Parent diet modification, child activity, or both in obese children: an RCT.

Abstract:

OBJECTIVES:Outcomes of childhood obesity interventions are rarely reported beyond 1 year. We hypothesized that the impact on the BMI z score from a child-centered physical-activity program in combination with a parent-centered dietary-modification program would be greater than either program conducted alone at 24 months' after baseline. PARTICIPANTS AND METHODS:A total of 165 overweight prepubertal children (68 boys, aged 5.5-9.9 years, mean BMI z score: 2.8) were randomly assigned to either a child-centered physical-activity program, a parent-centered dietary-modification program, or both conducted together in an assessor-blinded 6-month intervention. RESULTS:Using linear mixed models, all groups reduced their mean (95% confidence interval) BMI z score at 24 months from baseline (P < .001) (the activity and diet group: -0.24 [-0.35 to -0.13]; the diet-only group: -0.35 [-0.48 to -0.22]; activity-only group -0.19 [-0.30 to -0.07]). There was a significant group-by-time interaction (P = .04) with the activity + diet and the diet-only groups showing a greater reduction than the activity-only group. For waist z score and waist-to-height ratio, there was a significant time effect (P < .0001) at 24 months but no between-group differences (P > .05). Some metabolic outcomes improved at 24 months, although there were no between-group differences (P > .05). CONCLUSIONS:A reduction in BMI z score was sustained at 24 months by treatment with either program combination. The greatest effects were achieved through inclusion of a parent-centered diet program, indicating the importance of targeting parents within treatment and the possibility of targeting them exclusively in treating obese prepubertal children.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Collins CE,Okely AD,Morgan PJ,Jones RA,Burrows TL,Cliff DP,Colyvas K,Warren JM,Steele JR,Baur LA

doi

10.1542/peds.2010-1518

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

619-27

issue

4

eissn

0031-4005

issn

1098-4275

pii

peds.2010-1518

journal_volume

127

pub_type

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