目的:探讨综合健康干预对单纯性肥胖儿童营养状况及治疗效果的影响.方法:将56例7～12岁的单纯性肥胖儿童作为实验组,采用低热量、高蛋白质、适量脂肪和碳水化合物的营养干预模式,总热能根据每个患儿的年龄、性别、身高及肥胖程度制定; 早、中、晚3餐占总热能的百分比分别为25%、40%和35%.除营养干预外,每天至少运动40 min并常规补充多种维生素及微量元素制剂, 同时选取50例体重正常的儿童作为对照组.监测干预前后身高、体重、BMI、血压及血脂水平的变化.结果:肥胖儿童干预前体重、BMI值、收缩压、舒张压、TG、LDL-C均高于对照组正常儿童(P＜0.05),干预后体重、BMI、收缩压、TG均较干预前明显降低(P＜0.05).结论:儿童单纯性肥胖病进行综合健康干预治疗可提高肥胖儿童的治疗效果.%Objective :To investigate the effects of comprehensive health intervention on treatment of obese children. Methods: Totally 56 overweight or simple obese children aged 7 - 12 years were enrolled as experimental group. A low - calorie, high - protein, optimal fat, and carbohydrate formula was recommended for treatment. Total calorie was based on age, sex, height, and degree of obesity. The calorie of three meals was distributed 25％ for breakfast,40％ for lunch, and 35％ for supper, respectively. Vitamin and trace element compound, were supplamented during daily life.Other intervention measurements included encouragement of physical activities more than 40 min a day. 50 normal children were enrolled as control group. Then the changcs of length,weight, BMI, BP and blood fat were examined pre- and post- intervention. Results:BMI, Bp, TG, LDL- C, weight in experimental group was gigher than before intervention in control group( P ＜0.05) ,but the weight, BMI,SBP and TG after intervention was lower than before( P ＜0.05). Conclusion:Comprehensive health intervention can significantly improve the treating effects of the obese children.
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