اثربخشی مداخلات متمرکز بر والد در درمان چاقی کودکان و نوجوانان: یک مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 گروه روانشناسی دانشگاه علم و فرهنگ، تهران، ایران

2 استاد مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه‌الله، تهران، ایران

3 استادیار، گروه روانشناسی، دانشکده علوم انسانی، دانشگاه علم و فرهنگ، تهران، ایران

4 بورد تخصصی بیماری های نوزادان و کودکان، دانشگاه علوم پزشکی و خدمات درمانی ایران، تهران، ایران

چکیده

مقدمه: در سال­های اخیر، برای درمان چاقی کودکان، به مداخلات رفتاری سبک زندگی متمرکز بر والد، توجه بیشتری شده است. بر این اساس، این مطالعه با هدف اصلی مروری بر اثربخشی مداخلات متمرکز بر والد در درمان چاقی کودکان و نوجوانان، و با هدف فرعی بررسی میزان ریزش در مطالعات انتخاب شده انجام شد. روش: 1476 مقاله بین سال­های 2021-1957 میلادی، با انواع کلیدواژه­های مرتبط با مداخله، والد، چاقی و اضافه وزن، در دامنه سنی 18-6 سال، از پایگاه‌های اطلاعاتی PubMed، Science Direct و PsyINFO در مرحله اول شناسایی شدند. پس از اعمال ملاک­های ورود و خروج و بررسی مقالات مرتبط، نهایتاً ده مطالعه کارآزمایی کنترل­شده تصادفی (RCTs) که پیامد اصلی آنها کاهش شاخص توده بدنی (BMI) بود، به طور سیستماتیک مرور شدند. از روش استاندارد بررسی مشخصات جمعیت، جزئیات مداخله، استفاده از گروه کنترل، و گزارش پیامدها (PICO) در انتخاب، و از روش بیانیه استانداردسازی گزارش در مطالعات کارآزمایی بالینی (CONSORT)، در ارزیابی کیفیت مقالات استفاده شد. یافته‌ها: دامنه کاهش نمرات استاندارد BMI در پایان مداخلات بین 31/0- 06/0، و در پایان پیگیری­های 24–13 ماهه بین 42/0–16/0 بود. میزان ریزش تا پایان پژوهش­ها، به طور میانگین 3/32 درصد (50-13 درصد) بود. نتیجه‌گیری: به طور کلی، مداخلات رفتاری جامع سبک زندگی متمرکز بر والد در کاهش BMI کودکان اثربخش هستند، اما لازم است تا نتایج آنها با احتیاط تفسیر شده و پژوهش­های جامع و استاندارد شده بیشتری در آینده انجام شوند.

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of Parent-Focused Interventions in the Treatment of Childhood and Adolescent Obesity: A Systematic Review Article

نویسندگان [English]

  • Maryam Farrokhnia 1
  • Ali Fathi-Ashtiani 2
  • Emad Ashrafi 3
  • Faermehr Abtahei 4
1 Department of Psychology, University of Science and Culture, Tehran, Iran
2 Professor in Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
3 Assistant Professor, Department of Psychology, Faculty of Humanities, University of Science & Culture, Tehran, Iran
4 Board-Certified Pediatrician, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Objective: In recent years, more attention has been paid to parent-focused behavioral interventions for the treatment of childhood obesity. Accordingly, this study was conducted with the main objective of reviewing the effectiveness of parent-focused interventions in the treatment of childhood and adolescent obesity, and with the sub-objective of assessing the rate of attrition in selected studies. Method: 1476 articles between1957-2021, with a variety of keywords related to intervention, parent, obesity, and overweight, in the age range of 6-18 years, from the databases of PubMed, Science Direct, and PsyINFO, were identified in the first stage. After applying the inclusion and exclusion criteria and reviewing related articles, finally, ten randomized controlled trial (RCTs) studies, that their main outcome was a decrease in body mass index (BMI), were systematically reviewed. The standard method of evaluating Population,-Intervention-Control groups- Outcomes (PICO) in selecting, and the Consolidated Standards of Reporting Trials (CONSORT) in evaluating of the quality of the articles was used. Findings: The range of decrease in standard scores of body mass index at the end of the interventions was between 0.06-0.31, and at the end of 13-24 months follow-up was between 0.16-0.42. The mean attrition rate by the end of the study was 32.3% (13% to 50%). Conclusion: Comprehensive parent-focused behavioral lifestyle interventions are generally effective in reducing children's body mass index, but it is necessary to interpret the results of current articles with caution, and to conduct comprehensive and standardized research in future.

کلیدواژه‌ها [English]

  • Childhood Obesity
  • Behavioral Interventions
  • Parent-Focused Interventions
  • Systematic Review
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