行为干预在儿童肥胖管理中的应用进展

doi:10.11852/zgetbjzz2024-0239

摘要/Abstract

摘要： 肥胖在全球范围内广泛流行,其发生与不健康的生活方式密切相关,而行为是链接饮食营养、体力活动、生活作息等生活方式的中心枢纽,如何促进及维持行为改变已成为儿童肥胖管理的关键问题,近年来行为改变相关理论及行为改变技术广泛应用于肥胖儿童行为干预,旨在改变肥胖儿童不健康的生活方式,提高认知水平、减少负性情绪等不良心理状况,促进肥胖管理效果。

关键词: 儿童肥胖, 行为改变技术, 身心健康

Abstract: Obesity is widespread around the world, and its prevalence is closely related to unhealthy lifestyle. Clearly, behavior is the center of diet, physical activity, sleep, and other aspects of life. Now how to promote and maintain behavioral change has become the key to manage childhood obesity. In recent years, the theories and technologies of behavioral change are widely used in behavioral intervention for obese children, aiming to change the unhealthy lifestyle, improve cognitive levels, reduce negative emotions, and promote the effectiveness of obesity management.

Key words: children obesity, behavior change technology, physical and mental health

中图分类号:

R723.14

陈瑜洁, 李晓南. 行为干预在儿童肥胖管理中的应用进展[J]. 中国儿童保健杂志, 2024, 32(8): 875-880.

CHEN Yujie, LI Xiaonan. Progress in behavioral intervention for obese children[J]. Chinese Journal of Child Health Care, 2024, 32(8): 875-880.

参考文献

[1] Sharaiha RZ, Shikora S, White KP, et al. Summarizing consensus guidelines on obesity management: A joint, multidisciplinary venture of the international federation for the surgery of obesity & metabolic disorders (IFSO) and world gastroenterology organisation (WGO)[J]. J Clin Gastroenterol, 2023, 57(10): 967-976.
[2] World Obesity Federation,World Obesity Atlas 2023[EB/OL]. https://data.worldobesity.org/publications/?cat=19.
[3] Smith JD, Fu E, Kobayashi MA. Prevention and management of childhood obesity and its psychological and health comorbidities[J]. Annu Rev Clin Psychol, 2020, 16: 351-378.
[4] Kwasnicka D, Dombrowski SU, White M, et al. Theoretical explanations for maintenance of behaviour change: A systematic review of behaviour theories[J]. Health Psychol Rev, 2016, 10(3): 277-296.
[5] Mastellos N, Gunn LH, Felix LM, et al. Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults[J]. Cochrane Database Syst Rev, 2014, 2014(2): Cd008066.
[6] de Freitas PP, De Menezes MC, Dos Santos LC, et al. The transtheoretical model is an effective weight management intervention: A randomized controlled trial[J]. BMC Public Health, 2020, 20(1): 652.
[7] 李幸, 闫城. 基于跨理论模型对超重肥胖儿童/青少年体质量控制行为干预研究[J]. 实用预防医学, 2019, 26(12): 1479-1482.
[8] Silva MN, Markland D, Minderico CS, et al. A randomized controlled trial to evaluate self-determination theory for exercise adherence and weight control: Rationale and intervention description[J]. BMC Public Health, 2008, 8: 234.
[9] Woo S, Park KH. Motivating children and adolescents in obesity treatment[J]. J Obes Metab Syndr, 2020, 29(4): 260-269.
[10] Donnachie C, Wyke S, Mutrie N, et al. 'It's like a personal motivator that you carried around wi' you': Utilising self-determination theory to understand men's experiences of using pedometers to increase physical activity in a weight management programme[J]. Int J Behav Nutr Phys Act, 2017, 14(1): 61.
[11] Buttitta M, Rousseau A, Guerrien A. A new understanding of quality of life in children and adolescents with obesity: Contribution of the self-determination theory[J]. Curr Obes Rep, 2017, 6(4): 432-437.
[12] Bandura A. Toward a psychology of human agency: Pathways and reflections[J]. Perspect Psychol Sci, 2018, 13(2): 130-136.
[13] Efthymiou V, Charmandari E, Vlachakis D, et al. Adolescent self-efficacy for diet and exercise following a school-based multicomponent lifestyle intervention[J]. Nutrients, 2021, 14(1):97.
[14] Walsh AD, Hesketh KD, Hnatiuk JA, et al. Paternal self-efficacy for promoting children's obesity protective diets and associations with children's dietary intakes[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 53.
[15] Bagherniya M, Taghipour A, Sharma M, et al. Obesity intervention programs among adolescents using social cognitive theory: A systematic literature review[J]. Health Educ Res, 2018, 33(1): 26-39.
[16] Andrews KR, Silk KS, Eneli IU. Parents as health promoters: A theory of planned behavior perspective on the prevention of childhood obesity[J]. J Health Commun, 2010, 15(1): 95-107.
[17] Hamilton K, Spinks T, White KM, et al. A psychosocial analysis of parents' decisions for limiting their young child's screen time: An examination of attitudes, social norms and roles, and control perceptions[J]. Br J Health Psychol, 2016, 21(2): 285-301.
[18] Michie S, Richardson M, Johnston M, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions[J]. Ann Behav Med, 2013, 46(1): 81-95.
[19] Awoke MA, Harrison CL, Martin J, et al. Behaviour change techniques in weight gain prevention interventions in adults of reproductive age: Meta-analysis and Meta-regression[J]. Nutrients, 2022, 14(1) :209.
[20] Fisher A, Hammersley ML, Jones RA, et al. Goal setting for weight-related behavior change in children: An exploratory study[J]. Nutr Health, 2018, 24(2): 67-74.
[21] Staiano AE, Beyl RA, Hsia DS, et al. Step tracking with goals increases children's weight loss in behavioral intervention[J]. Child Obes, 2017, 13(4): 283-290.
[22] Chevance G, Baretta D, Golaszewski N, et al. Goal setting and achievement for walking: A series of N-of-1 digital interventions[J]. Health Psychol, 2021, 40(1): 30-39.
[23] Cueto V, Wang CJ, Sanders LM. Impact of a mobile app-based health coaching and behavior change program on participant engagement and weight status of overweight and obese children: Retrospective cohort study[J]. JMIR Mhealth Uhealth, 2019, 7(11): e14458.
[24] Mcloughlin GM, Rosenkranz RR, Lee JA, et al. The importance of self-monitoring for behavior change in youth: Findings from the SWITCH^® school wellness feasibility study[J]. Int J Environ Res Public Health, 2019, 16(20) :3806.
[25] Lugones-Sanchez C, Sanchez-Calavera MA, Repiso-Gento I, et al. Effectiveness of an mHealth intervention combining a smartphone app and smart band on body composition in an overweight and obese population: Randomized controlled trial (EVIDENT 3 Study)[J]. JMIR Mhealth Uhealth, 2020, 8(11): e21771.
[26] de Brito JN, Loth KA, Tate A, et al. Associations between parent self-reported and accelerometer-measured physical activity and sedentary time in children: Ecological momentary assessment study[J]. JMIR Mhealth Uhealth, 2020, 8(5): e15458.
[27] Carlson JA, Ridgers ND, Nakandala S, et al. CHAP-child: An open source method for estimating sit-to-stand transitions and sedentary bout patterns from hip accelerometers among children[J]. Int J Behav Nutr Phys Act, 2022, 19(1): 109.
[28] Cai L, Dai M, Lin L, et al. Incidence of childhood overweight and obesity and its association with weight-related attitudes and behaviors in China: A national longitudinal study[J]. Int J Behav Nutr Phys Act, 2018, 15(1): 108.
[29] Suire KB, Kavookjian J, Wadsworth DD. Motivational interviewing for overweight children: A systematic review[J]. Pediatrics, 2020, 146(5) :e20200193.
[30] Broccoli S, Davoli AM, Bonvicini L, et al. Motivational interviewing to treat overweight children: 24-month follow-up of a randomized controlled trial[J]. Pediatrics, 2016, 137(1).
[31] Kao TA, Ling J, Vu C, et al. Motivational interviewing in pediatric obesity: A Meta-analysis of the effects on behavioral outcomes[J]. Ann Behav Med, 2023, 57(8): 605-619.
[32] Ball GD, Spence ND, Browne NE, et al. The readiness and motivation interview for families (RMI-Family) managing pediatric obesity: Study protocol[J]. BMC Health Serv Res, 2017, 17(1): 261.
[33] Miller AL, Lumeng JC. Pathways of association from stress to obesity in early childhood[J]. Obesity (Silver Spring), 2018, 26(7): 1117-1124.
[34] Wang S, Sun Q, Zhai L, et al. The prevalence of depression and anxiety symptoms among overweight/obese and non-overweight/non-obese children/adolescents in China: A systematic review and Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(3):340.
[35] Stavrou S, Nicolaides NC, Papageorgiou I, et al. The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence[J]. J Mol Biochem, 2016, 5(2): 63-70.
[36] Shomaker LB, Berman Z, Burke M, et al. Mindfulness-based group intervention in adolescents at-risk for excess weight gain: A randomized controlled pilot study[J]. Appetite, 2019, 140: 213-222.
[37] Burton ET, Smith WA. Mindful eating and active living: Development and implementation of a multidisciplinary pediatric weight management intervention[J]. Nutrients, 2020, 12(5):1425.
[38] Watson P, Wiers RW, Hommel B, et al. Stimulus control over action for food in obese versus healthy-weight individuals[J]. Front Psychol, 2017, 8: 580.
[39] Hayes JF, Balantekin KN, Conlon RPK, et al. Home and neighbourhood built environment features in family-based treatment for childhood obesity[J]. Pediatr Obes, 2019, 14(3): e12477.
[40] Tan W, Lu X, Xiao T. The influence of neighborhood built environment on school-age children's outdoor leisure activities and obesity: A case study of Shanghai central city in China[J]. Front Public Health, 2023, 11: 1168077.
[41] Skelton JA, Van Fossen C, Harry O, et al. Family dynamics and pediatric weight management: Putting the family into family-based treatment[J]. Curr Obes Rep, 2020, 9(4): 424-441.
[42] Hampl SE, Hassink SG, Skinner AC, et al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity[J]. Pediatrics, 2023, 151(2):e2022060640.
[43] Epstein LH, Wilfley DE, Kilanowski C, et al. Family-based behavioral treatment for childhood obesity implemented in pediatric primary care: A randomized clinical trial[J]. JAMA, 2023, 329(22): 1947-1956.
[44] Bean MK, Larose JG, Wickham EP, et al. The role of parents in behavioral treatment for adolescent obesity: Design and rationale for the TEENS+ randomized clinical trial[J]. BMC Public Health, 2023, 23(1): 1484.
[45] Li B, Liu WJ, Adab P, et al. Cluster-randomised controlled trial to assess the effectiveness and cost-effectiveness of an obesity prevention programme for Chinese primary school-aged children: The CHIRPY DRAGON study protocol[J]. BMJ Open, 2017, 7(11): e018415.
[46] Santos RG, Durksen A, Rabbanni R, et al. Effectiveness of peer-based healthy living lesson plans on anthropometric measures and physical activity in elementary school students: A cluster randomized trial[J]. JAMA Pediatr, 2014, 168(4): 330-337.
[47] Baños RM, Oliver E, Navarro J, et al. Efficacy of a cognitive and behavioral treatment for childhood obesity supported by the ETIOBE web platform[J]. Psychol Health Med, 2019, 24(6): 703-713.
[48] Wang W, Cheng J, Song W, et al. The effectiveness of wearable devices as physical activity interventions for preventing and treating obesity in children and adolescents: Systematic review and Meta-analysis[J]. JMIR Mhealth Uhealth, 2022, 10(4): e32435.
[49] Wadden TA, Tronieri JS, Butryn ML. Lifestyle modification approaches for the treatment of obesity in adults[J]. Am Psychol, 2020, 75(2): 235-251.
[50] Heerman WJ, Sommer EC, Qi A, et al. Evaluating dose delivered of a behavioral intervention for childhood obesity prevention: A secondary analysis[J]. BMC Public Health, 2020, 20(1): 885.