Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT.
Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children.Methods: Five hund...
| Publicado en: | Obesity (19307381) Vol. 25; no. 9; pp. 1584 - 1594 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124833824&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124833824 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19307381 GSO jtl: Obesity (19307381) issn: 19307381 maglogo: Y pubinfo: dt: Sep2017 vid: 25 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 124833824 124833824 NLM28703504 124833824 10.1002/oby.21929 NLM28703504 124833824 ppf: 1584 ppct: 10 formats: tig: atl: Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT. aug: au: Butte, Nancy F. Hoelscher, Deanna M. Barlow, Sarah E. Pont, Stephen Durand, Casey Vandewater, Elizabeth A. Liu, Yan Adolph, Anne L. Pérez, Adriana Wilson, Theresa A. Gonzalez, Alejandra Puyau, Maurice R. Sharma, Shreela V. Byrd‐Williams, Courtney Oluyomi, Abiodun Huang, Terry Finkelstein, Eric A. Sacher, Paul M. Kelder, Steven H. affil: USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston Texas, USA sug: subj: Primary Health Care Administration Community Networks Administration Pediatric Obesity Therapy Human Male Female Child, Preschool Child Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children.Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95 ]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase).Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was -1.94 (-3.88, -0.01) percentage points (P = 0.05). For age group 9-12, effect size was -1.38 (-2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95 . Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05).Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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