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Obesity children rct

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https://www.readbyqxmd.com/read/28092060/parenting-self-efficacy-parent-depression-and-healthy-childhood-behaviors-in-a-low-income-minority-population-a-cross-sectional-analysis
#1
William J Heerman, Julie Lounds Taylor, Kenneth A Wallston, Shari L Barkin
Objectives Childhood obesity prevention and treatment depends, in part, on parents acting as agents of change for their children. Our objective was to measure the associations between parenting self-efficacy, parent depressive symptoms, and preschool child behaviors that support healthy growth. Methods We performed a cross-sectional analysis of baseline data from a randomized controlled trial. Parenting self-efficacy was measured using a 5-item version of the Parenting Sense of Competence (PSOC-5) scale (α= 0...
January 13, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28088203/a-3-arm-randomised-controlled-trial-of-communicating-healthy-beginnings-advice-by-telephone-chat-to-mothers-with-infants-to-prevent-childhood-obesity
#2
Li Ming Wen, Chris Rissel, Louise A Baur, Alison J Hayes, Huilan Xu, Anna Whelan, Myna Hua, Miranda Shaw, Philayrath Phongsavan
BACKGROUND: With an increasing prevalence of obesity in young children globally, there is an urgent need for the development of effective early interventions. A previous Healthy Beginnings Trial using a nurse-led home visiting program has demonstrated that providing mothers with evidence-based advice can improve maternal practice regarding obesity prevention, and can reduce Body Mass Index (BMI) in the first few years of life. However, the costs for scale-up of home visiting limit its population reach...
January 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28067022/effectiveness-of-interventions-on-physical-activity-in-overweight-or-obese-children-a-systematic-review-and-meta-analysis-including-studies-with-objectively-measured-outcomes
#3
REVIEW
C F J Nooijen, M R Galanti, K Engström, J Möller, Y Forsell
There is no consensus on interventions to be recommended in order to promote physical activity among overweight or obese children. The objective of this review was to assess the effects on objectively measured physical activity, of interventions promoting physical activity among overweight or obese children or adolescents, compared to no intervention or to interventions without a physical activity component. Publications up to December 2015 were located through electronic searches for randomized controlled trials resulting in inclusion of 33 studies...
February 2017: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28064525/healthy-children-strong-families-2-a-randomized-controlled-trial-of-a-healthy-lifestyle-intervention-for-american-indian-families-designed-using-community-based-approaches
#4
Emily J Tomayko, Ronald J Prince, Kate A Cronin, Tassy Parker, Kyungmann Kim, Vernon M Grant, Judith N Sheche, Alexandra K Adams
Background/Aims Few obesity prevention trials have focused on young children and their families in the home environment, particularly in underserved communities. Healthy Children, Strong Families 2 is a randomized controlled trial of a healthy lifestyle intervention for American Indian children and their families, a group at very high risk of obesity. The study design resulted from our long-standing engagement with American Indian communities, and few collaborations of this type resulting in the development and implementation of a randomized clinical trial have been described...
January 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28061145/effects-of-exercise-on-carotid-arterial-wall-thickness-in-obese-pediatric-populations-a-meta-analysis-of-randomized-controlled-trials
#5
Antonio García-Hermoso, Katherine González-Ruiz, Hector Reynaldo Triana-Reina, Jordi Olloquequi, Robinson Ramírez-Vélez
BACKGROUND: In pediatric populations, the use of carotid intima-media thickness (IMT) as a marker of cardiovascular risk has increased. However, previous studies examining the effects of exercise training on arterial structure and function in obese children and adolescents have shown inconsistent findings. The primary aim of this systematic review and meta-analysis is to expand on the current body of literature by providing a quantitative estimate of the change in carotid IMT following exercise training as well as to provide an exploratory analysis of potential moderators associated with the variation in response to an exercise training intervention in overweight and obese youth...
January 6, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28059054/randomised-controlled-trial-evaluating-the-effectiveness-and-cost-effectiveness-of-families-for-health-a-family-based-childhood-obesity-treatment-intervention-delivered-in-a-community-setting-for-ages-6-to-11-years
#6
Wendy Robertson, Joanna Fleming, Atiya Kamal, Thomas Hamborg, Kamran A Khan, Frances Griffiths, Sarah Stewart-Brown, Nigel Stallard, Stavros Petrou, Douglas Simkiss, Elizabeth Harrison, Sung Wook Kim, Margaret Thorogood
BACKGROUND: Effective programmes to help children manage their weight are required. 'Families for Health' focuses on a parenting approach, designed to help parents develop their parenting skills to support lifestyle change within the family. Families for Health version 1 showed sustained reductions in mean body mass index (BMI) z-score after 2 years in a pilot project. OBJECTIVE: The aim was to evaluate its effectiveness and cost-effectiveness in a randomised controlled trial (RCT)...
January 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28028319/an-educational-intervention-to-promote-healthy-lifestyles-in-preschool-children-a-cluster-rct
#7
M Iaia, M Pasini, A Burnazzi, P Vitali, E Allara, M Farneti
OBJECTIVE: Promoting 4 healthy behaviours among preschool children: ⩾4 servings of fruit and vegetables/day, ⩾2 h/day of active play, ⩽1 hour/day of TV-watching and 0 sugar sweetened beverages/day. METHODS: We conducted a c-RCT on 425 three-year-old children at 16 childcare centres based in Cesena, Italy. We randomly allocated 8 childcare centres (199 children) to the intervention group and 8 childcare centres (226 children) to the control group. All the randomized childcare centres completed our study protocol...
December 28, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28026713/a-family-centered-lifestyle-intervention-for-obese-six-to-eight-year-old-children-results-from-a-one-year-randomized-controlled-trial-conducted-in-montreal-canada
#8
Tamara R Cohen, Tom J Hazell, Catherine A Vanstone, Celia Rodd, Hope A Weiler
OBJECTIVES: Childhood obesity interventions should be family-centered and focused on lifestyle behaviours that achieve sustainable reductions in adiposity. The primary objective of this randomized controlled trial was to test a family-centered lifestyle intervention using Canada's Food and Physical Activity (PA) Guidelines to reduce body mass index-for-age z-scores (BAZ) in overweight and obese (OW/OB) children. METHODS: Children (n = 78; ages 6-8.5 years) were randomized to standard (StnTx) or modified (ModTx) interventions or control (Ctrl)...
December 27, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28003178/randomised-controlled-trial-and-economic-evaluation-of-the-families-for-health-programme-to-reduce-obesity-in-children
#9
Wendy Robertson, Joanna Fleming, Atiya Kamal, Thomas Hamborg, Kamran A Khan, Frances Griffiths, Sarah Stewart-Brown, Nigel Stallard, Stavros Petrou, Douglas Simkiss, Elizabeth Harrison, Sung Wook Kim, Margaret Thorogood
OBJECTIVE: Evaluating effectiveness and cost-effectiveness of 'Families for Health V2' (FFH) compared with usual care (UC). DESIGN: Multicentre randomised controlled trial (RCT) (investigators blinded, families unblinded) and economic evaluation. Stratified randomisation by family; target of 120 families. SETTING: Three National Health Service Primary Care Trusts in West Midlands, England. PARTICIPANTS: Overweight or obese (≥91st or ≥98th centile body mass index (BMI)) children aged 6-11 years and their parents/carers, recruited March 2012-February 2014...
December 21, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27986737/evaluating-factors-influencing-the-delivery-and-outcomes-of-an-incentive-based-behaviour-change-strategy-targeting-child-obesity-protocol-for-a-qualitative-process-and-impact-evaluation
#10
Gemma Enright, Alex Gyani, Simon Raadsma, Margaret Allman-Farinelli, Chris Rissel, Christine Innes-Hughes, Sarah Lukeis, Anthony Rodgers, Julie Redfern
INTRODUCTION: Community-based weight management programmes are important in addressing childhood obesity. However, the mechanisms that lead to behaviour change within the programmes are rarely studied within the context of the programmes themselves once they have been implemented. This means that further potential gains in the effectiveness of the programme are often not made and any potential losses of efficacy are often not noticed. Qualitative research alongside randomised controlled trials (RCTs) can tell us the context in which these programmes are implemented and elucidate potential mediators or modifiers of the programmes' effectiveness...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27965912/impact-of-lifestyle-intervention-on-hdl-induced-enos-activation-and-cholesterol-efflux-capacity-in-obese-adolescent
#11
Jenny Wesnigk, Luc Bruyndonckx, Vicky Y Hoymans, Ann De Guchtenaere, Tina Fischer, Gerhard Schuler, Christiaan J Vrints, Volker Adams
Background. Endothelial dysfunction occurs in obese children and adolescent and is regarded as a key step in the development of atherosclerosis. Important components for the development of endothelial dysfunction are reduced activity of endothelial nitric oxide synthase (eNOS) and an increase in cholesterol deposition in the vessel wall, due to reduced reverse cholesterol transport (RCT) activity. High density lipoprotein (HDL) exhibits antiatherosclerotic properties including modulation of eNOS activity and cholesterol efflux capacity...
2016: Cardiology Research and Practice
https://www.readbyqxmd.com/read/27913907/development-of-a-culturally-informed-child-safety-curriculum-for-american-indian-families
#12
Ryan M Berns, Emily J Tomayko, Kate A Cronin, Ronald J Prince, Tassy Parker, Alexandra K Adams
American Indian (AI) children are disproportionately affected by unintentional injuries, with injury mortality rates approximately 2.3 times higher than the combined rates for all children in the United States. Although multiple risk factors are known to contribute to these increased rates, a comprehensive, culturally informed curriculum that emphasizes child safety is lacking for this population. In response to this need, academic and tribal researchers, tribal community members, tribal wellness staff, and national child safety experts collaborated to develop a novel child safety curriculum...
December 2, 2016: Journal of Primary Prevention
https://www.readbyqxmd.com/read/27912741/impact-of-a-school-based-intervention-on-nutritional-education-and-physical-activity-in-primary-public-schools-in-chile-kind-programme-study-protocol-cluster-randomised-controlled-trial
#13
Nelly Bustos, Sonia Olivares, Bárbara Leyton, Marcelo Cano, Cecilia Albala
BACKGROUND: Chile has suffered a fast increase in childhood obesity in the last 10 years. As a result, several school programmes have been implemented, however the effectiveness of these needs to be evaluated to identify and prioritize strategies to curve this trend. METHODS: Cluster randomized controlled trial. Twelve primary public schools chosen at random over three regions of the country will take part in this study. The sample size consisted of a total of 1,655 children...
December 3, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27900849/combined-use-of-a-wristband-and-a-smartphone-to-reduce-body-weight-in-obese-children-randomized-controlled-trial
#14
C Mameli, D Brunetti, V Colombo, G Bedogni, L Schneider, F Penagini, B Borsani, G V Zuccotti
BACKGROUND: Technological instruments may help control paediatric obesity. OBJECTIVE: We tested whether a personalized programme based on the energy expenditure obtained from a wristband (WB) and the energy intake obtained from a smartphone application (APP) is superior to a standard approach at promoting weight loss. METHODS: We performed a randomized controlled trial in obese children aged 10-17 years. The experimental (EXP) and control (CTR) groups were given a low-energy diet and a prescription for physical activity...
November 29, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27876038/parental-perception-of-built-environment-characteristics-and-built-environment-use-among-latino-families-a-cross-sectional-study
#15
William J Heerman, Stephanie J Mitchell, Jessica Thompson, Nina C Martin, Evan C Sommer, Margaret van Bakergem, Julie Lounds Taylor, Maciej S Buchowski, Shari L Barkin
BACKGROUND: Perception of undesirable features may inhibit built environment use for physical activity among underserved families with children at risk for obesity. METHODS: To examine the association of perceived availability, condition, and safety of the built environment with its self-reported use for physical activity, we conducted a cross-sectional analysis on baseline data from a randomized controlled trial. Adjusted Poisson regression was used to test the association between the primary independent variables (perceived availability, physical condition, and safety) with the primary outcome of self-reported use of built environment structures...
November 22, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27863165/a-brief-ehealth-tool-delivered-in-primary-care-to-help-parents-prevent-childhood-obesity-a-randomized-controlled-trial
#16
J L S Byrne, T Cameron Wild, K Maximova, N E Browne, N L Holt, A J Cave, P Martz, C Ellendt, G D C Ball
OBJECTIVES: To determine the feasibility and preliminary impact of an electronic health (eHealth) screening, brief intervention and referral to treatment (SBIRT) delivered in primary care to help parents prevent childhood obesity. METHODS: Parents of children (5-17 years) were recruited from a primary care clinic. Children's measured height and weight were entered into the SBIRT on a study-designated tablet. The SBIRT screened for children's weight status, block randomized parents to one of four brief interventions or an eHealth control and provided parents with a menu of optional obesity prevention resources...
November 10, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27861463/promoting-healthy-eating-and-active-playtime-by-connecting-to-nature-families-with-preschool-children-evaluation-of-pilot-study-play-grow
#17
Tanja Sobko, Zhenzhen Jia, Matthew Kaplan, Alfred Lee, Chia-Huei Tseng
BackgroundThis pilot project aimed to evaluate the "Play&Grow" program which promotes age-appropriate dietary habits and playtime healthy routines through "connectedness to nature" experiences in Hong Kong families with young children.Method38 pre-schoolers (aged 33.97 ± 9.38 months), mothers and their domestic workers were recruited. The families attended one workshop/week for a 4-month period, consisting of: 1) health topic; 2) food games; 3) nature-related outdoor activities.ResultsFeeding practices, particularly Promoting and Encouragement to eat (PE) and Instrumental Feeding (IF) improved after the intervention (p =...
November 18, 2016: Pediatric Research
https://www.readbyqxmd.com/read/27854513/child-care-exposure-influences-childhood-adiposity-at-2-years-analysis-from-the-rolo-study
#18
Helena Scully, Goiuri Alberdi, Ricardo Segurado, Aoife McNamara, Karen Lindsay, Mary Horan, Eilis Hennessy, Eileen Gibney, Fionnuala McAuliffe
BACKGROUND: The first 2 years of life are instrumental for childhood physical development. Factors contributing to childhood obesity are difficult to determine; child care exposure is one to consider, by influencing food preference and physical activity development. OBJECTIVE: To investigate the association of child care exposure with adiposity at 2 years. METHODS: Data were collected as part of the secondary analysis of the prospective ROLO study (randomized control trial of low glycemic index diet) in Dublin, Ireland...
November 17, 2016: Childhood Obesity
https://www.readbyqxmd.com/read/27842526/loss-to-follow-up-in-a-randomized-controlled-trial-study-for-pediatric-weight-management-epoc
#19
Petra Warschburger, Katja Kröller
BACKGROUND: Attrition is a serious problem in intervention studies. The current study analyzed the attrition rate during follow-up in a randomized controlled pediatric weight management program (EPOC study) within a tertiary care setting. METHODS: Five hundred twenty-three parents and their 7-13-year-old children with obesity participated in the randomized controlled intervention trial. Follow-up data were assessed 6 and 12 months after the end of treatment. Attrition was defined as providing no objective weight data...
November 14, 2016: BMC Pediatrics
https://www.readbyqxmd.com/read/27777128/learning-about-activity-and-understanding-nutrition-for-child-health-launch-rationale-design-and-implementation-of-a-randomized-clinical-trial-of-a-family-based-pediatric-weight-management-program-for-preschoolers
#20
Lori J Stark, Stephanie Spear Filigno, Christopher Bolling, Megan B Ratcliff, Jessica C Kichler, Shannon L Robson, Stacey L Simon, Mary Beth McCullough, Lisa M Clifford, Cathleen O Stough, Cynthia Zion, Richard F Ittenbach
Obesity affects nearly 2 million preschool age children in the United States and is not abating. However, research on interventions for already obese preschoolers is limited. To address this significant gap in the literature, we developed an intervention targeting obesity reduction in 2 to 5year olds, Learning about Activity and Understanding Nutrition for Child Health (LAUNCH). This paper describes the rationale, design, participant enrollment, and implementation of a 3-arm randomized, parallel-group clinical trial comparing LAUNCH to a motivational-interviewing intervention (MI) and standard care (STC), respectively...
January 2017: Contemporary Clinical Trials
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