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The effect of a multidisciplinary lifestyle modification program for obese and overweight children.
Chen, Pei-Shan; Chang, Kai-Chi; Chang, Chih-Hsuan; Chen, Yen-Tsz; Huang, Hsi-Wen; Tsai, Shu-Mei; Yang, Hui-Ru; Tung, Yi-Ching; Wu, Wei-Wen; Chen, Huey-Ling.
Afiliação
  • Chen PS; Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
  • Chang KC; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Chang CH; Department of Clinical Psychology Center, National Taiwan University Hospital, Taipei, Taiwan.
  • Chen YT; Department of Dietetics, National Taiwan University Hospital, Taipei, Taiwan.
  • Huang HW; Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
  • Tsai SM; Department of Dietetics, National Taiwan University Hospital, Taipei, Taiwan.
  • Yang HR; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
  • Tung YC; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
  • Wu WW; School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Chen HL; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan; Hepatitis Research Center, National Taiwan University Hospital, National Taiwan University Children's Hospital, Taipei, Taiwan; Department of Medical Education and Bioethics, National Taiwan University College of Medicine
J Formos Med Assoc ; 121(9): 1773-1785, 2022 Sep.
Article em En | MEDLINE | ID: mdl-35094911
BACKGROUND/PURPOSE: The increasing prevalence of overweight and obese children and adolescents has been recognized as a public health threat worldwide. This study aimed to assess the effect of a stepwise lifestyle intervention in children and adolescents. METHODS: We developed a multidisciplinary clinic aimed at providing lifestyle interventions for obese children and adolescents. The program comprised three stages with stepwise goals: knowledge building (the first 4 weeks), habit consolidation (5-12 weeks), and self-monitoring (13-20 weeks). RESULTS: Of the 63 participants (age 11.6 ± 3.2 years) who entered the first stage of the program, 48, 22, and 15 completed the first, second and third stages (4, 12, and 20 weeks), respectively. In the first stage, significant improvement was noted in body weight, body mass index (BMI), BMI z-score, and waist circumference. Improvements in physical fitness performance were observed at 4 weeks in 3/5 items and at 12 weeks in 4/5 items. The decreases in body weight, BMI and BMI z-score were most prominent in the first two stages. In the third stage, participants maintained a stable body weight. In the 15 subjects who completed the whole program, BMI decreased from 29.3 ± 6.9 to 27.8 ± 6.1 (P = 0.001), and BMI z-score decreased from 3.06 ± 0.96 to 2.69 ± 0.91(P = 0.001). CONCLUSION: We developed a feasible multidisciplinary program based on knowledge education and individualized training. BMI and physical fitness scores can be used as early indicators of lifestyle change for obese children and adolescents.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sobrepeso / Obesidade Infantil Tipo de estudo: Risk_factors_studies Limite: Adolescent / Child / Humans Idioma: En Revista: J Formos Med Assoc Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Taiwan

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sobrepeso / Obesidade Infantil Tipo de estudo: Risk_factors_studies Limite: Adolescent / Child / Humans Idioma: En Revista: J Formos Med Assoc Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Taiwan