Published online March 1, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. 517-525 (doi:10.1542/peds.2006-1746)

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ARTICLE

Twelve-Month Effectiveness of a Parent-led, Family-Focused Weight-Management Program for Prepubertal Children: A Randomized, Controlled Trial

Rebecca K. Golley, BSc, BNutrDiet, PhD^a, Anthea M. Magarey, BSc, DipNutrDiet, PhD^a, Louise A. Baur, BSc, MBBS, PhD^b, Katharine S. Steinbeck, MBBS, PhD^c,d, Lynne A. Daniels, BSc, DipNutrDiet, MSc, PhD^a

^a Department of Nutrition and Dietetics, Flinders University, Adelaide, Australia
^b Discipline of Paediatrics and Child Health, Children’s Hospital at Westmead
^d Discipline of Medicine, University of Sydney, Sydney, Australia
^c Department of Endocrinology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

BACKGROUND. Parenting-skills training may be an effective age-appropriate child behavior-modification strategy to assist parents in addressing childhood overweight.

OBJECTIVE. Our goal was to evaluate the relative effectiveness of parenting-skills training as a key strategy for the treatment of overweight children.

DESIGN. The design consisted of an assessor-blinded, randomized, controlled trial involving 111 (64% female) overweight, prepubertal children 6 to 9 years of age randomly assigned to parenting-skills training plus intensive lifestyle education, parenting-skills training alone, or a 12-month wait-listed control. Height, BMI, and waist-circumference z score and metabolic profile were assessed at baseline, 6 months, and 12 months (intention to treat).

RESULTS. After 12 months, the BMI z score was reduced by 10% with parenting-skills training plus intensive lifestyle education versus 5% with parenting-skills training alone or wait-listing for intervention. Waist-circumference z score fell over 12 months in both intervention groups but not in the control group. There was a significant gender effect, with greater reduction in BMI and waist-circumference z scores in boys compared with girls.

CONCLUSION. Parenting-skills training combined with promoting a healthy family lifestyle may be an effective approach to weight management in prepubertal children, particularly boys. Future studies should be powered to allow gender subanalysis.

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Key Words: child • obesity • treatment • parenting • body mass index • waist circumference

Abbreviations: P+DA—parenting-skills training with intensive lifestyle education • P—parenting-skills training alone • WLC—wait-listed for intervention for 12 months • SEIFA— Socioeconomic Index for Areas

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Accepted Oct 27, 2006.

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