| Efficacy of US paediatric obesity primary care guidelines: two randomized trials. | |
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MedLine Citation:
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PMID: 22434737 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to examine the efficacy of US primary care paediatric obesity treatment recommendations, within two randomized trials. METHODS: Between November 2005 to September 2007, 182 families (children aged 4-9 years, body mass index [BMI] ≥85th percentile) were recruited for two separate trials and randomized within trial to a 6-month intervention. Each trial had one intervention that increased child growth-monitoring frequency and feedback to families (GROWTH MONITORING). Each trial also had two interventions, combining GROWTH MONITORING with an eight-session, behavioural, parent-only intervention targeting two energy-balance behaviours (Trial 1: reducing snack foods and sugar-sweetened beverages [DECREASE], and increasing fruits, vegetables and low-fat dairy [INCREASE]; Trial 2: decreasing sugar-sweetened beverages and increasing physical activity [TRADITIONAL] and increasing low-fat milk consumption and reducing television watching [SUBSTITUTES]). Child standardized BMI (ZBMI) and energy intake were assessed at 0, 6 and 12 months. RESULTS: In both trials, main effects of time were found for ZBMI, which decreased at 6 and 12 months (P < 0.01). In Trial 1, ZBMI reduced from 0 to 6 months, which was maintained from 6 to 12 months (ΔZBMI 0 to 12 months = -0.12 ± 0.22). In Trial 2, ZBMI reduced from 0 to 6 and from 6 to 12 months (ΔZBMI 0-12 months = -0.16 ± 0.31). For energy intake, main effects of time were found in both trials and intake reduced from 0 to 6 months (P < 0.05), with Trial 1 reducing intake from 0 to 12 months (P < 0.05). CONCLUSIONS: All interventions improved weight status. Future research should examine effectiveness and translatability of these approaches into primary care settings. |
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Authors:
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H A Raynor; K M Osterholt; C N Hart; E Jelalian; P Vivier; R R Wing |
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Publication Detail:
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Type: Journal Article Date: 2011-12-13 |
Journal Detail:
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Title: Pediatric obesity Volume: 7 ISSN: 2047-6310 ISO Abbreviation: Pediatr Obes Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-03-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101572033 Medline TA: Pediatr Obes Country: England |
Other Details:
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Languages: eng Pagination: 28-38 Citation Subset: IM |
Copyright Information:
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© 2011 The Authors Pediatric Obesity © 2011 International Association for the Study of Obesity. |
Affiliation:
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Department of Nutrition, University of Tennessee, Knoxville, TN, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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