Development Of A Hospital-Based Exercise Prescription Clinic For Obese Children
Notice bibliographique
Résumé
BACKGROUND: Pediatric obesity has become a major public health issue. Numerous approaches have been suggested to treat obesity, with evidence indicating that comprehensive family-based behavioral programs are most effective. An optimal exercise intervention strategy has not been established. In addition, many studies have used structured exercise programs to help reduce weight; however, it is unclear how these programs affect lifestyle changes. The ideal approach may be to teach both children and parents how to make these changes. PURPOSE: To develop an Exercise Prescription Clinic (EPC) for a cohort of obese children. METHODS: Children were referred to the Children's Heart Centre from the Centre for Healthy Weights Program at B.C. Children's Hospital and were cleared to exercise by a pediatric cardiologist. An ACSM Clinical Exercise Specialist performed a baseline assessment of the child's current exercise regimen, habitual activity and screen time, and constructed a daily activity timeline. Perceived barriers to exercise and goals were also reviewed. Exercise prescription was child-specific and followed the FITT principle. Children were asked to record their daily physical activity for 1 month to allow for modifications to the initial exercise prescription. Families were to return to the clinic on a monthly basis for continuous monitoring of the child's activity levels. Program length was individualized with a minimum of 6 months intervention. RESULTS: Thirty-three children were enrolled between January and October 2007. Six children (18%) quit the program, citing their lack of commitment as their reason for leaving. Of the children being followed, 44% met their initial exercise goals, 31% increased their activity but did not meet their goals, and 25% had made no immediate change, but had a defined plan. CONCLUSION: Treatment of pediatric obesity is a complicated process requiring the commitment of both the parents and child. Individualized programs that incorporate the child's interests are necessary to ensure exercise compliance and facilitate the adoption of a healthy lifestyle. An EPC is an important component of family-based behavioral programs directed at reducing pediatric obesity.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,011 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».