Intervention in overweight children improves body mass index (BMI) and physical activity.
Intervention in overweight children improves body mass index (BMI) and physical activity.
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DOI：
10.3122/jabfm.2013.02.120118
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发表时间：
2013-03
期刊：
影响因子：
--
通讯作者：
Shatte A
中科院分区：
文献类型：
--
作者：
Siwik V;Kutob R;Ritenbaugh C;Cruz L;Senf J;Aickin M;Going S;Shatte A
Childhood obesity is a growing epidemic in family medicine with few clinical treatment options. We implemented and evaluated a group office-visit intervention by family physicians emphasizing nutrition and physical activity within a resiliency psychosocial model, for overweight children and their parents. The intervention lasted for 3 months, with half of the children crossing over to intervention after 6 months on study. Participants included 35 children who met eligibility criteria of being in third through fifth grades and having a body mass index above the 85th percentile. The 3-month twelve-session intervention, “Choices”, included topics on nutrition, physical activity, and resiliency. The sessions were developed for delivery by a family physician, and a nutritionist, who all received training in positive psychology and resilience skills. Main outcome measures were body mass index (BMI) z-scores for age-and-gender, and weight-for-age-and-gender z-scores, as well as qualitative interviews to understand individual and family processes. The intervention resulted in a significant effect on one primary outcome, BMI z-score (-0.138 per 9 months (p =0.017) and a trend toward significance on the other, weight for age z-score (-0.87 per 9 months (p=0.09). The net shift of activity from the low METS to the high METS had an intervention effect of 2.84 METS (p = 0.037). Families reported lasting changes in behaviors and attitudes. The innovative approach used in this study demonstrated modest efficacy in reducing BMI z-score, changing physical activity levels, and possibly shifting family dynamics.
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影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
1.2
作者：
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影响因子：
120.7
作者：
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影响因子：
2.6
作者：
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影响因子：
7.1
作者：
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通讯作者：
Sallis, J