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A pilot randomized controlled trial of a behavioral family-based intervention with and without home visits to decrease obesity in preschoolers.


ABSTRACT:

Objective

Tested two family-based behavioral treatments for obesity in preschool children, one meeting the Expert Committee guidelines for Stage 3 obesity intervention criteria (LAUNCH-clinic) and one exceeding Stage 3 (LAUNCH with home visit [LAUNCH-HV]), compared with a Stage 1 intervention, pediatrician counseling (PC).

Methods

In all, 42 children aged 2-5 years with a body mass index (BMI) percentile of ?95th were randomized. A total of 33 met intent-to-treat criteria. Assessments were conducted at baseline, Month 6 (posttreatment), and Month 12 (6-month follow-up).?

Results

?LAUNCH-HV demonstrated a significantly greater decrease on the primary outcome of change in BMI z-score (BMIz) pre- to posttreatment compared with PC (p = .007), whereas LAUNCH-clinic was not significantly different from PC (p = .08). Similar results were found for secondary outcomes.?

Conclusions

?LAUNCH-HV, but not LAUNCH-clinic, significantly reduced BMIz compared with PC by posttreatment, indicating the need for intensive behavioral intervention, including home visitation, to address weight management in obese preschool children.

SUBMITTER: Stark LJ 

PROVIDER: S-EPMC4166702 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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Publications

A pilot randomized controlled trial of a behavioral family-based intervention with and without home visits to decrease obesity in preschoolers.

Stark Lori J LJ   Clifford Lisa M LM   Towner Elizabeth K EK   Filigno Stephanie S SS   Zion Cindy C   Bolling Christopher C   Rausch Joseph J  

Journal of pediatric psychology 20140730 9


<h4>Objective</h4>Tested two family-based behavioral treatments for obesity in preschool children, one meeting the Expert Committee guidelines for Stage 3 obesity intervention criteria (LAUNCH-clinic) and one exceeding Stage 3 (LAUNCH with home visit [LAUNCH-HV]), compared with a Stage 1 intervention, pediatrician counseling (PC).<h4>Methods</h4>In all, 42 children aged 2-5 years with a body mass index (BMI) percentile of ≥95th were randomized. A total of 33 met intent-to-treat criteria. Assessm  ...[more]

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