摘要
目的观察健康教育、行为矫正、膳食调整、运动处方等综合干预措施对控制超重及肥胖儿童形态指标、围度指标及血液指标的效果。方法组织暑期夏令营,由具备研究能力的教练、医师、营养师及心理教师共10人,对23例北京市8-14岁超重及肥胖的中小学生进行为期21 d的封闭式综合干预,观察干预前后学生身体形态指标、围度指标及血液指标的变化。结果 23例超重及肥胖中小学生干预后体质量、体质量指数、体脂率等形态指标均优于干预前,且差异均有统计学意义（Pa〈0.01）;干预后相关围度指标,包括上臂皮脂厚度、肩胛下角皮脂厚度、腹部皮脂厚度及上臂围、胸围、腰围、臀围围度较干预前均降低,且差异均有统计学意义（Pa〈0.05）,大腿围亦有降低,但差异不显著（P〉0.100）;总胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白优于干预前,但差异均无统计学意义（Pa〉0.100）。结论采取系统、有效、简便的综合干预措施可显著改善超重及肥胖儿童的形态指标和围度指标,短期综合干预对血液指标的改善效果不明显,提示要从根本上改善超重及肥胖儿童的体质健康需要持久的综合干预。
Objective To observe the effect of combined interventions on overweighted and obesity children based on health education,behavior modification,balanced diet,sports prescription to control the indexes of the morphology,girth and blood indexes.Methods Twen-ty-three overweighted and obesity pupils and secondary school students aged 8-14 years old were intervened for 21 d,and the changes in morphology,girth index and blood index were observed for 21 days by 10 researchers,including coach,doctor,dietitian,psychoanalyst before and affter intervention.Results Related morphological indexes including body mass index,body fat ratio,waist buttocks ratio were superior to the non-intervention individuals,and the differences were significant（Pa0.01）.Related girth indexes including the skinfold thickness of the upper arm,subscapular angle,belly and the girth of the upper arm,chest,waist,buttocks were superior to the non-intervention individuals,and the differences were significant（Pa0.05）,but the indexes of thigh had no significant difference（P0.100）.Related blood indexes,including total cholesterol,triglyceride,high density lipoprotein and low density lipoprotein were superior to the non-intervention individuals,but the differences were not significant（Pa0.100）.Conclusions It′s feasible to control the indexes of morphology and girth by combined systematic,effective and easy intervention on overweight and obesity in pupils and secondary school students.No obvious changes in blood index for a short time intervention,which suggests that a long-term combined intervention need to be performed to improve the physique health of overweight and obesity children basically.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2011年第7期483-484,共2页
Journal of Applied Clinical Pediatrics
基金
全国教育科学"十一.五"规划课题(ELA070228)
关键词
综合干预
形态指标
血液指标
儿童
combined intervention
morphological index
blood index
child
