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Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT
Karolinska Inst, Dept Publ Hlth Sci, Child & Adolescent Publ Hlth Epidemiol, Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Ctr Psychiat Res, Hlth Care Serv, Stockholm, Sweden..
Bispebjerg & Frederiksberg Hosp, Res Unit Dietary Studies, Parker Inst, The Capital Reg, Denmark.;Univ Sydney, Boden Inst Obes Nutr Exercise & Eating Disorders, Sydney, NSW 2006, Australia.;Univ Southern Denmark, Natl Inst Publ Hlth, Odense, Denmark..
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2016 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 137, no 5, e20153104Article in journal (Refereed) PublishedText
Abstract [en]

OBJECTIVE: The objective was to evaluate a manualized theory-driven primary preventive intervention aimed at early childhood obesity. The intervention was embedded in Swedish child health services, starting when eligible children were 9 to 10 months of age and continuing until the children reached age 4. METHODS: Child health care centers in 8 Swedish counties were randomized into intervention and control units and included 1355 families with 1369 infants. Over similar to 39 months, families in the intervention group participated in 1 group session and 8 individual sessions with a nurse trained in motivational interviewing, focusing on healthy food habits and physical activity. Families in the control group received care as usual. Primary outcomes were children's BMI, overweight prevalence, and waist circumference at age 4. Secondary outcomes were children's and mothers' food and physical activity habits and mothers' anthropometrics. Effects were assessed in linear and log-binominal regression models using generalized estimating equations. RESULTS: There were no statistically significant differences in children's BMI (beta = -0.11, 95% confidence interval [CI]: -0.31 to 0.08), waist circumference (beta = -0.48, 95% CI: -0.99 to 0.04), and prevalence of overweight (relative risk = 0.95, 95% CI: 0.69 to 1.32). No significant intervention effects were observed in mothers' anthropometric data or regarding mothers' and children's physical activity habits. There was a small intervention effect in terms of healthier food habits among children and mothers. CONCLUSIONS: There were no significant group differences in children's and mothers' anthropometric data and physical activity habits. There was, however, some evidence suggesting healthier food habits, but this should be interpreted with caution.

Place, publisher, year, edition, pages
2016. Vol. 137, no 5, e20153104
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URN: urn:nbn:se:uu:diva-297340DOI: 10.1542/peds.2015-3104ISI: 000375214300019OAI: oai:DiVA.org:uu-297340DiVA: diva2:942046
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-0226Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0413Swedish Research Council, K2006-27X-20069-01-3Swedish Research Council, K2012-69X-22058-01-3Stockholm County Council, 2006-0324AFA Insurance, H-06:05/070001Swedish Diabetes Association, TMA2006-004The Karolinska Institutet's Research Foundation
Available from: 2016-06-23 Created: 2016-06-22 Last updated: 2016-06-23Bibliographically approved

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