PEDIATRICS Vol. 115 No. 4 April 2005, pp. e443-e449 (doi:10.1542/10.1542/peds.2004-2172)
ELECTRONIC ARTICLE |
Short- and Long-Term Beneficial Effects of a Combined Dietary–Behavioral–Physical Activity Intervention for the Treatment of Childhood Obesity
* Department of Pediatrics, Child Health and Sports Center, Meir General Hospital, Kfar-Saba, Israel
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Heller Institute for Research, Sheba Medical Center, Tel Hashomer, Israel
Background. Obesity has become the most common pediatric chronic disease in the modern era. Early prevention and treatment of childhood and adolescent obesity is mandated. Surprisingly, however, only a minor fraction of obese children participate in weight reduction interventions, and the longer-term effects of these weight-reduction interventions among children have not been elucidated.
Objective. To examine prospectively the short- and long-term effects of a 3-month, combined dietary-behavioral-physical activity intervention on anthropometric measures, body composition, dietary and leisure-time habits, fitness, and lipid profiles among obese children.
Methods. In this randomized prospective study, 24 obese subjects completed the 3-month intervention and were compared with 22 obese, age- and gender-matched, control subjects.
Results. At 3 months, there were significant differences in changes in body weight (–2.8 ± 2.3 kg vs 1.2 ± 2.2 kg), BMI (–1.7 ± 1.1 kg/m2 vs –0.2 ± 1.0 kg/m2), body fat percentage (from skinfold tests; –3.3 ± 2.6% vs 1.4 ± 4.7%), serum total cholesterol level (–24.6 ± 15.1 mg/dL vs 0.8 ± 18.7 mg/dL), low-density lipoprotein cholesterol level (–23.3 ± 15.2 mg/dL vs –3.7 ± 17.3 mg/dL), and fitness (215 ± 107 seconds vs 50 ± 116 seconds) in the intervention group versus the control group. After a 1-year follow-up period, there were significant differences between the intervention group (n = 20) and the control group (n = 20) in body weight (0.6 ± 6.0 kg vs 5.3 ± 2.7 kg), BMI (–1.7 ± 2.3 kg/m2 vs 0.6 ± 0.9 kg/m2), and body fat percentage. There was a significant increase in leisure-time physical activity among the intervention participants, compared with a decrease among the control subjects.
Conclusions. Our data demonstrate the short- and longer-term beneficial effects of a combined dietary-behavioral-physical activity intervention among obese children. These results highlight the importance of multidisciplinary programs for the treatment of childhood obesity and emphasize their encouraging long-term effects.
Key Words: obesity • multidisciplinary treatment • childhood • exercise
Abbreviations: LDL, low-density lipoprotein • TG, triglyceride • HDL, high-density lipoprotein
Accepted Nov 16, 2004.
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  J. B. Moore, L. R. Pawloski, P. Goldberg, M. O. Kyeung, A. Stoehr, and H. Baghi Childhood Obesity Study: A Pilot Study of the Effect of the Nutrition Education Program Color My Pyramid The Journal of School Nursing, June 1, 2009; 25(3): 230 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. D. Angelopoulos, H. J. Milionis, E. Grammatikaki, G. Moschonis, and Y. Manios Changes in BMI and blood pressure after a school based intervention: The CHILDREN study Eur J Public Health, June 1, 2009; 19(3): 319 - 325. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.-Y. Tsai, W. Boonpleng, B. J. McElmurry, C. G. Park, and L. McCreary Lessons Learned in Using TAKE 10! With Hispanic Children The Journal of School Nursing, April 1, 2009; 25(2): 163 - 172. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Steinberger, S. R. Daniels, R. H. Eckel, L. Hayman, R. H. Lustig, B. McCrindle, and M. L. Mietus-Snyder Progress and Challenges in Metabolic Syndrome in Children and Adolescents: A Scientific Statement From the American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; and Council on Nutrition, Physical Activity, and Metabolism Circulation, February 3, 2009; 119(4): 628 - 647. [Full Text] [PDF]
|
|
|
|
 |
|
 D. L. Paineau, F. Beaufils, A. Boulier, D.-A. Cassuto, J. Chwalow, P. Combris, C. Couet, B. Jouret, L. Lafay, M. Laville, et al. Family Dietary Coaching to Improve Nutritional Intakes and Body Weight Control: A Randomized Controlled Trial Arch Pediatr Adolesc Med, January 1, 2008; 162(1): 34 - 43. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Steinberger and A. S. Kelly Challenges of Existing Pediatric Dyslipidemia Guidelines: Call for Reappraisal Circulation, January 1, 2008; 117(1): 9 - 10. [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Snethen and M. E. Broome Weight, Exercise, and Health: Children's Perceptions Clin Nurs Res, May 1, 2007; 16(2): 138 - 152. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Freemark Pharmacotherapy of Childhood Obesity: An evidence-based, conceptual approach Diabetes Care, February 1, 2007; 30(2): 395 - 402. [Full Text] [PDF]
|
|
|
|
 |
|
 S. R.S. Stender, G. A. Burghen, and J. T. Mallare The Role of Health Care Providers in the Prevention of Overweight and Type 2 Diabetes in Children and Adolescents Diabetes Spectr, October 1, 2005; 18(4): 240 - 248. [Abstract] [Full Text] [PDF]
|
|
eLetters:
Read all eLetters
- Intervention Program for Childhood Obesity and Suggestions for Improvement
- Richard N. Arboleda, et al.
- Pediatrics Online, 20 Aug 2007 [Full text]
