کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6225155 | 1607503 | 2010 | 8 صفحه PDF | دانلود رایگان |
ObjectiveTo evaluate whether a child-centered physical activity program, combined with a parent-centered dietary program, was more efficacious than each treatment alone, in preventing unhealthy weight-gain in overweight children.Study designAn assessor-blinded randomized controlled trial involving 165 overweight/obese 5.5- to 9.9- year-old children. Participants were randomly assigned to 1 of 3 interventions: a parent-centered dietary program (Diet); a child-centered physical activity program (Activity); or a combination of both (Diet + Activity). All groups received 10 weekly face-to-face sessions followed by 3 monthly relapse-prevention phone calls. Analysis was by intention-to-treat. The primary outcome was change in body mass index z-score at 6 and 12 months (n = 114 and 106, respectively).ResultsBody mass index z-scores were reduced at 12-months in all groups, with the Diet (mean [95% confidence interval]) (â0.39 [â0.51 to 0.27]) and Diet + Activity (â0.32, [â0.36, â0.23]) groups showing a greater reduction than the Activity group (â0.17 [â0.28, â0.06]) (P = .02). Changes in other outcomes (waist circumference and metabolic profile) were not statistically significant among groups.ConclusionRelative body weight decreased at 6 months and was sustained at 12 months through treatment with a child-centered physical activity program, a parent-centered dietary program, or both. The greatest effect was achieved when a parent-centered dietary component was included.
Journal: The Journal of Pediatrics - Volume 157, Issue 3, September 2010, Pages 388-394.e1