Journal article
Use of a FITLINE to Support Families of Overweight and Obese Children in Pediatric Practices
Childhood obesity, Vol.12(1), pp.33-43
02/01/2016
DOI: 10.1089/chi.2015.0101
PMID: 26788762
Abstract
Background: The American Academy of Pediatrics (AAP) recommends a staged approach to pediatric weight management, starting with helping families to make targeted dietary and activity changes. This pilot study evaluated the preliminary efficacy of a pediatric practice-based referral program to support parents in helping their overweight/obese children improve their weight-related behaviors and BMI. Methods: A nonrandomized intervention study with contemporaneous control was used. Parents and their children ages 8-12 with BMI 85th percentile (N=37) were recruited from a pediatric practice serving a low-income, multiethnic population. Providers delivered brief intervention and referred families to six weekly FITLINE telephone counseling sessions with a nutritionist who guided parents in helping their child make AAP-recommended changes. Child BMI and parent survey of child diet and physical activity were completed at baseline and 3 months. Medical record data from 44 children matched for age and BMI were collected. Results: Mean change in BMI from baseline to 3-month follow-up was -0.49 BMI units (standard deviation [SD], 0.95; p=0.007) for the FITLINE group and 0.35 BMI units (SD, 0.96; p=0.02) for the control group. Adjusting for baseline BMI, age, and sex, children in the FITLINE condition reduced BMI significantly more than children in the control condition (mean difference=-0.89; p=0.0003). Significant improvements in many dietary and sedentary behaviors also were noted. Conclusions: The FITLINE program reduced short-term BMI and improved dietary and sedentary behaviors. A randomized, controlled trial is warranted to assess the program's efficacy and potential to serve as a model for reducing obesity in pediatric practice.
Details
- Title: Subtitle
- Use of a FITLINE to Support Families of Overweight and Obese Children in Pediatric Practices
- Creators
- Lori Pbert - University of Massachusetts Chan Medical SchoolSusan Druker - University of Massachusetts Chan Medical SchoolBruce Barton - University of Massachusetts Chan Medical SchoolBarbara Olendzki - University of Massachusetts Chan Medical SchoolVictoria Andersen - University of Massachusetts Chan Medical SchoolGioia Persuitte - University of Massachusetts Chan Medical SchoolJennifer Bram - University of Massachusetts Chan Medical SchoolStephen Kurtz - University of Massachusetts Chan Medical SchoolE. Michael Powers - Vanderbilt University Medical CenterSybil Crawford - University of Massachusetts Chan Medical SchoolAlan C. Geller - Harvard University
- Resource Type
- Journal article
- Publication Details
- Childhood obesity, Vol.12(1), pp.33-43
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/chi.2015.0101
- PMID
- 26788762
- ISSN
- 2153-2168
- eISSN
- 2153-2176
- Number of pages
- 11
- Language
- English
- Date published
- 02/01/2016
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984585317302771
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