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dc.contributor.authorMagarey, Anthea
dc.contributor.authorPerry, Rebecca
dc.contributor.authorBaur, Louise
dc.contributor.authorSteinbeck, Katharine
dc.contributor.authorSawyer, Michael
dc.contributor.authorHills, Andrew
dc.contributor.authorWilson, Gizelle
dc.contributor.authorLee, Anthea
dc.contributor.authorDaniels, Lynne A.
dc.date.accessioned2019-04-11T05:13:35Z
dc.date.available2019-04-11T05:13:35Z
dc.date.issued2011
dc.date.modified2012-05-22T22:27:17Z
dc.identifier.issn0031-4005
dc.identifier.doi10.1542/peds.2009-1432
dc.identifier.urihttp://hdl.handle.net/10072/44245
dc.description.abstractOBJECTIVE: To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect. PARTICIPANTS AND METHODS: We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesity Task Force cut points) children, aged 5 to 9 years. The 6-month program targeted parents as the agents of change for implementing family lifestyle changes. Only parents attended group sessions. We measured BMI and waist z scores and parenting constructs at baseline, 6, 12, 18, 24 months. RESULTS: Participants (n = 169; 56% girls) were randomized to a parenting skills plus healthy lifestyle group (n = 85) or a healthy lifestyle–only group (n = 84). At final 24-month assessment 52 and 54 children remained in the parenting skills plus healthy lifestyle and the healthy lifestyle–only groups respectively. There were reductions (P < .001) in BMI z score (0.26 [95% confidence interval: 0.22–0.30]) and waist z score (0.33 [95% confidence interval: 0.26–0.40]). There was a 10% reduction in z scores from baseline to 6 months that was maintained to 24 months with no additional intervention. Overall, there was no significant group effect. A similar pattern of initial improvement followed by stability was observed for parenting outcomes and no group effect. CONCLUSIONS: Using approaches that specifically target parent behavior, relative weight loss of ∼10% is achievable in moderately obese prepubertal children and can be maintained for 2 years from baseline. These results justify an investment in treatment as an effective secondary obesity-prevention strategy.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent322362 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoen_US
dc.publisherAmerican Academy of Pediatrics
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom214
dc.relation.ispartofpageto222
dc.relation.ispartofjournalPediatrics
dc.relation.ispartofvolume127
dc.rights.retentionY
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine not elsewhere classified
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode111499
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titleA Parent-Led Family-Focused Treatment Program for Overweight Children Aged 5 to 9 Years: The PEACH RCT
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2011 American Academy of Pediatrics. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2011
gro.hasfulltextFull Text
gro.griffith.authorHills, Andrew


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