摘要
目的探讨健康生活方式干预在超重与肥胖儿童中的应用效果,并随访观察其效果的保持情况,旨在为儿童超重与肥胖的生活方式干预研究提供依据。方法于2020年7~8月招募216例9~16岁有减重意愿的超重与肥胖儿童作为研究对象,采用封闭式28 d的暑期夏令营方式对招募对象进行健康生活方式干预。比较健康生活方式干预前、后招募儿童的身体形态指标、代谢指标及男生和女生肥胖度构成情况;随访3年,观察干预效果维持情况。结果干预后,招募儿童的体重、体质量指数(BMI)均低于干预前(P<0.05)。干预后,招募儿童的甘油三酯、胆固醇、胰岛素水平均低于干预前(P<0.05);干预前、后,招募儿童的血糖水平无显著差异(P>0.05)。干预前、后,不同性别儿童肥胖度构成情况无显著差异(P>0.05)。3年随访期间,除了1例失访者,超重及肥胖儿童的BMI仍在持续改善,体重正常者体重虽有波动,但无1例反弹。结论健康生活方式干预可以有效减轻超重及肥胖儿童的体重,改善血液中甘油三脂和胆固醇水平,但对血糖改善作用不明显;随访期间通过有效的互动可以促进儿童保持健康的生活方式,使得减重效果得以保持。
Objective To explore the application effect of healthy lifestyle intervention in overweight and obesity children,and to follow up the weight maintenance,in order to provide a basis for the study of lifestyle intervention in overweight and obesity children.Methods A total of 216 overweight and obesity children aged 9-16 years with the intention of weight loss were recruited as the research objects from July to August 2020.The healthy lifestyle intervention was carried out by using the closed 28 d summer camp.The body shape indexes,metabolic indexes and the obesity composition of boys and girls before and after healthy lifestyle intervention were compared;after 3 years of follow-up,the maintenance of intervention effect was observed.Results After intervention,the weight and body mass index(BMI)of the recruited children were lower than those before intervention(P<0.05).After intervention,the levels of triglyceride,cholesterol and insulin in recruited children were lower than those before intervention(P<0.05);before and after intervention,there was no significant difference in blood glucose level between recruited children(P>0.05).There were no significant differences in the obesity composition among children with different gender before and after intervention(P>0.05).During the 3-years follow-up period,the BMI of overweight and obesity children continued to improve except for one lost visit.Although the weight of normal weight children fluctuated,there was no rebound.Conclusion Healthy lifestyle intervention can effectively reduce the weight of overweight and obesity children and improve the levels of triglyceride and cholesterol in the blood,but it has no obvious effect on blood glucose;during the follow-up period,effective interaction can promote children to maintain a healthy lifestyle,so that the weight loss effect can be maintained.
作者
孙琳
马嫄
周静
SUN Lin;MA Yuan;ZHOU Jing(Child Health Care Department/Nutrition Department,the Second Affiliated Hospital of Xi'an Medical College,Xi'an 710036;Pediatrics Department,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)
出处
《临床医学研究与实践》
2024年第23期146-150,共5页
Clinical Research and Practice
基金
2020年院人才培养专项科研基金及院科研基金项目[No.YJ(QN)202006]。
关键词
儿童
超重
肥胖
健康生活方式
children
overweight
obesity
healthy lifestyle
