A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT.

Abstract:

OBJECTIVE:To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect. PARTICIPANTS AND METHODS:We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesity Task Force cut points) children, aged 5 to 9 years. The 6-month program targeted parents as the agents of change for implementing family lifestyle changes. Only parents attended group sessions. We measured BMI and waist z scores and parenting constructs at baseline, 6, 12, 18, 24 months. RESULTS:Participants (n = 169; 56% girls) were randomized to a parenting skills plus healthy lifestyle group (n = 85) or a healthy lifestyle-only group (n = 84). At final 24-month assessment 52 and 54 children remained in the parenting skills plus healthy lifestyle and the healthy lifestyle-only groups respectively. There were reductions (P < .001) in BMI z score (0.26 [95% confidence interval: 0.22-0.30]) and waist z score (0.33 [95% confidence interval: 0.26-0.40]). There was a 10% reduction in z scores from baseline to 6 months that was maintained to 24 months with no additional intervention. Overall, there was no significant group effect. A similar pattern of initial improvement followed by stability was observed for parenting outcomes and no group effect. CONCLUSIONS:Using approaches that specifically target parent behavior, relative weight loss of ∼10% is achievable in moderately obese prepubertal children and can be maintained for 2 years from baseline. These results justify an investment in treatment as an effective secondary obesity-prevention strategy.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Magarey AM,Perry RA,Baur LA,Steinbeck KS,Sawyer M,Hills AP,Wilson G,Lee A,Daniels LA

doi

10.1542/peds.2009-1432

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

214-22

issue

2

eissn

0031-4005

issn

1098-4275

pii

peds.2009-1432

journal_volume

127

pub_type

杂志文章,随机对照试验
  • Self- and parent-rated executive functioning in young adults with very low birth weight.

    abstract:BACKGROUND AND OBJECTIVE:Adults born preterm score lower on performance-based tests of executive functioning (EF) than their term-born peers. These test scores do not necessarily translate to application of these skills in an everyday environment. The objective of the study was to test differences between very low birt...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0839

    authors: Heinonen K,Pesonen AK,Lahti J,Pyhälä R,Strang-Karlsson S,Hovi P,Järvenpää AL,Eriksson JG,Andersson S,Kajantie E,Raikkonen K

    更新日期:2013-01-01 00:00:00

  • Predictors of phrase and fluent speech in children with autism and severe language delay.

    abstract:OBJECTIVE:To examine the prevalence and predictors of language attainment in children with autism spectrum disorder (ASD) and severe language delay. We hypothesized greater autism symptomatology and lower intelligence among children who do not attain phrase/fluent speech, with nonverbal intelligence and social engageme...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-2221

    authors: Wodka EL,Mathy P,Kalb L

    更新日期:2013-04-01 00:00:00

  • Zinc protoporphyrin/heme ratio for diagnosis of preanemic iron deficiency.

    abstract:OBJECTIVE:Iron deficiency anemia is known to impair cognitive and psychomotor development. The zinc protoporphyrin/heme (ZPP/H) ratio is a simple, accurate, and sensitive laboratory screening test that detects early iron depletion before the onset of anemia. The objective of this work was to evaluate this test in a pri...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.3.e37

    authors: Rettmer RL,Carlson TH,Origenes ML,Jack RM,Labb RF

    更新日期:1999-09-01 00:00:00

  • Quality of evidence-based pediatric guidelines.

    abstract:OBJECTIVE:To identify evidence-based pediatric guidelines and to assess their quality. METHODS:We searched Medline, Embase, and relevant Web sites of guideline development programs and national pediatric societies to identify evidence-based pediatric guidelines. A list with titles of identified guidelines was sent to ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0575

    authors: Boluyt N,Lincke CR,Offringa M

    更新日期:2005-05-01 00:00:00

  • A rose by any other name? Objective knowledge, perceived knowledge, and adolescent male condom use.

    abstract:OBJECTIVE:To investigate the role of objective and perceived knowledge about condoms in adolescent males' condom use at first intercourse. METHODS:A longitudinal analysis was conducted of data from a nationally representative sample of 404 virgin male adolescents who were aged 15 to 17 years at wave 1 and reported bec...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0139

    authors: Rock EM,Ireland M,Resnick MD,McNeely CA

    更新日期:2005-03-01 00:00:00

  • Reforming Medicaid for medically complex children.

    abstract::Children's hospitals play a central role in our child health care system. These hospitals face unique challenges under health care reform. They care for children with the most complex medical problems but often are not reimbursed for good preventive care, care coordination, or quality. We discuss a proposal by childre...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0252g

    authors: O'Donnell R

    更新日期:2013-04-01 00:00:00

  • Causal thinking in practice: strengths and weaknesses of the clinical vantage point.

    abstract::The place of causal inference in clinical practice is considered. One function relates to the validation of existing knowledge, as in the evaluation of the medical literature, and is exemplified by the process of editorial selection. A second function relates to the validation of potential knowledge, as in the testing...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Susser M

    更新日期:1984-11-01 00:00:00

  • Increased risk of precocious puberty in internationally adopted children in Denmark.

    abstract:BACKGROUND:Studies have indicated that internationally adopted children have an increased risk of developing precocious puberty, but no epidemiologic risk estimates have previously been calculated. We aimed to assess the risk of developing precocious puberty in intercountry adoptees, children immigrating with their fam...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2939

    authors: Teilmann G,Pedersen CB,Skakkebaek NE,Jensen TK

    更新日期:2006-08-01 00:00:00

  • Placement stability and mental health costs for children in foster care.

    abstract:OBJECTIVE:Although prior population-based studies have found that children in foster care use more mental health services than their Medicaid peers, less is known about how different experiences in foster care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.5.1336

    authors: Rubin DM,Alessandrini EA,Feudtner C,Mandell DS,Localio AR,Hadley T

    更新日期:2004-05-01 00:00:00

  • Bone scintigraphy in the evaluation of children with obscure skeletal pain.

    abstract::A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten pati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: ter Meulen DC,Majd M

    更新日期:1987-04-01 00:00:00

  • Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment.

    abstract:OBJECTIVES:Acquisition and maintenance of the skills necessary for successful resuscitation of the neonate are typically accomplished by a combination of completion of standardized training courses using textbooks, videotape, and manikins together with active participation in the resuscitation of human neonates in the ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.4.e45

    authors: Halamek LP,Kaegi DM,Gaba DM,Sowb YA,Smith BC,Smith BE,Howard SK

    更新日期:2000-10-01 00:00:00

  • Phototherapy to prevent severe neonatal hyperbilirubinemia in the newborn infant 35 or more weeks of gestation.

    abstract:OBJECTIVE:To standardize the use of phototherapy consistent with the American Academy of Pediatrics clinical practice guideline for the management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. METHODS:Relevant literature was reviewed. Phototherapy devices currently marketed in the United S...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2011-1494

    authors: Bhutani VK,Committee on Fetus and Newborn.,American Academy of Pediatrics.

    更新日期:2011-10-01 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

  • Prenatal di(2-ethylhexyl)phthalate exposure and length of gestation among an inner-city cohort.

    abstract:OBJECTIVE:Our objective was to assess the relationship between di(2-ethylhexyl)phthalate (DEHP) exposure during pregnancy and gestational age at delivery among 311 African American or Dominican women from New York City. METHODS:Forty-eight-hour personal air and/or spot urine samples were collected during the third tri...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0325

    authors: Whyatt RM,Adibi JJ,Calafat AM,Camann DE,Rauh V,Bhat HK,Perera FP,Andrews H,Just AC,Hoepner L,Tang D,Hauser R

    更新日期:2009-12-01 00:00:00

  • Policy statement--Expert witness participation in civil and criminal proceedings.

    abstract::The interests of the public and both the medical and legal professions are best served when scientifically sound and unbiased expert witness testimony is readily available in civil and criminal proceedings. As members of the medical community, patient advocates, and private citizens, pediatricians have ethical and pro...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1132

    authors: Committee on Medical Liability and Risk Management.

    更新日期:2009-07-01 00:00:00

  • Vitamin K status of premature infants: implications for current recommendations.

    abstract:OBJECTIVE:Newborn infants are vitamin K deficient. Vitamin K status in full-term infants after intramuscular vitamin K supplementation at birth has been described. Similar information in growing premature infants has not been reported. The objective of this study was to assess vitamin K status in premature infants by m...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.5.1117

    authors: Kumar D,Greer FR,Super DM,Suttie JW,Moore JJ

    更新日期:2001-11-01 00:00:00

  • Potential cost savings attributable to influenza vaccination of school-aged children.

    abstract:OBJECTIVE:To analyze the costs and benefits of influenza vaccination of healthy school-aged children. DESIGN:The analysis was based on data from the literature. Total costs included direct medical costs for vaccination, physician visits, and treatment as well as indirect costs. Indirect costs were in the form of lost ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.6.e73

    authors: White T,Lavoie S,Nettleman MD

    更新日期:1999-06-01 00:00:00

  • Preterm Birth and Poor Fetal Growth as Risk Factors of Attention-Deficit/ Hyperactivity Disorder.

    abstract:BACKGROUND:Previous studies have shown an association between prematurity and attention- abstract deficit/hyperactivity disorder (ADHD). Results concerning late preterm infants are controversial, and studies examining fetal growth represented by weight for gestational age are scarce. Our objective was to examine the as...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-1043

    authors: Sucksdorff M,Lehtonen L,Chudal R,Suominen A,Joelsson P,Gissler M,Sourander A

    更新日期:2015-09-01 00:00:00

  • Quality health care for children and the Affordable Care Act: a voltage drop checklist.

    abstract::The Affordable Care Act (ACA) introduces enormous policy changes to the health care system with several anticipated benefits and a growing number of unanticipated challenges for child and adolescent health. Because the ACA gives each state and their payers substantial autonomy and discretion on implementation, underst...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2014-0881

    authors: Cheng TL,Wise PH,Halfon N

    更新日期:2014-10-01 00:00:00

  • Poverty and Trends in Three Common Chronic Disorders.

    abstract:OBJECTIVES:For asthma, attention-deficit/hyperactivity disorder (ADHD), and autism spectrum disorder (ASD), the objectives were to (1) describe the percent increases in prevalence and comorbidity and how these vary by poverty status, and (2) examine the extent to which poverty status is a predictor of higher than avera...

    journal_title:Pediatrics

    pub_type: 杂志文章,收录出版

    doi:10.1542/peds.2016-2539

    authors: Pulcini CD,Zima BT,Kelleher KJ,Houtrow AJ

    更新日期:2017-03-01 00:00:00

  • Surfactant replacement therapy with a single postventilatory dose of a reconstituted bovine surfactant in preterm neonates with respiratory distress syndrome: final analysis of a multicenter, double-blind, randomized trial and comparison with similar tria

    abstract::The effects of a single dose of surfactant TA were assessed in premature neonates (birth weight 750 to 1749 g) with respiratory distress syndrome (RDS) in a multicenter, double-blind, randomized clinical trial. Only neonates with surfactant deficiency and without ultrasonographic evidence of intracranial hemorrhage gr...

    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: Fujiwara T,Konishi M,Chida S,Okuyama K,Ogawa Y,Takeuchi Y,Nishida H,Kito H,Fujimura M,Nakamura H

    更新日期:1990-11-01 00:00:00

  • Obesity rather than severity of sleep-disordered breathing as the major determinant of insulin resistance and altered lipidemia in snoring children.

    abstract:OBJECTIVE:Sleep-disordered breathing (SDB) is associated with insulin resistance and dyslipidemia in adults and in obese children. However, the prevalence of such metabolic abnormalities among snoring children is unknown. This study was done to prospectively assess the relative contribution of SDB and obesity to metabo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2527

    authors: Tauman R,O'Brien LM,Ivanenko A,Gozal D

    更新日期:2005-07-01 00:00:00

  • Renal outcome of neonatal renal venous thrombosis: review of 28 patients and effectiveness of fibrinolytics and heparin in 10 patients.

    abstract:OBJECTIVES:Neonatal renal venous thrombosis is a rare disorder that can result in severe renal damage. To evaluate the experience over 10 years and review the effectiveness of fibrinolytic and/or heparin therapy, chart reviews were performed for newborns with renal venous thrombosis. PATIENTS, INTERVENTIONS, AND OUTCOM...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1461

    authors: Messinger Y,Sheaffer JW,Mrozek J,Smith CM,Sinaiko AR

    更新日期:2006-11-01 00:00:00

  • Severe Central Sleep Apnea in Vici Syndrome.

    abstract::Vici syndrome is a rare congenital multisystem disorder due to recessive mutations in the key autophagy regulator EPG5. Vici syndrome is characterized by agenesis of the corpus callosum, hypopigmentation, immunodeficiency, cataracts, and cardiomyopathy, with variable additional multisystem involvement. Here we report ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-0297

    authors: El-Kersh K,Jungbluth H,Gringras P,Senthilvel E

    更新日期:2015-11-01 00:00:00

  • Fluoroquinolone safety in pediatric patients: a prospective, multicenter, comparative cohort study in France.

    abstract:OBJECTIVE:To evaluate the safety of fluoroquinolones (FQ) in comparison with other antibiotics in pediatric patients. METHODS:A multicenter, observational, comparative cohort study was conducted between 1998 and 2000 in French pediatric departments. Patients who were receiving systemic FQ were included and matched to ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1542/peds.111.6.e714

    authors: Chalumeau M,Tonnelier S,D'Athis P,Tréluyer JM,Gendrel D,Bréart G,Pons G,Pediatric Fluoroquinolone Safety Study Investigators.

    更新日期:2003-06-01 00:00:00

  • Variation in clinician recommendations for multiple injections during adoption of inactivated polio vaccine.

    abstract:OBJECTIVES:To describe variation in clinician recommendations for multiple injections during the adoption of inactivated poliovirus vaccine (IPV) in 2 large health maintenance organizations (HMOs), and to test the hypothesis that variation in recommendations would be associated with variation in immunization coverage r...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.107.4.e49

    authors: Lieu TA,Davis RL,Capra AM,Mell LK,Quesenberry CP,Martin KE,Zavitkovsky A,Black SB,Shinefield HR,Thompson RS,Rodewald LE

    更新日期:2001-04-01 00:00:00

  • Dating of bruises in children: an assessment of physician accuracy.

    abstract:OBJECTIVE:To determine whether physicians can estimate accurately the age of an accidental bruise on direct physical examination. METHODS:Children who presented to the emergency department of a children's hospital with accidental bruises of known age and origin had demographic data and information about their injury r...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.4.804

    authors: Bariciak ED,Plint AC,Gaboury I,Bennett S

    更新日期:2003-10-01 00:00:00

  • Low expression of human epithelial sodium channel in airway epithelium of preterm infants with respiratory distress.

    abstract:OBJECTIVE:Active ion transport is critical to postnatal clearance of lung fluid. The importance of epithelial sodium channel (ENaC) in this clearance has been demonstrated in animal studies in which alpha-ENaC knockout mice died postnatally as a result of respiratory insufficiency. In animals, the expression of alpha-E...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.5.1267

    authors: Helve O,Pitkänen OM,Andersson S,O'Brodovich H,Kirjavainen T,Otulakowski G

    更新日期:2004-05-01 00:00:00

  • Correlates of lactation in mothers of very low birth weight infants.

    abstract:OBJECTIVE:We sought to determine the correlates of intent to breastfeed and of successful lactation and nursing at the breast in mothers of very low birth weight (VLBW; <1.5 kg) infants. METHODS:We conducted a prospective observational study of 119 mothers of singleton VLBW infants (mean birth weight: 1056 g; mean ges...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.109.4.e57

    authors: Furman L,Minich N,Hack M

    更新日期:2002-04-01 00:00:00

  • Corticoresistant nephrotic syndrome associated with T-cell deficiency in two sisters.

    abstract::The coexistence in two sisters, born to related parents, of a corticoresistant nephrotic syndrome, lymphopenia, an immune deficit, short stature, and photophobia is described. The immune deficit is mainly cellular; studies of lymphocyte markers demonstrate a pronounced deficiency of T lymphocytes and Fc-mu receptor-be...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tabin R,Guignard JP,Gautier E,Dubrit M,Jeannet M,Golaz J,Moretta L

    更新日期:1983-01-01 00:00:00