BACKGROUND: BMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent of effects on adiposity. We investigated whether benefits to health outcomes following the Mind, Exercise, Nutrition…Do It! (MEND) childhood obesity intervention were independent of or associated with changes in zBMI. METHODS: A total of 79 obese children were measured at baseline; 71 and 42 participants were followed-up at 6 and 12 months respectively, and split into four groups depending on magnitude of change in zBMI. Differences between groups for waist circumference, cardiovascular fitness, physical and sedentary activities, and self-esteem were investigated. RESULTS: Apart from waist circumference and its z-score, there were no differences or trends across zBMI subgroups for any outcome. Independent of the degree of zBMI change, benefits in several parameters were observed in children participating in this obesity intervention. CONCLUSION: We concluded that isolating a single parameter like zBMI change and neglecting other important outcomes is restrictive and may undermine the evaluation of childhood obesity intervention effectiveness.
BACKGROUND: BMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent of effects on adiposity. We investigated whether benefits to health outcomes following the Mind, Exercise, Nutrition…Do It! (MEND) childhood obesity intervention were independent of or associated with changes in zBMI. METHODS: A total of 79 obesechildren were measured at baseline; 71 and 42 participants were followed-up at 6 and 12 months respectively, and split into four groups depending on magnitude of change in zBMI. Differences between groups for waist circumference, cardiovascular fitness, physical and sedentary activities, and self-esteem were investigated. RESULTS: Apart from waist circumference and its z-score, there were no differences or trends across zBMI subgroups for any outcome. Independent of the degree of zBMI change, benefits in several parameters were observed in children participating in this obesity intervention. CONCLUSION: We concluded that isolating a single parameter like zBMI change and neglecting other important outcomes is restrictive and may undermine the evaluation of childhood obesity intervention effectiveness.
Authors: Lisa M Klesges; Natalie A Williams; Kara S Davis; Joanna Buscemi; Katherine M Kitzmann Journal: Am J Prev Med Date: 2012-02 Impact factor: 5.043
Authors: C Pedrosa; B M P M Oliveira; I Albuquerque; C Simões-Pereira; M D Vaz-de-Almeida; F Correia Journal: Eur J Nutr Date: 2010-11-25 Impact factor: 5.614
Authors: Robert J Kuczmarski; Cynthia L Ogden; Shumei S Guo; Laurence M Grummer-Strawn; Katherine M Flegal; Zuguo Mei; Rong Wei; Lester R Curtin; Alex F Roche; Clifford L Johnson Journal: Vital Health Stat 11 Date: 2002-05
Authors: M C J Rudolf; D C Greenwood; T J Cole; R Levine; P Sahota; J Walker; P Holland; J Cade; J Truscott Journal: Arch Dis Child Date: 2004-03 Impact factor: 3.791
Authors: Omoye E Imoisili; Elizabeth A Lundeen; David S Freedman; Lindsay S Womack; Jessica Wallace; Simon J Hambidge; Steven Federico; Rachel Everhart; Delia Harr; Jillian Vance; Lyudmyla Kompaniyets; Carrie Dooyema; Sohyun Park; Heidi M Blanck; Alyson B Goodman Journal: Acad Pediatr Date: 2020-12-03 Impact factor: 3.107
Authors: Ahmed Y M El-Medany; Laura Birch; Linda P Hunt; Rhys I B Matson; Amanda H W Chong; Rhona Beynon; Julian Hamilton-Shield; Rachel Perry Journal: Child Obes Date: 2020-08-11 Impact factor: 2.992
Authors: D C Berry; T A Schwartz; R G McMurray; A H Skelly; M Neal; E G Hall; N Aimyong; D J Amatuli; G Melkus Journal: Nutr Diabetes Date: 2014-01-13 Impact factor: 5.097
Authors: Cheril L Clarson; Hilary K Brown; Stefanie De Jesus; Michelle Jackman; Farid H Mahmud; Harry Prapavessis; Tracy Robinson; J Kevin Shoemaker; Margaret Watson; A Justine Dowd; David J Hill Journal: Int Sch Res Notices Date: 2014-11-10