Published online March 1, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. 517-525 (doi:10.1542/peds.2006-1746)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Web of Science (15)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Golley, R. K.
Right arrow Articles by Daniels, L. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Golley, R. K.
Right arrow Articles by Daniels, L. A.
Related Collections
Right arrow Office Practice
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

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, PhDa, Anthea M. Magarey, BSc, DipNutrDiet, PhDa, Louise A. Baur, BSc, MBBS, PhDb, Katharine S. Steinbeck, MBBS, PhDc,d and Lynne A. Daniels, BSc, DipNutrDiet, MSc, PhDa

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.

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

Accepted Oct 27, 2006.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 BMJHome page
M. Wake, L. A Baur, B. Gerner, K. Gibbons, L. Gold, J. Gunn, P. Levickis, Z. McCallum, G. Naughton, L. Sanci, et al.
Outcomes and costs of primary care surveillance and intervention for overweight or obese children: the LEAP 2 randomised controlled trial
BMJ, September 3, 2009; 339(sep03_2): b3308 - b3308.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
C. W. Karlson and M. A. Rapoff
Attrition in Randomized Controlled Trials for Pediatric Chronic Conditions
J. Pediatr. Psychol., August 1, 2009; 34(7): 782 - 793.
[Abstract] [Full Text] [PDF]

Home page
 Qual Health ResHome page
K. Walker, N. Caine-Bish, and S. Wait
"I Like to Jump on My Trampoline": An Analysis of Drawings From 8- to 12-Year-Old Children Beginning a Weight-Management Program
Qual Health Res, July 1, 2009; 19(7): 907 - 917.
[Abstract] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
A. Bush
Update in Pediatric Lung Disease 2007
Am. J. Respir. Crit. Care Med., April 1, 2008; 177(7): 686 - 695.
[Full Text] [PDF]

Home page
 PediatricsHome page
A. R. Hughes, L. Stewart, J. Chapple, J. H. McColl, M. D. C. Donaldson, C. J. H. Kelnar, M. Zabihollah, F. Ahmed, and J. J. Reilly
Randomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)
Pediatrics, March 1, 2008; 121(3): e539 - e546.
[Abstract] [Full Text] [PDF]

Home page
 The ANNALS of the American Academy of Political and Social ScienceHome page
K. Rhee
Childhood Overweight and the Relationship between Parent Behaviors, Parenting Style, and Family Functioning
The ANNALS of the American Academy of Political and Social Science, January 1, 2008; 615(1): 11 - 37.
[Abstract] [PDF]