综合健康教育对单纯性肥胖儿童脂肪肝的干预

目的 研究综合健康教育对单纯性肥胖儿童脂肪肝的干预,探讨控制儿童肥胖的有效方式.方法 对58例脂肪肝肥胖儿童采用以家庭行为疗法为基础,加以运动训练和饮食控制以及行为治疗在内等综合干预,并对其疗效进行比较,同时选取体重正常儿童58名作为对照组.结果 干预前肥胖组体重、BMI值、收缩压及舒张压、TC、TG、LDL-C均高于对照组(P＜0.01),干预后BMI、收缩压、TC、TG低于干预前(P＜0.01)；HDL-C低于对照组(P＜0.01),干预后HDL-C高于干预前(P＜0.01).结论 对肥胖儿童采取综合健康干预措施可以起到改善血脂水平的作用.使体内中性脂肪减少,降低脂肪肝的发生率.

Intervention of comprehensive health education for simple obesity children with fatty liver

Objective To study the intervention of comprehensive health education in simple obesity children with fat- ty liver,and explore an effective way to control childhood obesity. Methods 58 cases of fatty liver in obese children using a family based behavior therapy, exercise training and diet to control,and comprehensive intervention,including behavioral therapy,dietary advice and physical activity interventions for its comprehensive implementation of health interventions. And its efficacy compared to normal weight children also selected as the control group 58. Results Be- fore the intervention, obese body weight, BMI values, systolic and diastolic blood pressure, TC, TG, LDL-C were higher（P〈0.01） ,after the intervention BMI, systolic blood pressure, TC, TG lower than before intervention（P〈 0. 011 ;HDL-C lower than the control group（P〈0.01）, HDL-C after the intervention than before intervention（ P〈 0. 01 ）. Conclusion For obese children to take comprehensive health interventions to improve blood lipid levels can play a role. The neutral body can reduce fat,reduce the incidence of fatty liver.