 457000,China)
出处
《保健医学研究与实践》
2022年第5期19-22,共4页
Health Medicine Research and Practice
关键词
饮食营养
运动疗法
小儿肥胖
可行性
Diet nutrition
Exercise therapy
Childhood obesity
Feasibility
