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
Pediatricsjournal_title
Pediatricsauthors
Foster GD,Sundal D,McDermott C,Jelalian E,Lent MR,Vojta Ddoi
10.1542/peds.2012-0344subject
Has Abstractpub_date
2012-10-01 00:00:00pages
652-9issue
4eissn
0031-4005issn
1098-4275pii
peds.2012-0344journal_volume
130pub_type
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