A randomized controlled trial to prevent obesity among Latino paediatric patients
| Autor: | John P. Elder, Donald J. Slymen, Noe C. Crespo, Gregory A. Talavera, Guadalupe X. Ayala, Denise E. Wilfley, Nadia R. Campbell, Alma I. Behar, Lisa M. Shadron |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Population Overweight law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Intervention (counseling) medicine Mass index 030212 general & internal medicine education education.field_of_study Nutrition and Dietetics business.industry Health Policy Public Health Environmental and Occupational Health Repeated measures design medicine.disease Obesity Trunk Pediatrics Perinatology and Child Health Physical therapy medicine.symptom business |
| Zdroj: | Pediatric Obesity. 13:697-704 |
| ISSN: | 2047-6302 |
| Popis: | BACKGROUND Obesity disproportionately affects Latino youth. Community clinics are an important resource, yet there is little evidence for the efficacy of clinic-based approaches in this population. OBJECTIVE The purpose of this study was to test the efficacy of a clinic-based intervention to lower body mass index (BMI) and improve body composition among overweight Latino children. METHODS A randomized trial (2 group × 3 repeated measures) was conducted among 297 randomly sampled, overweight paediatric patients (5-10 years old) and their parents. The 12-month family-based culturally tailored behavioural intervention (Luces de Cambio) was based on the 'traffic light' concepts to address behaviour change and was delivered by clinic health educators and mid-level providers. The primary study outcome was child BMI (kg m-2 ) assessed at baseline, 6-month (n = 191) and 12-month (n = 201) post-baseline. A subsample of the children was examined for overall and site-specific adiposity using dual-energy X-ray absorptiometry (n = 79). RESULTS There were no significant intervention effects on child BMI (p > 0.05); however, intervention children showed significantly (p |
| Databáze: | OpenAIRE |
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