关键词: 个体化健康管理, 儿童肥胖, 单纯性肥胖, 干预, 治疗

Abstract: Objective To compare effects of individualized health management and routine intervention on children with simple obesity for one year,and to explore a more effective intervention model for obese children. Methods A total of 130 simple obese children aged 3~8 were enrolled,and were randomly assigned to an individualized diet,exercise,behavioral intervention (individualized group) and general intervention (routine group).After one-year intervention,body mass index (BMI),waist circumference,body fat percentage,glucose and lipid metabolism and C-creative protein (CRP) were compared between two groups and body shape index of different genders,different places of study were compared before and after intervention among the individualized groups. Results After 1 year of intervention,the decrease of BMI,waist circumference,body weight and body fat percentage in the individual group was more obvious than those in the routine group (P<0.001).The height growth of the individualized group was higher than that of the routine group (P<0.001).The levels of fasting blood glucose,fasting insulin,LDL,TG,TC and CRP in the individual group were lower than those in the routine group (P<0.01),and HDL was higher than that in the routine group (P<0.01). Conclusion Individualized health management can effectively improve the body shape of simple obese children aged 3~8.Improving the levels of glucose,lipid metabolism and CRP is an effective intervention model for obese children.

Key words: individualized health management, childhood obesity, simple obesity, intervention, treatment