18-month outcomes of a community-based treatment for childhood obesity

Summary Background Few studies have evaluated community‐based interventions for childhood obesity and even fewer provide efficacy data 1 year later. Objectives This study assessed changes in relative weight 1 year after a 6‐month treatment for childhood obesity. Methods Participants were 155 overwei...

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Veröffentlicht in:Pediatric obesity 2014-06, Vol.9 (3), p.e63-e67
Hauptverfasser: Foster, G. D., Sundal, D., Lent, M. R., McDermott, C., Jelalian, E., Vojta, D.
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container_end_page e67
container_issue 3
container_start_page e63
container_title Pediatric obesity
container_volume 9
creator Foster, G. D.
Sundal, D.
Lent, M. R.
McDermott, C.
Jelalian, E.
Vojta, D.
description Summary Background Few studies have evaluated community‐based interventions for childhood obesity and even fewer provide efficacy data 1 year later. Objectives This study assessed changes in relative weight 1 year after a 6‐month treatment for childhood obesity. Methods Participants were 155 overweight/obese children/adolescents and their caregivers. The primary outcome was change in child percent over body mass index (BMI) from 6 to 18 months. The primary outcome was also assessed from 0 to 18 months and changes in secondary outcomes (BMI z‐score, guardian weight, health‐related quality of life [HRQoL]) were examined from 6–18 to 0–18 months. Results From 6 to 18 months, there were no significant changes in any outcome. From 0 to 18 months, there were improvements in BMI z‐score (P 
doi_str_mv 10.1111/j.2047-6310.2013.00197.x
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D. ; Sundal, D. ; Lent, M. R. ; McDermott, C. ; Jelalian, E. ; Vojta, D.</creator><creatorcontrib>Foster, G. D. ; Sundal, D. ; Lent, M. R. ; McDermott, C. ; Jelalian, E. ; Vojta, D.</creatorcontrib><description>Summary Background Few studies have evaluated community‐based interventions for childhood obesity and even fewer provide efficacy data 1 year later. Objectives This study assessed changes in relative weight 1 year after a 6‐month treatment for childhood obesity. Methods Participants were 155 overweight/obese children/adolescents and their caregivers. The primary outcome was change in child percent over body mass index (BMI) from 6 to 18 months. The primary outcome was also assessed from 0 to 18 months and changes in secondary outcomes (BMI z‐score, guardian weight, health‐related quality of life [HRQoL]) were examined from 6–18 to 0–18 months. Results From 6 to 18 months, there were no significant changes in any outcome. From 0 to 18 months, there were improvements in BMI z‐score (P &lt; 0.001), HRQoL (P &lt; 0.001) and guardian weight (P = 0.02). Conclusions Changes in relative weight and HRQoL observed after 6 months persisted 1 year later. The programme produced reductions in BMI z‐score and obesity prevalence but not in percent over BMI from 0 to 18 months.</description><identifier>ISSN: 2047-6302</identifier><identifier>EISSN: 2047-6310</identifier><identifier>DOI: 10.1111/j.2047-6310.2013.00197.x</identifier><identifier>PMID: 24019105</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Behavior Therapy - methods ; Behavioural treatment ; Body Mass Index ; Child ; childhood obesity ; Children &amp; youth ; Childrens health ; Community Health Services ; community interventions ; Female ; Follow-Up Studies ; Humans ; Male ; Obesity ; Pediatric Obesity - epidemiology ; Pediatric Obesity - prevention &amp; control ; Pediatric Obesity - psychology ; Pediatrics ; Program Evaluation ; Quality of Life ; Treatment Outcome ; United States - epidemiology ; Weight Loss</subject><ispartof>Pediatric obesity, 2014-06, Vol.9 (3), p.e63-e67</ispartof><rights>2013 The Authors. Pediatric Obesity © 2013 International Association for the Study of Obesity</rights><rights>2013 The Authors. 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D.</creatorcontrib><creatorcontrib>Sundal, D.</creatorcontrib><creatorcontrib>Lent, M. R.</creatorcontrib><creatorcontrib>McDermott, C.</creatorcontrib><creatorcontrib>Jelalian, E.</creatorcontrib><creatorcontrib>Vojta, D.</creatorcontrib><title>18-month outcomes of a community-based treatment for childhood obesity</title><title>Pediatric obesity</title><addtitle>Pediatric Obesity</addtitle><description>Summary Background Few studies have evaluated community‐based interventions for childhood obesity and even fewer provide efficacy data 1 year later. Objectives This study assessed changes in relative weight 1 year after a 6‐month treatment for childhood obesity. Methods Participants were 155 overweight/obese children/adolescents and their caregivers. The primary outcome was change in child percent over body mass index (BMI) from 6 to 18 months. The primary outcome was also assessed from 0 to 18 months and changes in secondary outcomes (BMI z‐score, guardian weight, health‐related quality of life [HRQoL]) were examined from 6–18 to 0–18 months. Results From 6 to 18 months, there were no significant changes in any outcome. From 0 to 18 months, there were improvements in BMI z‐score (P &lt; 0.001), HRQoL (P &lt; 0.001) and guardian weight (P = 0.02). Conclusions Changes in relative weight and HRQoL observed after 6 months persisted 1 year later. The programme produced reductions in BMI z‐score and obesity prevalence but not in percent over BMI from 0 to 18 months.</description><subject>Adolescent</subject><subject>Behavior Therapy - methods</subject><subject>Behavioural treatment</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>childhood obesity</subject><subject>Children &amp; youth</subject><subject>Childrens health</subject><subject>Community Health Services</subject><subject>community interventions</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Obesity</subject><subject>Pediatric Obesity - epidemiology</subject><subject>Pediatric Obesity - prevention &amp; control</subject><subject>Pediatric Obesity - psychology</subject><subject>Pediatrics</subject><subject>Program Evaluation</subject><subject>Quality of Life</subject><subject>Treatment Outcome</subject><subject>United States - epidemiology</subject><subject>Weight Loss</subject><issn>2047-6302</issn><issn>2047-6310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1v2zAQhomiQRwk_gsBgS5d5B4_REpDh8L5aAIjyZDARRdCok6wXElMSQm1_33p2PXQKbfwQD7vHfEQQhnMWKwv6xkHqRMl4gUHJmYALNezzQdydnz4eOyBT8g0hDXEUsAUyFMy4TJGGKRn5IZlSef6YUXdOFjXYaCupgWNbTf2zbBNyiJgRQePxdBhP9DaeWpXTVutnKuoKzFE6oKc1EUbcHo4z8nLzfXz_HuyeLy9m39bJFaKVCdScS41YF1BWeXMsgqUxSzPteJ5qpCJvK7qrMg4y1SZok2lzYFJpWpWgsjEOfm8n_vq3e8Rw2C6Jlhs26JHNwbDUi6F5AJ0RD_9h67d6Pv4u0gpqWVEeaSyPWW9C8FjbV590xV-axiYnW6zNjuTZmfV7HSbN91mE6OXhwVj2WF1DP6TG4Gve-BP0-L23YPN3f3TY-xiPtnnmzDg5pgv_C-jtNCpWT7cmqunJVzNfyzMT_EX-7aagA</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Foster, G. D.</creator><creator>Sundal, D.</creator><creator>Lent, M. R.</creator><creator>McDermott, C.</creator><creator>Jelalian, E.</creator><creator>Vojta, D.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>18-month outcomes of a community-based treatment for childhood obesity</title><author>Foster, G. D. ; Sundal, D. ; Lent, M. R. ; McDermott, C. ; Jelalian, E. ; Vojta, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4357-4622470efd0bd91c1d06ce899762956e139fdf8a82186b5ec54c901466f1b0383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Behavior Therapy - methods</topic><topic>Behavioural treatment</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>childhood obesity</topic><topic>Children &amp; youth</topic><topic>Childrens health</topic><topic>Community Health Services</topic><topic>community interventions</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Obesity</topic><topic>Pediatric Obesity - epidemiology</topic><topic>Pediatric Obesity - prevention &amp; control</topic><topic>Pediatric Obesity - psychology</topic><topic>Pediatrics</topic><topic>Program Evaluation</topic><topic>Quality of Life</topic><topic>Treatment Outcome</topic><topic>United States - epidemiology</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foster, G. D.</creatorcontrib><creatorcontrib>Sundal, D.</creatorcontrib><creatorcontrib>Lent, M. R.</creatorcontrib><creatorcontrib>McDermott, C.</creatorcontrib><creatorcontrib>Jelalian, E.</creatorcontrib><creatorcontrib>Vojta, D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foster, G. D.</au><au>Sundal, D.</au><au>Lent, M. R.</au><au>McDermott, C.</au><au>Jelalian, E.</au><au>Vojta, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>18-month outcomes of a community-based treatment for childhood obesity</atitle><jtitle>Pediatric obesity</jtitle><addtitle>Pediatric Obesity</addtitle><date>2014-06</date><risdate>2014</risdate><volume>9</volume><issue>3</issue><spage>e63</spage><epage>e67</epage><pages>e63-e67</pages><issn>2047-6302</issn><eissn>2047-6310</eissn><abstract>Summary Background Few studies have evaluated community‐based interventions for childhood obesity and even fewer provide efficacy data 1 year later. Objectives This study assessed changes in relative weight 1 year after a 6‐month treatment for childhood obesity. Methods Participants were 155 overweight/obese children/adolescents and their caregivers. The primary outcome was change in child percent over body mass index (BMI) from 6 to 18 months. The primary outcome was also assessed from 0 to 18 months and changes in secondary outcomes (BMI z‐score, guardian weight, health‐related quality of life [HRQoL]) were examined from 6–18 to 0–18 months. Results From 6 to 18 months, there were no significant changes in any outcome. From 0 to 18 months, there were improvements in BMI z‐score (P &lt; 0.001), HRQoL (P &lt; 0.001) and guardian weight (P = 0.02). Conclusions Changes in relative weight and HRQoL observed after 6 months persisted 1 year later. The programme produced reductions in BMI z‐score and obesity prevalence but not in percent over BMI from 0 to 18 months.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24019105</pmid><doi>10.1111/j.2047-6310.2013.00197.x</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Behavior Therapy - methods
Behavioural treatment
Body Mass Index
Child
childhood obesity
Children & youth
Childrens health
Community Health Services
community interventions
Female
Follow-Up Studies
Humans
Male
Obesity
Pediatric Obesity - epidemiology
Pediatric Obesity - prevention & control
Pediatric Obesity - psychology
Pediatrics
Program Evaluation
Quality of Life
Treatment Outcome
United States - epidemiology
Weight Loss
title 18-month outcomes of a community-based treatment for childhood obesity
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