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Step Tracking with Goals Increases Children's Weight Loss in Behavioral Intervention.

ABSTRACT: This study examined the influence of step goals with pedometers to improve children's weight loss, physical activity, and psychosocial health during obesity treatment.Overweight and obese children ages 8-17 years (n?=?105) participated in a 10-week family-based weight management intervention, including physical activity, nutrition, and behavioral modification. A quasi-experimental design was used to group eight cohorts into three conditions: no pedometer (n?=?24), pedometer only (n?=?25), and pedometer with step goals (i.e., 500 steps/day weekly increase above baseline; n?=?56). Height and weight were measured at baseline and week 10 and used to calculate BMI. Analysis of covariance was performed to examine difference by condition for change in weight, BMI, and BMI z-score, controlling for age and baseline value. Differences in steps per day and psychosocial health were compared between the two pedometer conditions.Participants were 12.4?±?2.5 years of age, including 70% girls and 64% African Americans. The pedometer with goals condition significantly reduced BMI (p?=?0.02) and BMI z-score (p?=?0.01) compared with the no-pedometer group. The pedometer with goals condition significantly increased steps per day (+1185?±?425 steps/day) compared with the pedometer-only condition (-162?±?620 steps/day; p?

SUBMITTER: Staiano AE

PROVIDER: S-EPMC5549810 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Step Tracking with Goals Increases Children's Weight Loss in Behavioral Intervention.

Staiano Amanda E AE Beyl Robbie A RA Hsia Daniel S DS Jarrell Amber R AR Katzmarzyk Peter T PT Mantzor Savarra S Newton Robert L RL Tyson Patrice P

Childhood obesity (Print) 20170425 4

<h4>Background</h4>This study examined the influence of step goals with pedometers to improve children's weight loss, physical activity, and psychosocial health during obesity treatment.<h4>Methods</h4>Overweight and obese children ages 8-17 years (n = 105) participated in a 10-week family-based weight management intervention, including physical activity, nutrition, and behavioral modification. A quasi-experimental design was used to group eight cohorts into three conditions: no pedometer (n = 2 ...[more]

PMID: 28440662

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Project description:Overweight and obesity are epidemic among persons with serious mental illness, yet weight-loss trials systematically exclude this vulnerable population. Lifestyle interventions require adaptation in this group because psychiatric symptoms and cognitive impairment are highly prevalent. Our objective was to determine the effectiveness of an 18-month tailored behavioral weight-loss intervention in adults with serious mental illness.We recruited overweight or obese adults from 10 community psychiatric rehabilitation outpatient programs and randomly assigned them to an intervention or a control group. Participants in the intervention group received tailored group and individual weight-management sessions and group exercise sessions. Weight change was assessed at 6, 12, and 18 months.Of 291 participants who underwent randomization, 58.1% had schizophrenia or a schizoaffective disorder, 22.0% had bipolar disorder, and 12.0% had major depression. At baseline, the mean body-mass index (the weight in kilograms divided by the square of the height in meters) was 36.3, and the mean weight was 102.7 kg (225.9 lb). Data on weight at 18 months were obtained from 279 participants. Weight loss in the intervention group increased progressively over the 18-month study period and differed significantly from the control group at each follow-up visit. At 18 months, the mean between-group difference in weight (change in intervention group minus change in control group) was -3.2 kg (-7.0 lb, P=0.002); 37.8% of the participants in the intervention group lost 5% or more of their initial weight, as compared with 22.7% of those in the control group (P=0.009). There were no significant between-group differences in adverse events.A behavioral weight-loss intervention significantly reduced weight over a period of 18 months in overweight and obese adults with serious mental illness. Given the epidemic of obesity and weight-related disease among persons with serious mental illness, our findings support implementation of targeted behavioral weight-loss interventions in this high-risk population. (Funded by the National Institute of Mental Health; ACHIEVE ClinicalTrials.gov number, NCT00902694.).

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Step Tracking with Goals Increases Children's Weight Loss in Behavioral Intervention.

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Step Tracking with Goals Increases Children's Weight Loss in Behavioral Intervention.

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