Who benefits from the intervention? Correlates of successful BMI reduction in the Texas Childhood Obesity Demonstration Project (TX‐CORD).
Background: Many childhood obesity intervention studies report mean outcomes but do not explore the variation in responses and the characteristics of those who respond well. Objective: To identify child and family characteristics associated with improvement in the primary outcome, %BMIp95, of the Te...
| Publicado en: | Pediatric Obesity Vol. 15; no. 5; pp. 1 - 9 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2020
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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=142538565&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142538565 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20476302 ETV7 jtl: Pediatric Obesity issn: 20476302 maglogo: Y pubinfo: dt: May2020 vid: 15 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 142538565 142538565 145805127 142538565 10.1111/ijpo.12609 142538565 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Who benefits from the intervention? Correlates of successful BMI reduction in the Texas Childhood Obesity Demonstration Project (TX‐CORD). aug: au: Barlow, Sarah E. Durand, Casey Salahuddin, Meliha Pont, Stephen J. Butte, Nancy F. Hoelscher, Deanna M. affil: Baylor College of Medicine, Houston Texas sug: subj: Pediatric Obesity Therapy Body Mass Index Texas Weight Reduction Programs Texas Community Health Services Texas Family Characteristics Human Texas Child, Preschool Child Structural Equation Modeling Regression Severity of Illness Membership Odds Ratio Age Factors Mothers Female Treatment Outcomes Secondary Analysis Child, Preschool: 2-5 years Child: 6-12 years Female ab: Background: Many childhood obesity intervention studies report mean outcomes but do not explore the variation in responses and the characteristics of those who respond well. Objective: To identify child and family characteristics associated with improvement in the primary outcome, %BMIp95, of the Texas Childhood Obesity Research Demonstration project (TX‐CORD). Methods: The 12‐month TX‐CORD secondary prevention study randomized 549 children, ages 2 to 12 years, with BMI ≥85th percentile to the intensive intervention vs. the comparison program, with measurements at baseline, 3‐, and 12‐months. A growth mixture model was used to identify mutually exclusive latent %BMIp95 trajectories. Latent class regression tested associations between baseline characteristics and latent class membership. Results: A 2‐class solution emerged after accounting for the effect of intervention randomization. Latent Class 1 participants (86% of sample) were characterized by mild‐to‐moderate obesity and demonstrated a significantly greater response to the intensive intervention between 0 and 3 months (slope‐on‐group = −0.931, p = 0.03). A rebound between 3 and 12 months was not significantly different between arms. Latent Class 2 participants (14%), who had severe obesity, demonstrated no difference in response between intervention groups. Characteristics associated with Class 1 membership included younger age (2–5 years vs. 6–12 years: OR 3.70, p =.035) and lower maternal BMI category (< 35 kg/m2 vs. ≥ 35 kg/m2: OR 7.14, p <.0001). Conclusions: The optimal target population for the intensive intervention are children who have milder obesity, are younger, and do not have a mother with severe obesity. Children with severe obesity may require different approaches. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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