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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 University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Molecular epidemiology. Karolinska Inst, Inst Environm Med, Dept Biostat, Solna, Sweden.
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2019 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 144, no 2, article id e20183457Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2019. Vol. 144, no 2, article id e20183457
Keywords [en]
primary care, intervention, family support, children
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-389455DOI: 10.1542/peds.2018-3457ISI: 000484366800015PubMedID: 31300528OAI: oai:DiVA.org:uu-389455DiVA, id: diva2:1337418
Funder
Swedish Research Council, K2015-99X-22713-01-3-Vinnova, 2011-3443The Karolinska Institutet's Research FoundationMagnus Bergvall FoundationFredrik och Ingrid Thurings StiftelseHelge Ax:son Johnsons stiftelse Available from: 2019-07-14 Created: 2019-07-14 Last updated: 2019-10-18Bibliographically approved

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Hammar, UlfSandvik, PernillaSomaraki, MariaNowicka, Paulina

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