CAJ | 학술논문

【目的】观察门诊治疗肥胖儿童的可行性及治疗效果。【方法】以WHO身高标准体重值为肥胖判断标准。自1997年12月～1999年8月共治疗单纯性肥胖儿童158例，治疗方法为控制饮食、改变饮食行为、中等程度(心率145～155次/分)有氧运动、减少静坐时间、健康教育等，首诊制订一周治疗方案，每周复诊1次，根据患儿对治疗方案的执行情况制订下1周治疗计划。采用个案分析方法，对不同年龄、不同肥胖度及是否有合并症等设定不同的治疗目标。【结果】治疗时间少于4周者98例，治疗时间在4周及以上者160例(分别占就诊人数的37.9％和 62.1％)。上述160例肥胖儿童中，治疗后体重下降者127例，减重幅度为0.5～7.5kg，平均减重(3.5±2.9)kg，体重不变或上升者33例；体块指数(body mass index BMI)下降者158例，下降幅度为0.2～5.6，平均下降(1.8±1.1)。BMI值不变者2例。治疗时间较长者(9周以上)治疗效果较好。【结论】在门诊对肥胖儿童使用包括饮食调整、有氧运动、行为矫正和健康教育在内的综合疗法有较好的可行性并能获得一定疗效。
【목적】 관찰문진치료비반인동적가행성급치료효과。【방법】이WHO신고표준체중치위비반 판단표준。자1997년12월～1999년8월공치료단순성비반인동158례，치료방법위공제음식、개변음식행위、중등정 도(심솔145～155차/분)유양운동、감소정좌시간、건강교육등，수진제정일주치료방안，매주복진1차，근거환인대 치료방안적집행정황제정하1주치료계화。채용개안분석방법，대불동년령、불동비반도급시부유합병증등설정불동 적치료목표。【결과】치료시간소우4주자98례，치료시간재4주급이상자160례(분별점취진인수적37.9％화 62.1％)。상술160례비반인동중，치료후체중하강자127례，감중폭도위0.5～7.5kg，평균감중(3.5±2.9)kg，체중불 변혹상승자33례；체괴지수(body mass index BMI)하강자158례，하강폭도위0.2～5.6，평균하강(1.8±1.1)。BMI치 불변자2례。치료시간교장자(9주이상)치료효과교호。【결론】재문진대비반인동사용포괄음식조정、유양운 동、행위교정화건강교육재내적종합요법유교호적가행성병능획득일정료효。
【 Objective】 To design an outpatient treatment program for obese children and to investigate the feasibility and ef fect. 【Methods】 258 obese children(112 boys and 146 girls,average age:(10.5+1.8)y,range 6～16y,average body mass in dex:26.7kg/m2,range(22.3～32.4). were involved in our outpatient treatment program including change eating and lifestyle,resis tance exercise(HR 145～155 beat per minute)reducing sedentary behavior and nutrition education. Anthropometrical dates were ob tained at the fu-st visit and every week visit. The use of weight maintenance versus weight loss to achieve weight goals depends on each obese child's age,obese degree,and presence of medical complications. 【Results】 98 obese children were treated less than 4 weeks and 160 obese children were treated 4 weeks or more. Among the 160 obese children, 127 loss their weight, average 3.5kg, range 0.5～7.5kg. 158 had a decrease of body mass index(BMI), average 1.8, range 0.2～5.6. Significantly better outcome were obtained when 9 weeks or more of treatment occurred for the 160 obese children. 【conclusions】 The outpatient treatment program that including reductions in high- fat and high calorie foods,changing the child's eating habits,moderate exercise and nutrition edu cation was feasibility and effective for obese children.