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Two-year follow-up of a primary care-based intervention to prevent and manage childhood obesity: the High Five for Kids study.


ABSTRACT: The obesity epidemic has spared no age group, even young infants. Most childhood obesity is incident by the age of 5 years, making prevention in preschool years a priority.To examine 2-year changes in age- and sex-specific BMI z-scores and obesity-related behaviours among 441 of the 475 originally recruited participants in High Five for Kids, a cluster randomized controlled trial in 10 paediatric practices.The intervention included a more intensive 1-year intervention period (four in-person visits and two phone calls) followed by a less intensive 1-year maintenance period (two in-person visits) among children who were overweight or obese and age 2-6?years at enrolment. The five intervention practices restructured care to manage these children including motivational interviewing and educational modules targeting television viewing and intakes of fast food and sugar-sweetened beverages.After 2?years, compared with usual care, intervention participants had similar changes in BMI z-scores (-0.04 units; 95% CI -0.14, 0.06), television viewing (-0.20?h/d; -0.49 to 0.09) and intakes of fast food (-0.09 servings/week; -0.34 to 0.17) and sugar-sweetened beverages (-0.26 servings/day; -0.67 to 0.14).High Five for Kids, a primarily clinical-based intervention, did not affect BMI z-scores or obesity-related behaviours after 2?years.

SUBMITTER: Rifas-Shiman SL 

PROVIDER: S-EPMC6067009 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Two-year follow-up of a primary care-based intervention to prevent and manage childhood obesity: the High Five for Kids study.

Rifas-Shiman Sheryl L SL   Taveras Elsie M EM   Gortmaker Steven L SL   Hohman Katherine H KH   Horan Christine M CM   Kleinman Ken P KP   Mitchell Kathleen K   Price Sarah S   Prosser Lisa A LA   Gillman Matthew W MW  

Pediatric obesity 20160527 3


<h4>Background</h4>The obesity epidemic has spared no age group, even young infants. Most childhood obesity is incident by the age of 5 years, making prevention in preschool years a priority.<h4>Objective</h4>To examine 2-year changes in age- and sex-specific BMI z-scores and obesity-related behaviours among 441 of the 475 originally recruited participants in High Five for Kids, a cluster randomized controlled trial in 10 paediatric practices.<h4>Methods</h4>The intervention included a more inte  ...[more]

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