Rasmus M Jørgensen, Jane N Østergaard, Mette Fogh, Rachael W Taylor, Henrik Støvring, Jens M Bruun
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引用次数: 0
摘要
研究目的本研究旨在调查肥胖儿童在决定不参加生活方式干预后,体重的长期变化是否会受到影响:这项观察性研究纳入了713名居住在丹麦奥胡斯的肥胖儿童(5-8岁),其中157名儿童决定在2010年至2020年间不参加基于社区的生活方式干预,556名儿童从未被邀请参加(即未干预组)。身高和体重测量结果与国家登记册中的社会经济信息相结合。我们采用了一个带样条的混合效应模型来模拟体重指数 z 值的变化,并进行了分层,以研究效应修正:我们观察到,决定不参与组的中位随访时间为 3.6 年(四分位数 [Q]1;Q3:0.4;5.1)。在决定不参与组和不参与组之间,BMI z 分数的年度变化没有差异(每年 0.00,95% CI:-0.03 至 0.03;P = 0.90)。两组之间在最高完成家庭教育程度(p = 0.59)、家庭收入(p = 0.72)或移民身份(p = 0.17)方面未观察到任何效应修正:结论:与从未被邀请的儿童相比,决定不参加干预活动的儿童体重并没有增加,这表明可以短暂推迟治疗,直到家庭能够参加为止。此外,社会经济地位或移民背景也不会改变体重的变化。
Does deciding not to participate in a lifestyle intervention for children with obesity affect the long-term weight change?
Objective: The objective of this study was to investigate whether long-term weight change in children with obesity is affected after deciding not to participate in a lifestyle intervention.
Methods: This observational study included 713 children (aged 5-8 years) with obesity living in Aarhus, Denmark, of whom 157 decided not to participate in a community-based lifestyle intervention between 2010 and 2020, and 556 were never invited to participate (i.e., no-intervention group). Height and weight measurements were combined with socioeconomic information from national registers. A mixed-effects model with splines was used to model changes in BMI z score and stratification to investigate effect modifications.
Results: We observed a median follow-up of 3.6 years (quartile [Q]1;Q3: 0.4;5.1) for the decided-not-to-participate group. No difference was observed in annual change in BMI z score between the decided-not-to-participate and no-intervention groups (0.00 per year, 95% CI: -0.03 to 0.03; p = 0.90). No effect modifications were observed between the two groups concerning highest completed household education (p = 0.59), household income (p = 0.72), or immigration status (p = 0.17).
Conclusions: Children deciding not to participate in an intervention did not increase their weight compared with children who were never invited, indicating that treatment could be briefly postponed until families are able to participate. Additionally, socioeconomic status or immigration background did not modify the weight change.