Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth
| Autor: | Julián Esparza-Romero, Rolando G. Díaz, Silvia Y. Moya-Camarena, Alma E. Robles-Sardin, Mauro E. Valencia |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Waist Adolescent Dietetics Nutrition Education Child Nutrition Sciences law.invention Randomized controlled trial law Behavior Therapy Health care Medicine Humans Obesity Child Life Style Mexico Nutrition and Dietetics Primary Health Care business.industry Primary care physician medicine.disease Outcome and Process Assessment Health Care Treatment Outcome Physical therapy Female Brief intervention business Child Nutritional Physiological Phenomena Body mass index Risk Reduction Behavior Food Science Program Evaluation |
| Zdroj: | Journal of the American Dietetic Association. 110(2) |
| ISSN: | 1878-3570 |
| Popis: | Intervention studies in youth with obesity that can be translated into primary care are limited. We compared a lifestyle intervention to a brief intervention applied by primary care physicians (control group) for treating pediatric obesity in the primary care setting. Seventy-six youth with obesity (body mass index [BMI] >95th percentile or >90th percentile plus waist circumference >90th percentile, aged 9 to 17 years) participated in a 12-month, randomized, controlled trial, conducted at a primary care unit in Northern Mexico from June 2006 through October 2007. Participants randomized to lifestyle intervention attended a family-centered program consisting of 12 sessions of behavioral curriculum, dietary advice from a registered dietitian (weekly for the first 3 months and monthly thereafter), and monthly consultations with a primary care physician. Control group participants attended monthly consultations with a primary care physician who received a brief training on obesity. Forty-three (57%) participants completed the 12 months of study. After 12 months, mean changes (95% confidence interval) in body weight for the lifestyle group and the control group were -0.8 kg (-3.2, 1.5) vs +5.6 kg (3, 8.2; P |
| Databáze: | OpenAIRE |
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