- 作者：Daina Dreimane ; David Safani ; Marsha MacKenzie ; Mary Halvorson ; Sharon Braun ; Barry Conrad ; Francine Kaufman
- 关键词：Weight loss ; BMI reduction ; Obesity ; Children ; Adolescents ; Family ; Intervention
- 刊名：Diabetes Research and Clinical Practice
- 出版年：2007
- 出版时间：February 2007
- 年：2007
- 卷：75
- 期：2
- 页码：159-168
- 全文大小：331 K
To evaluate the effects of a hospital-based, family-centered lifestyle program (Kids N Fitness©) on weight and health in overweight 7–17-year-old children.
Design
The Kids N Fitness© program consisting of up to twelve 90-min sessions was conducted in an outpatient setting. The program comprised interactive nutrition and exercise sessions with behavior modification. Subjects completed a logbook and child's health questionnaire. Measures and surveys were taken before, during, and after the program.
Participants
Two hundred and sixty-four overweight children (137 female, 73 % Hispanic), mean age 11.5 ± 2.1 years, with body mass index (BMI) = 85th percentile, no physical limitations, and attendance of ≥50 % of sessions. A subgroup of 115 children was observed for up to 6 months prior to program.
Intervention results
Weight and BMI velocity, and BMI, and BMI z-score were lower during the program than during the pre-program observation period. Compared, subjects in the 12-week program had significantly reduced gains in weight and greater losses in body mass index, than in 8 weeks. Improvements in emotional well-being and behavior correlated positively with weight loss (p = 0.005).
Conclusions
Positive health outcomes suggest that family-centered programs, stressing healthy eating strategies, participation in team-oriented physical activities, and behavior modification, are effective in improving weight dynamics and psychological functioning.