Feasibility and preliminary outcomes of a scalable, community-based treatment of childhood obesity.

Abstract:

OBJECTIVE:Clinic-based treatments of childhood obesity are effective but typically have limited reach and are costly. In this study, we evaluated the effects of a scalable weight management program for children and teenagers. METHODS:Participants were 155 children and their parent/guardian. Children had a mean ± SD age of 11.3 ± 2.8 years, BMI z score of 2.23 ± 0.41, and a percentage overweight of 72.5 ± 34.0. Most (92%) were obese, and nearly half (46.5%) were ≥ 99th percentile for BMI. The primary outcome was change in percentage overweight from baseline to 6 months. RESULTS:At 6 months, children experienced a 3.4 percentage point reduction in percentage overweight (P = .001). Children <13 years had a 4.3 percentage point reduction in percentage overweight, whereas those ≥ 13 years had a 1.0 percentage point reduction. Those who attended a greater number of face-to-face group sessions experienced greater changes in percentage overweight. There were significant improvements in child health-related quality of life as reported by both children and their parents. CONCLUSIONS:These data suggest that a scalable, community-based pediatric obesity intervention can result in clinically significant reductions in percentage overweight, as well as improvements in health-related quality of life.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Foster GD,Sundal D,McDermott C,Jelalian E,Lent MR,Vojta D

doi

10.1542/peds.2012-0344

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

652-9

issue

4

eissn

0031-4005

issn

1098-4275

pii

peds.2012-0344

journal_volume

130

pub_type

临床试验,杂志文章
  • Relief of pain and anxiety in pediatric patients in emergency medical systems.

    abstract::Whether a component of a disease process, the result of acute injury, or a product of a diagnostic or therapeutic procedure, pain should be relieved and stress should be decreased for pediatric patients. Control of pain and stress for children who enter into the emergency medical system, from the prehospital arena to ...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1542/peds.2004-1752

    authors: Zempsky WT,Cravero JP,American Academy of Pediatrics Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine.

    更新日期:2004-11-01 00:00:00

  • Hematopoietic stem cell transplantation corrects the immunologic abnormalities associated with immunodeficiency-centromeric instability-facial dysmorphism syndrome.

    abstract::Immunodeficiency-centromeric instability-facial dysmorphism syndrome, characterized by variable immunodeficiency, centromeric instability, and facial anomalies caused by epigenetic dysregulation resulting in hypomethylation, is caused in many patients by mutations in DNMT3B, a DNA methyltransferase gene; associated in...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0640

    authors: Gennery AR,Slatter MA,Bredius RG,Hagleitner MM,Weemaes C,Cant AJ,Lankester AC

    更新日期:2007-11-01 00:00:00

  • Symptomatic congenital cytomegalovirus infection in infants born to mothers with preexisting immunity to cytomegalovirus.

    abstract:OBJECTIVES:To determine the frequency of symptomatic congenital cytomegalovirus (CMV) infection in the offspring of women with a recurrent maternal CMV infection and to characterize the demographic and newborn findings. METHODS:Study subjects consisted of infants with symptomatic congenital CMV infection identified by...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.1.55

    authors: Boppana SB,Fowler KB,Britt WJ,Stagno S,Pass RF

    更新日期:1999-07-01 00:00:00

  • Adolescents' beliefs about the risks involved in smoking "light" cigarettes.

    abstract:BACKGROUND:Light cigarettes have been marketed by the tobacco industry as being a healthier smoking choice, a safe alternative to cessation, and a first step toward quitting smoking altogether. Research, however, has failed to show a reduction in smoking-related health risks, an increase in rates of smoking cessation, ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0893

    authors: Kropp RY,Halpern-Felsher BL

    更新日期:2004-10-01 00:00:00

  • Evidence for an association between infant mortality and a carnitine palmitoyltransferase 1A genetic variant.

    abstract:OBJECTIVE:Alaska Native and other circumpolar indigenous populations have historically experienced high infant mortality rates, for unknown reasons. Through routine newborn screening, Alaskan and Canadian indigenous infants have been found to have a high frequency of a single sequence variant (c.1436C→T) in the gene co...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0687

    authors: Gessner BD,Gillingham MB,Birch S,Wood T,Koeller DM

    更新日期:2010-11-01 00:00:00

  • Collaborative office rounds: continuing education in the psychosocial/developmental aspects of child health.

    abstract:OBJECTIVES:In recent years there has been increasing emphasis on the mental health aspects of primary health care for children and adolescents. The Health Resources and Services Administration's Maternal and Child Health Bureau has contributed to efforts aimed at strengthening primary care not only in early identificat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.99.4.e5

    authors: Fishman ME,Kessel W,Heppel DE,Brannon ME,Papai JJ,Bryn SD,Nora AH,Hutchins VL

    更新日期:1997-04-01 00:00:00

  • The internet, adolescent males, and homemade blowgun darts: a recipe for foreign body aspiration.

    abstract::We describe our experience with blowgun dart aspiration via an illustrative case series and review the resources available to teach children how to construct these objects. A 15-year-old boy presented with cough, wheeze, and eventually admitted to aspiration of a homemade blowgun dart. This instance heightened the awa...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2012-3340

    authors: Walz PC,Scholes MA,Merz MN,Elmaraghy CA,Jatana KR

    更新日期:2013-08-01 00:00:00

  • A program to limit donor exposures to neonates undergoing extracorporeal membrane oxygenation.

    abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) has dramatically improved the survival of neonates with life-threatening respiratory and cardiac failure. However, ECMO requires numerous transfusions with significant risks. This study evaluated the effects of changing transfusion practices and blood component manag...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rosenberg EM,Chambers LA,Gunter JM,Good JA

    更新日期:1994-09-01 00:00:00

  • School-age outcomes in children who were extremely low birth weight from four international population-based cohorts.

    abstract:OBJECTIVE:The aim of this study was to determine whether learning and school problems in extremely low birth weight (ELBW) and reference children differ between cohorts in different countries. METHODS:Participants were 4 international population-based cohorts of ELBW survivors who were 500 to 1000 g birth weight from ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.112.4.943

    authors: Saigal S,den Ouden L,Wolke D,Hoult L,Paneth N,Streiner DL,Whitaker A,Pinto-Martin J

    更新日期:2003-10-01 00:00:00

  • A practical clinical approach to diagnosis of fetal alcohol spectrum disorders: clarification of the 1996 institute of medicine criteria.

    abstract:BACKGROUND:The adverse effects of alcohol on the developing human represent a spectrum of structural anomalies and behavioral and neurocognitive disabilities, most accurately termed fetal alcohol spectrum disorders (FASD). The first descriptions in the modern medical literature of a distinctly recognizable pattern of m...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0259

    authors: Hoyme HE,May PA,Kalberg WO,Kodituwakku P,Gossage JP,Trujillo PM,Buckley DG,Miller JH,Aragon AS,Khaole N,Viljoen DL,Jones KL,Robinson LK

    更新日期:2005-01-01 00:00:00

  • Lupus nephritis: prognostic factors in children.

    abstract::As newer treatment modalities become available for patients with severe lupus nephritis, it becomes increasingly important to identify patients at risk for renal failure. In this study, the records of 90 children presenting with systemic lupus erythematosus over a 13-year period were reviewed. Nineteen were lost to fo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: McCurdy DK,Lehman TJ,Bernstein B,Hanson V,King KK,Nadorra R,Landing BH

    更新日期:1992-02-01 00:00:00

  • Neuroprotection with prolonged head cooling started before postischemic seizures in fetal sheep.

    abstract:OBJECTIVE:Cerebral hypothermia has been shown to reduce damage from experimental hy-poxia-ischemia if started shortly after reperfusion. However, in the newborn infant it may not be feasible to determine prognosis so soon after exposure to asphyxia. The aim of this study was to determine whether head cooling, delayed u...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.5.1098

    authors: Gunn AJ,Gunn TR,Gunning MI,Williams CE,Gluckman PD

    更新日期:1998-11-01 00:00:00

  • Successful treatment of juvenile chronic granulocytic leukemia with marrow transplantation.

    abstract::A 46-month-old boy with juvenile chronic granulocytic leukemia was treated intensively with hydroxyurea, dimethyl myleran, cyclophosphamide, and total body irradiation. He then received a marrow transplant from an HL-A matched brother. Thirty-two months after the transplantation, he is hematologically normal and remai...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Sanders JE,Buckner CD,Stewart P,Thomas ED

    更新日期:1979-01-01 00:00:00

  • The effect of maternal antibody on the serologic response and the incidence of adverse reactions after primary immunization with acellular and whole-cell pertussis vaccines combined with diphtheria and tetanus toxoids.

    abstract:OBJECTIVE:To evaluate the effect of maternally derived antibody on the immunogenicity and reactogenicity of acellular (DTaP) or whole-cell (DTP) pertussis vaccine with diphtheria and tetanus toxoids combined. METHODS:A total of 2342 infants were randomized to receive one of 13 DTaP or 2 DTP vaccines at 2, 4, and 6 mon...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Englund JA,Anderson EL,Reed GF,Decker MD,Edwards KM,Pichichero ME,Steinhoff MC,Rennels MB,Deforest A,Meade BD

    更新日期:1995-09-01 00:00:00

  • Oral probiotics prevent necrotizing enterocolitis in very low birth weight preterm infants: a multicenter, randomized, controlled trial.

    abstract:OBJECTIVE:The goal was to investigate the efficacy of orally administered probiotics in preventing necrotizing enterocolitis for very low birth weight preterm infants. METHODS:A prospective, blinded, randomized, multicenter controlled trial was conducted at 7 NICUs in Taiwan, to evaluate the beneficial effects of prob...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2007-3007

    authors: Lin HC,Hsu CH,Chen HL,Chung MY,Hsu JF,Lien RI,Tsao LY,Chen CH,Su BH

    更新日期:2008-10-01 00:00:00

  • Food protein-induced enterocolitis syndrome caused by solid food proteins.

    abstract:BACKGROUND:Infantile food protein-induced enterocolitis syndrome (FPIES) is a severe, cell-mediated gastrointestinal food hypersensitivity typically provoked by cow's milk or soy. Solid foods are rarely considered a cause. OBJECTIVE:To describe the clinical characteristics and natural history of FPIES provoked by soli...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.111.4.829

    authors: Nowak-Wegrzyn A,Sampson HA,Wood RA,Sicherer SH

    更新日期:2003-04-01 00:00:00

  • Informed Consent in Decision-Making in Pediatric Practice.

    abstract::Informed consent should be seen as an essential part of health care practice; parental permission and childhood assent is an active process that engages patients, both adults and children, in their health care. Pediatric practice is unique in that developmental maturation allows, over time, for increasing inclusion of...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-1485

    authors: Katz AL,Webb SA,COMMITTEE ON BIOETHICS.

    更新日期:2016-08-01 00:00:00

  • Safety of hospitalized ventilator-dependent children outside of the intensive care unit.

    abstract:OBJECTIVE:Hospitalization of clinically stable ventilator-dependent children in an intensive care unit (ICU) remains the standard in most pediatric centers. The aim of this study was to determine whether chronically ventilator-dependent children could be hospitalized safely in a non-ICU setting. METHODS:All ventilator...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.2.257

    authors: Ambrosio IU,Woo MS,Jansen MT,Keens TG

    更新日期:1998-02-01 00:00:00

  • Hypothalamic-pituitary-adrenal axis suppression in asthmatic school children.

    abstract:BACKGROUND AND OBJECTIVE:Hypothalamic-pituitary-adrenal axis suppression (HPAS) when treating children with corticosteroids is thought to be rare. Our objective was to determine the prevalence of and predictive factors for various degrees of HPAS. METHODS:Clinical features of HPAS, doses, adherence, asthma score, and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1147

    authors: Zöllner EW,Lombard CJ,Galal U,Hough FS,Irusen EM,Weinberg E

    更新日期:2012-12-01 00:00:00

  • Weight and menstrual function in patients with eating disorders and cystic fibrosis.

    abstract::Many patients with eating disorders have menstrual dysfunction. In patients with anorexia nervosa, amenorrhea has been linked to weight loss. However, many patients with bulimia nervosa, even those of average or greater than average weight, also experience menstrual abnormalities, including amenorrhea. It was hypothes...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Weltman EA,Stern RC,Doershuk CF,Moir RN,Palmer K,Jaffe AC

    更新日期:1990-03-01 00:00:00

  • Thrombopoietin in the thrombocytopenic term and preterm newborn.

    abstract:OBJECTIVES:Neonatal thrombocytopenia occurs commonly in neonatal intensive care units. The role of the thrombopoietin (Tpo) system in normal neonatal platelet regulation and neonatal thrombocytopenia is not well understood. The purpose of our study was to: 1) determine the normal Tpo level at birth in healthy nonthromb...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.105.6.1286

    authors: Albert TS,Meng YG,Simms P,Cohen RL,Phibbs RH

    更新日期:2000-06-01 00:00:00

  • Determination of timing of brain injury in preterm infants with periventricular leukomalacia with serial neonatal electroencephalography.

    abstract:OBJECTIVE:The aim of this study was to determine the timing of brain injury in infants with periventricular leukomalacia (PVL) with serial electroencephalography (EEG) recordings during the neonatal period. PATIENTS AND METHODS:We evaluated 172 preterm infants having a gestational age <33 weeks and weighing <2000 g. I...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.5.1077

    authors: Hayakawa F,Okumura A,Kato T,Kuno K,Watanabe K

    更新日期:1999-11-01 00:00:00

  • Identifying and treating a substandard housing cluster using a medical-legal partnership.

    abstract:BACKGROUND AND OBJECTIVE:There is a documented connection between the home environment and health. Medical-legal partnerships (MLPs) can address social and environmental determinants of health. Our objective was to describe a cluster of substandard housing identified and treated by an MLP based in a pediatric primary c...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0769

    authors: Beck AF,Klein MD,Schaffzin JK,Tallent V,Gillam M,Kahn RS

    更新日期:2012-11-01 00:00:00

  • Maternal avoidance of eggs, cow's milk, and fish during lactation: effect on allergic manifestations, skin-prick tests, and specific IgE antibodies in children at age 4 years.

    abstract::Two matched groups of children with a family history of atopy/allergy were observed from birth. In one group (n = 65) the mothers had a diet free from eggs, cow's milk, and fish during the first 3 months of lactation, whereas the mothers in the other group (n = 50) had a normal diet. Atopic/allergic manifestations, sk...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Sigurs N,Hattevig G,Kjellman B

    更新日期:1992-04-01 00:00:00

  • Safety of the 9-Valent Human Papillomavirus Vaccine.

    abstract:BACKGROUND:The 9-valent human papillomavirus vaccine (9vHPV) was approved for females and males aged 9 to 26 years in 2014. We analyzed postlicensure surveillance reports to the Vaccine Adverse Event Reporting System (VAERS). METHODS:We searched VAERS data for US reports of adverse events (AEs) after 9vHPV from Decemb...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-1791

    authors: Shimabukuro TT,Su JR,Marquez PL,Mba-Jonas A,Arana JE,Cano MV

    更新日期:2019-12-01 00:00:00

  • Adenosine infusion improves oxygenation in term infants with respiratory failure.

    abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Konduri GG,Garcia DC,Kazzi NJ,Shankaran S

    更新日期:1996-03-01 00:00:00

  • Status of newborn screening programs in the United States.

    abstract:BACKGROUND:Newborn screening programs have expanded over the years; currently, many programs screen for dozens of congenital conditions that, if not detected and treated early, could result in catastrophic health consequences, including death. Some programs, however, still require universal newborn screening for only a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2633C

    authors: Therrell BL,Johnson A,Williams D

    更新日期:2006-05-01 00:00:00

  • Economic evaluation of the routine childhood immunization program in the United States, 2009.

    abstract:OBJECTIVES:To evaluate the economic impact of the 2009 routine US childhood immunization schedule, including diphtheria and tetanus toxoids and acellular pertussis, Haemophilus influenzae type b conjugate, inactivated poliovirus, measles/mumps/rubella, hepatitis B, varicella, 7-valent pneumococcal conjugate, hepatitis ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0698

    authors: Zhou F,Shefer A,Wenger J,Messonnier M,Wang LY,Lopez A,Moore M,Murphy TV,Cortese M,Rodewald L

    更新日期:2014-04-01 00:00:00

  • Skin lesions in a boy with X-linked lymphoproliferative disorder: comparison of 5 SH2D1A deletion cases.

    abstract::SH2D1A gene defects are the cause of X-linked lymphoproliferative disorder (XLP-1), a rare condition characterized by severe immune dysregulation. We present a patient lacking the typical symptoms of XLP-1, but experiencing a severe unusual skin condition encompassing features of dermatosclerosis and vesiculobullous s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0870

    authors: Mejstríková E,Janda A,Hrusák O,Bucková H,Vlcková M,Hancárová M,Freiberger T,Ravcuková B,Vesely K,Fajkusová L,Kopecková L,Sumerauer D,Kabícková E,Sedivá A,Stary J,Sedlácek Z

    更新日期:2012-02-01 00:00:00

  • Sleep duration and adolescent obesity.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-2368

    authors: Mitchell JA,Rodriguez D,Schmitz KH,Audrain-McGovern J

    更新日期:2013-05-01 00:00:00