OBJECTIVE: To examine the effectiveness of a primary care-based obesity intervention over the first year (6 intervention contacts) of a planned 2-year study. DESIGN: Cluster randomized controlled trial. SETTING: Ten pediatric practices, 5 intervention and 5 usual care. PARTICIPANTS: Four hundred seventy-five children aged 2 to 6 years with body mass index (BMI) in the 95th percentile or higher or 85th to less than 95th percentile if at least 1 parent was overweight; 445 (93%) had 1-year outcomes. INTERVENTION: Intervention practices received primary care restructuring, and families received motivational interviewing by clinicians and educational modules targeting television viewing and fast food and sugar-sweetened beverage intake. OUTCOME MEASURES: Change in BMI and obesity-related behaviors from baseline to 1 year. RESULTS: Compared with usual care, intervention participants had a smaller, nonsignificant change in BMI (-0.21; 95% confidence interval [CI], -0.50 to 0.07; P = .15), greater decreases in television viewing (-0.36 h/d; 95% CI, -0.64 to -0.09; P = .01), and slightly greater decreases in fast food (-0.16 serving/wk; 95% CI, -0.33 to 0.01; P = .07) and sugar-sweetened beverage (-0.22 serving/d; 95% CI, -0.52 to 0.08; P = .15) intake. In post hoc analyses, we observed significant effects on BMI among girls (-0.38; 95% CI, -0.73 to -0.03; P = .03) but not boys (0.04; 95% CI, -0.55 to 0.63; P = .89) and among participants in households with annual incomes of $50 000 or less (-0.93; 95% CI, -1.60 to -0.25; P = .01) but not in higher-income households (0.02; 95% CI, -0.30 to 0.33; P = .92). CONCLUSION: After 1 year, the High Five for Kids intervention was effective in reducing television viewing but did not significantly reduce BMI.
RCT Entities:
OBJECTIVE: To examine the effectiveness of a primary care-based obesity intervention over the first year (6 intervention contacts) of a planned 2-year study. DESIGN: Cluster randomized controlled trial. SETTING: Ten pediatric practices, 5 intervention and 5 usual care. PARTICIPANTS: Four hundred seventy-five children aged 2 to 6 years with body mass index (BMI) in the 95th percentile or higher or 85th to less than 95th percentile if at least 1 parent was overweight; 445 (93%) had 1-year outcomes. INTERVENTION: Intervention practices received primary care restructuring, and families received motivational interviewing by clinicians and educational modules targeting television viewing and fast food and sugar-sweetened beverage intake. OUTCOME MEASURES: Change in BMI and obesity-related behaviors from baseline to 1 year. RESULTS: Compared with usual care, intervention participants had a smaller, nonsignificant change in BMI (-0.21; 95% confidence interval [CI], -0.50 to 0.07; P = .15), greater decreases in television viewing (-0.36 h/d; 95% CI, -0.64 to -0.09; P = .01), and slightly greater decreases in fast food (-0.16 serving/wk; 95% CI, -0.33 to 0.01; P = .07) and sugar-sweetened beverage (-0.22 serving/d; 95% CI, -0.52 to 0.08; P = .15) intake. In post hoc analyses, we observed significant effects on BMI among girls (-0.38; 95% CI, -0.73 to -0.03; P = .03) but not boys (0.04; 95% CI, -0.55 to 0.63; P = .89) and among participants in households with annual incomes of $50 000 or less (-0.93; 95% CI, -1.60 to -0.25; P = .01) but not in higher-income households (0.02; 95% CI, -0.30 to 0.33; P = .92). CONCLUSION: After 1 year, the High Five for Kids intervention was effective in reducing television viewing but did not significantly reduce BMI.
Authors: Marian L Fitzgibbon; Melinda R Stolley; Linda Schiffer; Linda Van Horn; Katherine KauferChristoffel; Alan Dyer Journal: J Pediatr Date: 2005-05 Impact factor: 4.406
Authors: Elsie M Taveras; Catherine S Berkey; Sheryl L Rifas-Shiman; David S Ludwig; Helaine R H Rockett; Alison E Field; Graham A Colditz; Matthew W Gillman Journal: Pediatrics Date: 2005-10 Impact factor: 7.124
Authors: Z McCallum; M Wake; B Gerner; L A Baur; K Gibbons; L Gold; J Gunn; C Harris; G Naughton; C Riess; L Sanci; J Sheehan; O C Ukoumunne; E Waters Journal: Int J Obes (Lond) Date: 2006-12-12 Impact factor: 5.095
Authors: Robert P Schwartz; Robin Hamre; William H Dietz; Richard C Wasserman; Eric J Slora; Esther F Myers; Susan Sullivan; Helaine Rockett; Kathleen A Thoma; Gema Dumitru; Kenneth A Resnicow Journal: Arch Pediatr Adolesc Med Date: 2007-05
Authors: Kevin Patrick; Karen J Calfas; Gregory J Norman; Marion F Zabinski; James F Sallis; Joan Rupp; Jennifer Covin; John Cella Journal: Arch Pediatr Adolesc Med Date: 2006-02
Authors: Kendrin R Sonneville; Sheryl L Rifas-Shiman; Ken P Kleinman; Steven L Gortmaker; Matthew W Gillman; Elsie M Taveras Journal: Obesity (Silver Spring) Date: 2012-02-21 Impact factor: 5.002
Authors: Simone A French; Nancy E Sherwood; Sara Veblen-Mortenson; A Lauren Crain; Meghan M JaKa; Nathan R Mitchell; Anne Marie Hotop; Jerica M Berge; Alicia S Kunin Batson; Kim Truesdale; June Stevens; Charlotte Pratt; Layla Esposito Journal: Am J Public Health Date: 2018-12 Impact factor: 9.308
Authors: Lori A J Scott-Sheldon; Larry V Hedges; Chris Cyr; Deborah Young-Hyman; Laura Kettel Khan; Mackenzie Magnus; Heather King; Sonia Arteaga; John Cawley; Christina D Economos; Debra Haire-Joshu; Christine M Hunter; Bruce Y Lee; Shiriki K Kumanyika; Lorrene D Ritchie; Thomas N Robinson; Marlene B Schwartz Journal: Child Obes Date: 2020-09 Impact factor: 2.992