Effect of Integration of Sports and Medicine on the Intervention of Childhood Simple Obesity

Abstract

Abstract Background To investigate the effect of the integration of sports and medicine on the intervention of childhood simple obesity. Methods This was a prospective study. A total of 206 children with childhood simple obesity who were admitted to Baoding Hospital of Beijing Children's Hospital Affiliated to Capital Medical University from May 2021 to September 2022 were recruited as subjects. They were divided into two groups using a random number table. The first group was an observation group in which interventions were formulated jointly by clinicians, nutritionists and sports professionals. The second group was a control group treated solely under the direction of clinicians. Separately, the two groups of children were followed up for a 1-year intervention and their height, weight, blood glucose, and lipid levels were examined. And, an adherence scale was used to investigate the adherence of the children. Results The lost visit rate of the control group was higher than that of the observation group (χ2 = 5.618, P < 0.05). Developmental indicators: the body weight and BMI of the observation group were lower than the baseline value after 1 year of follow-up (t = 4.402, t = 13.852; all P < 0.05); After 1-year follow-up, the body weight and BMI of the observation group were lower than those of the control group (t = 7.358, t = 14.807; all P < 0.05); Laboratory findings: no statistically significant difference was found between the baseline values of PG and HDL-C in the observation group when compared with those after 1 year of follow-up (P > 0.05), while TC, TG, and LDL-C were lower than the baseline values (t = 23.220, t = 17.408, t = 20.305; all P < 0.05); No statistically significant difference was found between the PG, HDL-C, TC, and TG in the control group compared with the baseline values after 1 year of follow-up (P > 0.05), while LDL-C was lower than the baseline values (t = 15.459, t = 14.861, t = 10.331; all P < 0.05). Adherence comparison: the exercise adherence, monitoring adherence, opinion-seeking adherence, and total adherence in the control group were significantly higher than those in the observation group (P < 0.05). Adherence analysis: BMI of the enrolled children was negatively correlated with exercise adherence, monitoring adherence, opinion-seeking adherence and total adherence (r=-0.353, r=-0.656, r=-0.646, r=-0.629; all P < 0.05). Conclusions It is not ideal for obese children to lose weight under the guidance of a physician alone. In this regard, the integration of sports and medicine (ISM) can be an effective way to address childhood obesity by developing individualized, standardized, and adherent treatment plans for obese children.