uu.seUppsala universitets publikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
A Parent Treatment Program for Preschoolers With Obesity: A Randomized Controlled Trial
Karolinska Inst, Inst Environm Med, Dept Clin Sci Intervent & Technol, Div Pediat, Solna, Sweden.
Oregon Social Learning Ctr, Eugene, OR, USA.
Karolinska Inst, Inst Environm Med, Div Psychol, Dept Clin Neurosci, Solna, Sweden.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Molekylär epidemiologi. Karolinska Inst, Inst Environm Med, Dept Biostat, Solna, Sweden.
Visa övriga samt affilieringar
2019 (Engelska)Ingår i: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 144, nr 2, artikel-id e20183457Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background And Objectives: Early obesity treatment seems to be the most effective, but few treatments exist. In this study, we examine the effectiveness of a parent-only treatment program with and without booster sessions (Booster or No Booster) focusing on parenting practices and standard treatment (ST).

Methods: Families of children 4 to 6 years of age with obesity were recruited from 68 child care centers in Stockholm County and randomly assigned to a parent-only program (10 weeks) with or without boosters (9 months) or to ST. Treatment effects on primary outcomes (BMI z score) and secondary outcomes (BMI and waist circumference) during a 12-month period were examined with linear mixed models. The influence of sociodemographic factors was examined by 3-way interactions. The clinically significant change in BMI z score (−0.5) was assessed with risk ratios.

Results: A total of 174 children (mean age: 5.3 years [SD = 0.8]; BMI z score: 3.0 [SD = 0.6], 56% girls) and their parents (60% foreign background; 39% university degree) were included in the analysis (Booster, n = 44; No Booster, n = 43; ST, n = 87). After 12 months, children in the parent-only treatment had a greater reduction in their BMI z score (0.30; 95% confidence interval [CI]: −0.45 to −0.15) compared with ST (0.07; 95% CI: −0.19 to 0.05). Comparing all 3 groups, improvements in weight status were only seen for the Booster group (−0.54; 95% CI: −0.77 to −0.30). The Booster group was 4.8 times (95% CI: 2.4 to 9.6) more likely to reach a clinically significant reduction of ≥0.5 of the BMI z score compared with ST.

Conclusion: A parent-only treatment with boosters outperformed standard care for obesity in preschoolers.

Ort, förlag, år, upplaga, sidor
2019. Vol. 144, nr 2, artikel-id e20183457
Nyckelord [en]
primary care, intervention, family support, children
Nationell ämneskategori
Pediatrik
Forskningsämne
Pediatrik
Identifikatorer
URN: urn:nbn:se:uu:diva-389455DOI: 10.1542/peds.2018-3457ISI: 000484366800015PubMedID: 31300528OAI: oai:DiVA.org:uu-389455DiVA, id: diva2:1337418
Forskningsfinansiär
Vetenskapsrådet, K2015-99X-22713-01-3-Vinnova, 2011-3443Karolinska Institutets ForskningsstiftelseMagnus Bergvalls StiftelseFredrik och Ingrid Thurings StiftelseHelge Ax:son Johnsons stiftelse Tillgänglig från: 2019-07-14 Skapad: 2019-07-14 Senast uppdaterad: 2019-10-18Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltextPubMed

Personposter BETA

Hammar, UlfSandvik, PernillaSomaraki, MariaNowicka, Paulina

Sök vidare i DiVA

Av författaren/redaktören
Hammar, UlfSandvik, PernillaSomaraki, MariaNowicka, Paulina
Av organisationen
Molekylär epidemiologiInstitutionen för kostvetenskap
I samma tidskrift
Pediatrics
Pediatrik

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 112 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf