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JAMA Pediatr:社区医疗干预对青少年儿童体重的影响

2017-06-19 zhangfan MedSci原创

社区干预有助于改善儿童肥胖者的体重指数,但对儿童相关生活质量提高变化不显著。

研究认为利用临床和社区资源可以改善青少年的体重指数(BMI)。近日研究人员考察了社区干预措施在改善儿童体重指数和健康相关生活质量的作用。

这项研究在2014-16年进行,对721名,2-12岁的BMI占总指数85%以上的儿童参与,参与者随机分配,接受强化初级保健(儿童的临床体重管理,家长教育和资源指南)或强化初级保健+规定内容的个人健康指导。研究的主要目的是1年后年龄和性别特异性BMI变化,儿科生活质量4.0测定的儿童健康相关生活质量以及家长掌握相关知识的变化。

参与者平均年龄8岁,35%为白人(n=252),33%为黑人(n=240),21.8%为西班牙裔。在初级组,平均基线BMI分数为1.91,1年后为1.85,改进-0.06(95% CI,-0.10-0.02)。在联合组,基线BMI 分数1.87,1年后 1.79 改善-0.09 (95% CI,-0.13--0.05),组间差异不显著(差异-0.02; 95% CI,-0.80- 0.03; P=0.39)。二种干预方法均提高父母掌握相关知识,初级组提高0.29单位(95% CI,0.22-0.35),联合组提高0.22单位(95% CI,0.15-0.28)。联合组,儿童健康相关生活质量提高1.53个单位(95% CI,0.51-2.56),初级组无变化,但两个干预组,父母掌握相关知识以及儿童健康相关生活质量提高变化无统计学意义。

研究表明,社区干预有助于改善儿童肥胖者的体重指数,但对儿童相关生活质量提高变化不显著。

原始出处:


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    2017-10-18 仁者大医
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    2018-05-12 feather89
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    2017-06-19 lovetcm

    社区干预在国际上比较流行,中国近年来在一些大城市也开始流行社区干预,社区关于对于初级预防其实是非常关键的

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