Published online November 30, 2007
PEDIATRICS Vol. 120 No. 6 December 2007, pp. e1450-e1457 (doi:10.1542/peds.2006-3321)
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ARTICLE

Weight Loss in Overweight Mexican American Children: A Randomized, Controlled Trial

Craig A. Johnston, PhDa, Chermaine Tyler, PhDa, Brian K. McFarlin, PhDb, Walker S.C. Poston, PhDc, C. Keith Haddock, PhDc, Rebecca Reeves, DrPHd and John P. Foreyt, PhDa,d

a Departments of Pediatrics-Nutrition, Children's Nutrition Research Center
d Medicine, Baylor College of Medicine, Houston, Texas
b Department of Health and Human Performance, University of Houston, Houston, Texas
c Department of Health Psychology and Medicine, University of Missouri, Kansas City, Missouri

OBJECTIVES. Childhood overweight has increased significantly in the past 20 years, with the highest rates noted among Mexican Americans. Although this minority group is in significant need of intervention, few programs have demonstrated actual decreases in weight. In this study we evaluated an intensive healthy lifestyle program designed to result in weight reduction for overweight Mexican American children. We hypothesized that children randomly assigned to an intensive intervention would significantly reduce their standardized BMI when compared with children randomly assigned to a self-help condition.

PATIENTS AND METHODS. A total of 60 children (33 boys; 55%) between the ages of 10 and 14 years at or above the 85th percentile for BMI were randomly assigned to a 6-month intensive-intervention or self-help condition.

RESULTS. Children in the intensive-intervention condition significantly reduced their standardized BMI when compared with the children in the self-help condition. The change in standardized BMI was significantly different at both 3 and 6 months, with intensive-intervention participants showing greater decreases in weight.

CONCLUSIONS. Overall, the results were promising, suggesting that an intensive, individualized intervention may be an effective means for promoting weight loss in overweight Mexican American children.

Key Words: children • adolescents • school-based program • weight management • outcomes research • prevention

Abbreviations: II—intensive intervention • SH—self-help • zBMI—standardized BMI • HDL—high-density lipoprotein • LDL—low-density lipoprotein • BP—blood pressure

Accepted May 11, 2007.


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