Maria Kolotourou1, Duncan Radley2, Catherine Gammon3, Lindsey Smith4, Paul Chadwick5, Paul M Sacher1,6. 1. 1Mytime Active, Bromley, United Kingdom. 2. 2Leeds Metropolitan University, School of Sport, Carnegie Faculty, Leeds, United Kingdom. 3. 3Department of Kinesiology, Michigan State University, East Lansing, MI. 4. 4University of Derby, Department of Sport and Exercise Science, Derby, United Kingdom. 5. 5Department of Diabetes, Royal Free Hampstead NHS Trust, London, United Kingdom. 6. 6Childhood Nutrition Research Center, University College London, Institute of Child Health, London, United Kingdom.
Abstract
BACKGROUND: In the current study, we report outcomes 2.4 years from baseline in a random subsample of overweight and obese children who attended MEND 7-13 programs delivered in UK community settings under service level conditions. METHODS: The study employed an uncontrolled pre-follow-up design. A total of 165 children were measured. Outcomes included anthropometry, parental perception of emotional distress, body esteem, and self-esteem. RESULTS: Overall, there were significant improvements in all outcomes apart from BMI z-score. In boys, BMI z-score, waist circumference z-score, and psychometrics all improved. In girls, there were no statistically significant differences at 2.4 years, except for body esteem. CONCLUSIONS: In real-world settings, the MEND intervention, when delivered by nonspecialists, may result in modest, yet positive, long-term outcomes. Subsequent research should focus on improving the outcome effect size, providing effective behavior change maintenance strategies, and further investigating the reasons behind the observed gender differences.
BACKGROUND: In the current study, we report outcomes 2.4 years from baseline in a random subsample of overweight and obesechildren who attended MEND 7-13 programs delivered in UK community settings under service level conditions. METHODS: The study employed an uncontrolled pre-follow-up design. A total of 165 children were measured. Outcomes included anthropometry, parental perception of emotional distress, body esteem, and self-esteem. RESULTS: Overall, there were significant improvements in all outcomes apart from BMI z-score. In boys, BMI z-score, waist circumference z-score, and psychometrics all improved. In girls, there were no statistically significant differences at 2.4 years, except for body esteem. CONCLUSIONS: In real-world settings, the MEND intervention, when delivered by nonspecialists, may result in modest, yet positive, long-term outcomes. Subsequent research should focus on improving the outcome effect size, providing effective behavior change maintenance strategies, and further investigating the reasons behind the observed gender differences.
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