基于跨理论模型的运动干预应用于肥胖儿童中的效果观察  

Effect of Exercise Intervention based on Cross-Theoretical Model for Obese Children

作　　者：朱晓芳 曹亚船[2] ZHU Xiaofang;CAO Yachuan(Wuxi Xishan People's Hospital,Wuxi,Jiangsu,214000,China;不详)

机构地区：[1]无锡市锡山人民医院,江苏无锡214000 [2]无锡市第四人民医院儿科,江苏无锡214000

出　　处：《中国社会医学杂志》2021年第3期316-319,共4页Chinese Journal of Social Medicine

基　　金：无锡市卫生计生委科研项目(MS201760)。

摘　　要：目的探究基于跨理论模型的运动干预应用于肥胖儿童中的效果。方法选取无锡市锡山人民医院2017年1月—2019年1月收治的肥胖儿童85例为研究对象,对所有儿童进行基于跨理论模型的运动干预。对比所有儿童干预前、干预1个月、6个月后体重指数(BMI)、体脂率、自尊水平、孤独感、社交焦虑水平、体育锻炼情况。结果85例研究对象干预6个月后BMI、体脂率水平低于干预前,差异有统计学意义(P<0.05);干预1个月、6个月后自尊水平与干预前比较,差异无统计学意义(P>0.05);干预6个月后孤独感评分低于干预前,害怕否定评价、社交回避及苦恼评分低于干预前,差异均有统计学意义(P<0.05);干预6个月后每月单次锻炼时间≥30 min的次数比例高于干预前,差异有统计学意义(P<0.05)。结论基于跨理论模型的运动干预应用于肥胖儿童中可促进体育锻炼,降低体重指数及体脂率,减轻孤独感和社交焦虑水平,值得推广。Objective To explore the effect of exercise intervention based on cross-theoretical model for obese children.Methods 85 obese children admitted to Xishan People's Hospital of Wuxi from January 2017 to January 2019 were enrolled and all received exercise intervention based on cross-theoretical model.Indicators including body mass index,body fat rate,self-esteem,loneliness,social anxiety level,physical exercise were compared before and after one and six months after the intervention.Results The body mass index and body fat rate of 85 children after six months of intervention were both lower than that before the intervention and the difference were statistically significant(P<0.05).The differences in the self-esteem level of the children before and after 1 and 6 months of intervention were not statistically significant(P>0.05).After 6 months of intervention,children had lower scores in aspects of loneliness,the fear of negative evaluation,social avoidance and distress,and the differences were statistically significant(P<0.05).The proportion of children who had a single exercise time of at least 30 min per month after 6 months of intervention was higher than that before intervention,and the difference was statistically significant(P<0.05).Conclusion Exercise intervention based on cross-theoretical model can promote physical exercise,reduce body mass index and body fat rate,reduce loneliness and social anxiety level for obese children,and is worth promoting.

关 键 词：跨理论模型 运动干预 肥胖儿童 体重指数 社交焦虑 

分 类 号：R723.14[医药卫生—儿科] R339.31[医药卫生—临床医学]