Document Detail


Impact of family YMCA membership on childhood obesity: a randomized controlled effectiveness trial.
MedLine Citation:
PMID:  20453178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Treatment studies about childhood obesity in primary care are lacking. We hypothesized that providing a paid family membership to the YMCA would be effective in reducing weight.
METHODS: Patients 5 to17 years old in at least the 85th body mass index (BMI) percentile were eligible. All participants were scheduled to attend 4 nutrition classes and to return for evaluation at 2, 4, 6, 9, and 12 months. Participants were randomized to nutrition classes only (n = 39) or nutrition classes and family YMCA membership (n = 44). The primary outcome measure was year change in BMI-for-age percentile.
RESULTS: Median BMI percentile at baseline was 99. Only 27 of 36 evaluable participants in the treatment group visited the YMCA. Four participants in the control group and one in the treatment group achieved the target reduction of 2 BMI percentile points (Fisher's exact, P = .17). Within the treatment group, YMCA attendees had a mean increase of 0.30 BMI points compared with an increase of 0.60 BMI points in nonattendees (P = .28).
CONCLUSION: In very obese children, eliminating financial barriers to YMCA membership is insufficient to induce more weight loss during 1 year compared with nutrition classes alone. Improvements in nutrition intake were reported by both groups.
Authors:
Maurice Duggins; Phillip Cherven; Joe Carrithers; Janet Messamore; Annie Harvey
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  23     ISSN:  1557-2625     ISO Abbreviation:  J Am Board Fam Med     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-05-10     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  323-33     Citation Subset:  IM    
Affiliation:
Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, KS 67218. USA. maurice_duggins@via-christi.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Body Mass Index
Child
Child Welfare
Child, Preschool
Exercise*
Family Health*
Female
Health Literacy*
Humans
Kansas / epidemiology
Life Style
Male
Motor Activity
Nutrition Surveys
Nutritional Status*
Obesity / diet therapy,  epidemiology,  prevention & control*
Self Disclosure
Weight Loss*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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