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Obesity children rct

Hanna F Skjåkødegård, Yngvild S Danielsen, Mette Morken, Sara-Rebekka F Linde, Rachel P Kolko, Katherine N Balantekin, Denise E Wilfley, Pétur B Júlíusson
BACKGROUND: The purpose of the FABO-study is to evaluate the effect of family-based behavioral social facilitation treatment (FBSFT), designed to target children's family and social support networks to enhance weight loss outcomes, compared to the standard treatment (treatment as usual, TAU) given to children and adolescents with obesity in a routine clinical practice. METHODS: Randomized controlled trial (RCT), in which families (n = 120) are recruited from the children and adolescents (ages 6-18 years) referred to the Obesity Outpatient Clinic (OOC), Haukeland University Hospital, Norway...
October 21, 2016: BMC Public Health
Nicholas D Spence, Amanda S Newton, Rachel A Keaschuk, Kathryn A Ambler, Mary M Jetha, Nicholas L Holt, Rhonda J Rosychuk, John C Spence, Arya M Sharma, Geoff D C Ball
INTRODUCTION: Attrition in pediatric weight management is a substantial problem. This study examined factors associated with short- and long-term attrition from a lifestyle and behavioral intervention for parents of children with overweight or obesity. METHOD: Fifty-two families with children ages 6 to 12 years old and body mass index at or above the 85th percentile participated in a randomized controlled trial focused on parents, comparing parent-based cognitive behavioral therapy with parent-based psychoeducation for pediatric weight management...
October 12, 2016: Journal of Pediatric Health Care
Catherine M Wright, Paula J Duquesnay, Stephanie Anzman-Frasca, Virginia R Chomitz, Kenneth Chui, Christina D Economos, Elizabeth G Langevin, Miriam E Nelson, Jennifer M Sacheck
BACKGROUND: Physical activity (PA) is critical to preventing childhood obesity and contributes to children's overall physical and cognitive health, yet fewer than half of all children achieve the recommended 60 min per day of moderate-to-vigorous physical activity (MVPA). Schools are an ideal setting to meeting PA guidelines, but competing demands and limited resources have impacted PA opportunities. The Fueling Learning through Exercise (FLEX) Study is a randomized controlled trial that will evaluate the impact of two innovative school-based PA programs on children's MVPA, cognitive function, and academic outcomes...
October 13, 2016: BMC Public Health
Ping Li, Chaonan Fan, Yuanyuan Lu, Kemin Qi
BACKGROUND: Whether calcium supplementation can reduce body weight and prevent obesity remains unclear because of inconsistent reports. OBJECTIVE: We performed a meta-analysis to investigate the correlations between calcium supplementation and changes in body weight on the basis of age, sex, body mass index (BMI) of the subjects, and length of calcium intervention. DESIGN: PubMed, EMBASE, Web of Knowledge, and China National Knowledge Infrastructure databases were systematically searched to select relevant studies that were published from January 1994 to March 2016...
October 12, 2016: American Journal of Clinical Nutrition
Josephine Ho, Sue D Pedersen, Heidi Virtanen, Alberto Nettel-Aguirre, Carol Huang
Nutritional counseling for children with obesity is an important component of management. This randomized controlled trial was conducted to compare change in body mass index (BMI) z score after 6 months. Children 8 to 16 years with a BMI greater than the 85th percentile were randomized to standard of care nutrition counseling versus intervention with standard nutrition counseling including portion control tool training for the family. Measures were completed at baseline, 3 months, and 6 months. Fifty-one children were randomized to control and 48 to intervention...
2016: Global Pediatric Health
Ruby A Natale, Sarah E Messiah, Lila S Asfour, Susan B Uhlhorn, Nicole E Englebert, Kristopher L Arheart
PURPOSE: To assess the impact of an early childhood obesity prevention intervention "Healthy Caregivers-Healthy Children" (HC2) on dietary patterns and body mass index percentile (PBMI) over 2 school years. DESIGN: Randomized controlled trial. SETTING: Childcare centers. PARTICIPANTS: Low-income families. INTERVENTION: Intervention centers (N = 12) received HC2 which consisted of (1) menu modifications, (2) a healthy eating and physical activity curriculum for children, and (3) a parent curriculum for healthy meal preparation, reinforced through a role-modeling curriculum...
September 13, 2016: American Journal of Health Promotion: AJHP
A Evans, N Ranjit, D Hoelscher, C Jovanovic, M Lopez, A McIntosh, M Ory, L Whittlesey, L McKyer, A Kirk, C Smith, C Walton, N I Heredia, J Warren
BACKGROUND: Coordinated, multi-component school-based interventions can improve health behaviors in children, as well as parents, and impact the weight status of students. By leveraging a unique collaboration between Texas AgriLife Extension (a federal, state and county funded educational outreach organization) and the University of Texas School of Public Health, the Texas Grow! Eat! Go! Study (TGEG) modeled the effectiveness of utilizing existing programs and volunteer infrastructure to disseminate an enhanced Coordinated School Health program...
2016: BMC Public Health
Leslie A Sim, Jocelyn Lebow, Zhen Wang, Afton Koball, M Hassan Murad
CONTEXT: Although practice guidelines suggest that primary care providers working with children and adolescents incorporate BMI surveillance and counseling into routine practice, the evidence base for this practice is unclear. OBJECTIVE: To determine the effect of brief, primary care interventions for pediatric weight management on BMI. DATA SOURCES: Medline, CENTRAL, Embase, PsycInfo, and CINAHL were searched for relevant publications from January 1976 to March 2016 and cross-referenced with published studies...
September 12, 2016: Pediatrics
Milagros C Rosal, Christina F Haughton, Barbara B Estabrook, Monica L Wang, Germán Chiriboga, Oahn H T Nguyen, Sharina D Person, Stephenie C Lemon
BACKGROUND: Overweight and obesity are prevalent among young women and are greater among minority and low-income women. The postpartum period is critical in women's weight trajectories as many women do not lose their pregnancy weight, and others lose some and then plateau or experience weight gain. Excess weight puts women at greater risk of chronic disease and thus weight loss in the postpartum period may be key to the long-term health of young women. This paper describes the design and methods of a randomized clinical trial of Fresh Start, an innovative narrative-based group intervention aimed at promoting postpartum weight loss among low-income, diverse women...
2016: BMC Public Health
Tamim Rajjo, Jehad Almasri, Alaa Al Nofal, Wigdan Farah, Mouaz Alsawas, Ahmed Ahmed, Khaled Mohammed, Amrit Kanwar, Noor Asi, Zhen Wang, Larry J Prokop, Mohammad Hassan Murad
The Endocrine Society's initial online posting of The Association of Weight Loss and Cardiometabolic Outcomes in Obese Children:Systematic Review and Meta-regression, on 7 September 2016, to its Early Release page, was the result of a printer's error that placed the manuscript online before it had completed the editing process.
September 7, 2016: Journal of Clinical Endocrinology and Metabolism
Ina S Santos, Diego G Bassani, Alicia Matijasevich, Camila S Halal, Bianca Del-Ponte, Suélen Henriques da Cruz, Luciana Anselmi, Elaine Albernaz, Michelle Fernandes, Luciana Tovo-Rodrigues, Mariangela F Silveira, Pedro C Hallal
BACKGROUND: Sleep problems in childhood have been found to be associated with memory and learning impairments, irritability, difficulties in mood modulation, attention and behavioral problems, hyperactivity and impulsivity. Short sleep duration has been found to be associated with overweight and obesity in childhood. This paper describes the protocol of a behavioral intervention planned to promote healthier sleep in infants. METHODS: The study is a 1:1 parallel group single-blinded randomized controlled trial enrolling a total of 552 infants at 3 months of age...
2016: BMC Psychiatry
Kimberly Nerud, Haifa Abou Samra
Guided by the social cognitive theory, this randomized controlled trial tested the "Make a Move," a provider-led intervention for Head Start parents aimed to produce changes in the outcomes of knowledge, attitude, and behavior of physical activity and healthy eating. Participants were parents of children ages 3-5 years enrolled in a Head Start program. Participants completed a 57-item questionnaire at baseline and postintervention. The Wilcoxon rank-sum test revealed a statistically significant difference between the intervention and control groups in scores on knowledge of healthy eating (z = 1...
August 29, 2016: Journal of School Nursing: the Official Publication of the National Association of School Nurses
Brooke T Nezami, Leslie A Lytle, Deborah F Tate
BACKGROUND: Obesity in young children remains a public health concern, and maternal weight is one of the strongest predictors of obesity in early childhood. However, parental adherence in interventions for young children is often low and existing programs have had mixed success. An innovative approach to treatment is needed that increases adherence among mothers and improves weight-related behaviors simultaneously in mothers and children. The objective of the Smart Moms randomized controlled trial (RCT) is to test the efficacy of a 6-month primarily smartphone-delivered program to reduce sugar-sweetened beverage and juice consumption among children ages 3-5 whose mothers are overweight or obese...
2016: BMC Public Health
Sargoor R Veena, Catharine R Gale, Ghattu V Krishnaveni, Sarah H Kehoe, Krishnamachari Srinivasan, Caroline Hd Fall
BACKGROUND: The mother is the only source of nutrition for fetal growth including brain development. Maternal nutritional status (anthropometry, macro- and micro-nutrients) before and/or during pregnancy is therefore a potential predictor of offspring cognitive function. The relationship of maternal nutrition to offspring cognitive function is unclear. This review aims to assess existing evidence linking maternal nutritional status with offspring cognitive function. METHODS: Exposures considered were maternal BMI, height and weight, micronutrient status (vitamins D, B12, folate and iron) and macronutrient intakes (carbohydrate, protein and fat)...
2016: BMC Pregnancy and Childbirth
Rachael W Taylor, Anne-Louise M Heath, Barbara C Galland, Sonya L Cameron, Julie A Lawrence, Andrew R Gray, Gerald W Tannock, Blair Lawley, Dione Healey, Rachel M Sayers, Maha Hanna, Kim Meredith-Jones, Burt Hatch, Barry J Taylor
BACKGROUND: The Prevention of Overweight in Infancy (POI) study was a four-arm randomised controlled trial (RCT) in 802 families which assessed whether additional education and support on sleep (Sleep group); food, physical activity and breastfeeding (FAB group); or both (Combination group), reduced excessive weight gain from birth to 2 years of age, compared to usual care (Control group). The study had high uptake at recruitment (58 %) and retention at 2 years (86 %). Although the FAB intervention produced no significant effect on BMI or weight status at 2 years, the odds of obesity were halved in those who received the sleep intervention, despite no apparent effect on sleep duration...
2016: BMC Public Health
Sabine Makkes, Carry M Renders, Judith E Bosmans, Olga H van der Baan-Slootweg, Trynke Hoekstra, Jacob C Seidell
BACKGROUND: Intensive inpatient lifestyle treatment may be a suitable alternative for severely obese children and adolescents who do not benefit from ambulatory obesity treatment. The aim was to evaluate the effectiveness of two intensive one-year lifestyle treatments with varying inpatient periods for severely obese children and adolescents with regard to SDS-BMI and cardiometabolic risk factors. METHODS: The study was designed as a randomized controlled trial with two active treatment groups...
2016: BMC Pediatrics
Shannon M Robson, Christopher Bolling, Mary Beth McCullough, Cathleen Odar Stough, Lori J Stark
OBJECTIVE: To examine referral by primary care providers (PCPs) of preschool children with obesity (≥95th percentile for body mass index [BMI]) to a weight management intervention when offered through a randomized clinical trial (RCT), and identify reasons for not referring children. STUDY DESIGN: In phase I, 3 experts in obesity, psychology, and nutrition completed an open card sort and classified PCPs' reasons for declining referral into groups based on similarity of reasons...
October 2016: Journal of Pediatrics
Martijn B Katan, Janne C de Ruyter, Lothar D J Kuijper, Carson C Chow, Kevin D Hall, Margreet R Olthof
BACKGROUND: Substituting sugar-free for sugar-sweetened beverages reduces weight gain. This effect may be more pronounced in children with a high body mass index (BMI) because their sensing of kilocalories might be compromised. We investigated the impact of sugar-free versus sugary drinks separately in children with a higher and a lower initial BMI z score, and predicted caloric intakes and degree of compensation in the two groups. METHODS AND FINDINGS: This is a secondary, explorative analysis of our double-blind randomized controlled trial (RCT) which showed that replacement of one 250-mL sugary drink per day by a sugar-free drink for 18 months significantly reduced weight gain...
2016: PloS One
Megan L Hammersley, Rachel A Jones, Anthony D Okely
BACKGROUND: Effective broad-reach interventions to reduce childhood obesity are needed, but there is currently little consensus on the most effective approach. Parental involvement in interventions appears to be important. The use of eHealth modalities in interventions also seems to be promising. To our knowledge, there have been no previous reviews that have specifically investigated the effectiveness of parent-focused eHealth obesity interventions, a gap that this systematic review and meta-analysis intends to address...
2016: Journal of Medical Internet Research
M Oosterhoff, M Joore, I Ferreira
Primary prevention of childhood obesity and related hypertension is warrant given that both risk factors are intertwined and track into adulthood. This systematic review and meta-analysis assess the impact of school-based lifestyle interventions on children's body mass index (BMI) and blood pressure. We searched databases and prior reviews. Eligibility criteria were the following: randomized controlled trial design, evaluation of a school-based intervention, targeting children aged 4-12 years, reporting on BMI and/or related cardiovascular risk factors, reporting data on at least one follow-up moment...
July 19, 2016: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
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