Advertising Disclaimer
Published online February 29, 2008
PEDIATRICS Vol. 121 No. 3 March 2008, pp. e539-e546 (doi:10.1542/peds.2007-1786)
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 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 Google Scholar
Google Scholar
Right arrow Articles by Hughes, A. R.
Right arrow Articles by Reilly, J. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hughes, A. R.
Right arrow Articles by Reilly, J. J.
Related Collections
Right arrow Nutrition & Metabolism
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

Randomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)

Adrienne R. Hughes, PhDa, Laura Stewart, BScb, Jan Chapple, BScc, John H. McColl, MScd, Malcolm D. C. Donaldson, FRCPCHa, Christopher J. H. Kelnar, MDe, Mehran Zabihollah, BEngf, Faisal Ahmed, MDa, John J. Reilly, PhDa

a Division of Developmental Medicine, University of Glasgow, Yorkhill Hospitals, Glasgow, United Kingdom
b Department of Nutrition and Dietetics, Royal Hospital for Sick Children, Edinburgh, United Kingdom
c Department of Nutrition and Dietetics, Yorkhill Hospitals, Glasgow, United Kingdom
d Department of Statistics, University of Glasgow, Glasgow, United Kingdom
e Department of Reproductive and Developmental Sciences, University of Edinburgh, Royal Hospital for Sick Children, Edinburgh, United Kingdom
f University of Liverpool Management School, Liverpool, United Kingdom

OBJECTIVE. The objective of this study was to determine whether a generalizable best-practice individualized behavioral intervention reduced BMI z score relative to standard dietetic care among overweight children.

METHODS. The design consisted of an assessor-blinded, randomized, controlled trial involving 134 overweight children (59 boys, 75 girls; BMI ≥ 98th centile relative to United Kingdom 1990 reference data for children aged 5–11 years) who were randomly assigned to a best-practice behavioral program (intervention) or standard care (control). The intervention used family-centered counseling and behavioral strategies to modify diet, physical activity, and sedentary behavior. BMI z score, weight, objectively measured physical activity and sedentary behavior, fat distribution, quality of life, and height z score were recorded at baseline and at 6 and 12 months.

RESULTS. The intervention had no significant effect relative to standard care on BMI z score from baseline to 6 months and 12 months. BMI z score decreased significantly in both groups from baseline to 6 and 12 months. For those who complied with treatment, there was a significantly smaller weight increase in those in the intervention group compared with control subjects from baseline to 6 months. There were significant between-group differences in favor of the intervention for changes in total physical activity, percentage of time spent in sedentary behavior, and light-intensity physical activity.

CONCLUSIONS. A generalizable, best-practice individualized behavioral intervention had modest benefits on objectively measured physical activity and sedentary behavior but no significant effect on BMI z score compared with standard care among overweight children. The modest magnitude of the benefits observed perhaps argues for a longer-term and more intense intervention, although such treatments may not be realistic for many health care systems.

Key Words: obesity • overweight • children • treatment • BMI • physical activity • sedentary behavior • randomized • controlled trial

Abbreviations: RCT—randomized, controlled trial • QoL—quality of life • IQR—interquartile range • df—degrees of freedom • CI—confidence interval

Accepted Aug 15, 2007.


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]