Summary of the Results of Home-Based Childhood Obesity Prevention Studies Conducted in High-Income Countries on Weight-Related Outcomes

Study, DesignNInterventionAge range, yGirls, %Follow-up, wkBMI z ScoreBMIBody Fat, %Prevalence Obesity/OverweightWeight, kg
Epstein et al (16), RCT26D, PA26-week parent-focused behavioral intervention to reduce high-fat/high-sugar intake or increase fruit/vegetable intake; increase access to PA; reduce access to sedentary behaviors8.6–8.86552NSc
Fitzgibbon et al (18), RCT146D, PA14-week family-based intervention (parent-child dyads) to increase fruit/vegetable intake, decrease fat intake, reduce television viewing, and increase PA3–550520.03 (95% CI, −0.28 to 0.34)0.17 (95% CI, −0.45 to 0.80)0.57 (95% CI, −0.55 to 1.68)
French et al (17), RCT90aD, PA52-week behavioral and environmental intervention to prevent weight gain among entire households5–17520.06 (P = .53)
Lappe et al (19), RCT59D104-week calcium-rich dietary intervention designed to assess effect on weight gain9100104NScNScNSc
Patrick et al (20), RCT878D, PA52-week PACE+ computer-supported behavioral intervention to modify total intake of fat, fruit/vegetable intake, PA, and sedentary behaviors11–1549.952–(P ≥ .05 for normal and overweight participants)
Gentile et al (21), RCT1323D, PA30-week “Switch” behavioral intervention to modify nutrition, television viewing/screen time and PA9.6b53.061–(P ≥ .05 overall sample, P <.05 boys)
  • CI, confidence interval; D, diet; NR, not reported; NS, not significant; RCT, randomized controlled trial. —, results not reported.

  • a N = 90 households.

  • b PACE+, Patient-centered Assessment and Counseling for Exercise +Nutrition.

  • c Only mean age reported.

  • d 95% CI or P value not reported.