Serena Broccoli1, Anna Maria Davoli2, Laura Bonvicini3, Alessandra Fabbri4, Elena Ferrari2, Gino Montagna2, Costantino Panza2, Mirco Pinotti5, Simone Storani6, Marco Tamelli6, Silvia Candela7, Eletta Bellocchio5, Paolo Giorgi Rossi3. 1. Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy; Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico - IRCCS, Reggio Emilia, Italy; serena.broccoli@ausl.re.it. 2. Primary Care Pediatrician. 3. Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy; Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico - IRCCS, Reggio Emilia, Italy; 4. Public Health Nutrition Unit, and. 5. Primary Health Care, Local Health Authority, Reggio Emilia, Italy; 6. Promotion Health Researchers, League Against Cancer, Reggio Emilia, Italy. 7. Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy;
Abstract
BACKGROUND:Pediatrician-led motivational interviewing can be an effective way of controlling BMI in overweight children in the short term. Its long-term efficacy is unknown. The primary aim was to determine whether the short-term (12-month) impact of family pediatrician-led motivational interviews on the BMI of overweight children could be sustained in the long term (24 months), in the absence of any other intervention. METHODS:Children were recruited in 2011 by family pediatricians working in the province of Reggio Emilia, Italy, and randomly allocated to receive either 5 interviews delivered over a 12-month period or usual care. Eligible participants were all 4- to 7-year-old overweight children resident in the province of Reggio Emilia who had been receiving care from the pediatrician for ≥ 12 months. The primary outcome of this study was individual variation in BMI between the baseline visit and the 24-month follow-up, assessed by pediatricians not blinded to treatment group allocation. RESULTS:Of 419 eligible families, 372 (89%) participated; 187 children were randomized to receive intervention and 185 to usual care. Ninety-five percent of the children attended the 12-month follow-up, and 91% attended the 24-month follow-up. After the 12-month intervention period, BMI in the intervention group increased less than in the control group (0.46 and 0.78, respectively; difference -0.32; P = .005). At the 24-month follow-up, the difference had disappeared (1.52 and 1.56, respectively; difference -0.04; P = .986). CONCLUSIONS: The intervention lost its effectiveness within 1 year of cessation. Sustainable boosters are required for weight control and obesity prevention.
RCT Entities:
BACKGROUND: Pediatrician-led motivational interviewing can be an effective way of controlling BMI in overweight children in the short term. Its long-term efficacy is unknown. The primary aim was to determine whether the short-term (12-month) impact of family pediatrician-led motivational interviews on the BMI of overweight children could be sustained in the long term (24 months), in the absence of any other intervention. METHODS:Children were recruited in 2011 by family pediatricians working in the province of Reggio Emilia, Italy, and randomly allocated to receive either 5 interviews delivered over a 12-month period or usual care. Eligible participants were all 4- to 7-year-old overweight children resident in the province of Reggio Emilia who had been receiving care from the pediatrician for ≥ 12 months. The primary outcome of this study was individual variation in BMI between the baseline visit and the 24-month follow-up, assessed by pediatricians not blinded to treatment group allocation. RESULTS: Of 419 eligible families, 372 (89%) participated; 187 children were randomized to receive intervention and 185 to usual care. Ninety-five percent of the children attended the 12-month follow-up, and 91% attended the 24-month follow-up. After the 12-month intervention period, BMI in the intervention group increased less than in the control group (0.46 and 0.78, respectively; difference -0.32; P = .005). At the 24-month follow-up, the difference had disappeared (1.52 and 1.56, respectively; difference -0.04; P = .986). CONCLUSIONS: The intervention lost its effectiveness within 1 year of cessation. Sustainable boosters are required for weight control and obesity prevention.
Authors: Sara M St George; Yaray Agosto; Lourdes M Rojas; Mary Soares; Monica Bahamon; Guillermo Prado; Justin D Smith Journal: Obes Rev Date: 2019-12-06 Impact factor: 10.867
Authors: Paolo Giorgi Rossi; Francesca Ferrari; Sergio Amarri; Andrea Bassi; Laura Bonvicini; Luca Dall'Aglio; Claudia Della Giustina; Alessandra Fabbri; Anna Maria Ferrari; Elena Ferrari; Marta Fontana; Marco Foracchia; Teresa Gallelli; Giulia Ganugi; Barbara Ilari; Sara Lo Scocco; Gianluca Maestri; Veronica Moretti; Costantino Panza; Mirco Pinotti; Riccardo Prandini; Simone Storani; Maria Elisabeth Street; Marco Tamelli; Hayley Trowbridge; Francesco Venturelli; Alessandro Volta; Anna Maria Davoli Journal: JMIR Mhealth Uhealth Date: 2020-06-08 Impact factor: 4.773
Authors: Andrew S Bossick; Charles Barone; Gwen L Alexander; Heather Olden; Tanya Troy; Andrea E Cassidy-Bushrow Journal: J Patient Cent Res Rev Date: 2017-08-10
Authors: Emma Mead; Tamara Brown; Karen Rees; Liane B Azevedo; Victoria Whittaker; Dan Jones; Joan Olajide; Giulia M Mainardi; Eva Corpeleijn; Claire O'Malley; Elizabeth Beardsmore; Lena Al-Khudairy; Louise Baur; Maria-Inti Metzendorf; Alessandro Demaio; Louisa J Ells Journal: Cochrane Database Syst Rev Date: 2017-06-22
Authors: Jonathan McGavock; Bhupendrasinh F Chauhan; Rasheda Rabbani; Sofia Dias; Nika Klaprat; Sara Boissoneault; Justin Lys; Aleksandra K Wierzbowski; Mohammad Nazmus Sakib; Ryan Zarychanski; Ahmed M Abou-Setta Journal: JAMA Netw Open Date: 2020-07-01