| Objective: To evaluate the influence of family management mode guided by "spleen main movement and transformation" on body composition,TCM syndrome score and other indexes of children with simple obesity caused by phlegm-dampness,and to provide reference for clinical treatment of this disease.Methods: collected up to the standard of diagnosis and incorporated in78 cases of simple obesity of school-age children(6-13 years old)as the research sample,collect the basic information of the children,dietary preference,movement,living habits,TCM syndrome integral etc,through the stochastic indicator is divided into experimental group and the control group,with 39 cases in each group.In the control group,obese children and their parents were given regular diet and exercise health education.In the experimental group,the health education of traditional Chinese medicine was increased under the guidance of "spleen main movement and change",and the traditional Chinese medicine diet method of homologous medicine and food was adopted.Both groups were followed up regularly through telephone and We Chat contact methods.The changes of body composition data,TCM syndrome scores and other indexes before intervention,3 months after intervention and 6months after intervention were observed,and the intervention effects were compared between the two groups.All data were analyzed using SPSS25.0statistical software.Results: 1.The main effects of intervention in BMI and body fat rate of obese children before and after intervention were statistically significant(P<0.05),the main effects of intervention time were significantly different(P<0.001),and there was an interaction between intervention factors and time factors(P<0.05).With the extension of the intervention time,the overall BMI and body fat rate of obese children showed a downward trend.The decrease of BMI and body fat rate of the experimental group was greater than that of the control group at each time point,and the intervention effect was better than that of the control group(P<0.05).2.After 6 months of intervention,the body fat mass and basal metabolic rate in both groups decreased compared with before intervention,and the decrease degree in experimental group was significantly higher than that in control group(P<0.05);After 6 months of intervention,the contents of skeletal muscle,total water,protein,inorganic salt and height of obese children in both groups increased,but there was no statistical significance between groups(P>0.05).3.After 6 months of intervention,the TCM syndrome scores of both groups decreased(P<0.05),and the improvement of TCM syndrome scores in experimental group was better than that in control group(P<0.05).Conclusion: 1.The family management mode based on the guidance of "spleen main transport and transformation" can significantly reduce the BMI,body fat percentage,body fat mass and basal metabolic rate of children with phlegm-dampness obesity,without affecting their growth.2.With regular follow-up and the extension of intervention time,the effect of reducing BMI and body fat percentage is more obvious.3.The dietary method with the same origin of medicine and food based on the guidance of "spleen main movement and transformation" can effectively improve the TCM syndrome scores of obese children. |