根據本研究結果,可歸納以下結論:
一、營養教育介入組兒童,在經過16 週的營養教育介入之後,有助 於體位狀況及代謝症候群相關危險因子異常率的改善,尤其是空 腹血糖、三酸甘油酯以及血壓的部分。除此之外,對心血管疾病 相關危險因子如總膽固醇、低密度脂蛋白膽固醇以及尿酸等數值 也顯示出改善的效果。
二、體適能項目也有顯示出進步的情形,顯示增加身體活動確實對兒 童的體能有增進的作用。
三、營養教育介入組兒童,在經過16 週的營養教育介入後,營養知 識、態度及飲食行為的得分皆有上升,顯示出營養教育對兒童的 營養認知、健康食物的選擇態度及健康飲食行為確實有所助益。
第八章 建議
肥胖兒童適當的介入及治療是必須且急迫的。本研究可看出營養 教育課程介入對兒童目前健康狀態確實有正面的影響。針對未來研究 提出以下建議,以供參考:
一、本研究對營養教育改善兒童代謝症候群危險因子及營養知識、態 度及行為僅作短期之評估,但長期的延宕作用則是未知的。未來 可針對兒童做持續且長期的追蹤,以探討長期維持的結果,可做 前後比較的討論。
二、家長的介入是兒童減重過程中極重要的一環,有鑑於家長工作繁 忙及時間配合的困難,故本研究未對家長進行介入,僅在研究開 始前進行家長 1 次座談。建議未來可以探討兒童減重過程中,家 長的不同介入模式對減重效果之影響,介入模式可以單張或手冊 的製作與發放,以提供家長關心兒童的參考及營養資訊的來源,
如此也許更能達到對整個家庭的介入。
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