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  • Ek, AnnaKarolinska Institutet (author)

A Parent Treatment Program for Preschoolers With Obesity : A Randomized Controlled Trial

  • Article/chapterEnglish2019

Publisher, publication year, extent ...

  • 2019-08-01
  • American Academy of Pediatrics (AAP),2019
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:uu-389455
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-389455URI
  • https://doi.org/10.1542/peds.2018-3457DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:141772150URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background And Objectives: Early obesity treatment seems to be the most effective, but few treatments exist. In this study, we examine the effectiveness of a parent-only treatment program with and without booster sessions (Booster or No Booster) focusing on parenting practices and standard treatment (ST).Methods: Families of children 4 to 6 years of age with obesity were recruited from 68 child care centers in Stockholm County and randomly assigned to a parent-only program (10 weeks) with or without boosters (9 months) or to ST. Treatment effects on primary outcomes (BMI z score) and secondary outcomes (BMI and waist circumference) during a 12-month period were examined with linear mixed models. The influence of sociodemographic factors was examined by 3-way interactions. The clinically significant change in BMI z score (−0.5) was assessed with risk ratios.Results: A total of 174 children (mean age: 5.3 years [SD = 0.8]; BMI z score: 3.0 [SD = 0.6], 56% girls) and their parents (60% foreign background; 39% university degree) were included in the analysis (Booster, n = 44; No Booster, n = 43; ST, n = 87). After 12 months, children in the parent-only treatment had a greater reduction in their BMI z score (0.30; 95% confidence interval [CI]: −0.45 to −0.15) compared with ST (0.07; 95% CI: −0.19 to 0.05). Comparing all 3 groups, improvements in weight status were only seen for the Booster group (−0.54; 95% CI: −0.77 to −0.30). The Booster group was 4.8 times (95% CI: 2.4 to 9.6) more likely to reach a clinically significant reduction of ≥0.5 of the BMI z score compared with ST.Conclusion: A parent-only treatment with boosters outperformed standard care for obesity in preschoolers.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Lewis Chamberlain, KathrynOregon Social Learning Ctr, Eugene, OR, USA (author)
  • Sorjonen, KimmoKarolinska Institutet (author)
  • Hammar, UlfUppsala universitet,Molekylär epidemiologi,Karolinska Inst, Inst Environm Med, Dept Biostat, Solna, Sweden(Swepub:uu)ulfha881 (author)
  • Etminan Malek, MahnoushKarolinska Institutet (author)
  • Sandvik, PernillaUppsala universitet,Institutionen för kostvetenskap,Karolinska Inst, Inst Environm Med, Dept Clin Sci Intervent & Technol, Div Pediat, Solna, Sweden(Swepub:uu)persa949 (author)
  • Somaraki, MariaUppsala universitet,Institutionen för kostvetenskap(Swepub:uu)marso803 (author)
  • Nyman, JonnaKarolinska Univ Hosp, Astrid Lindgren Childrenk Hosp, Stockholm, Sweden (author)
  • Lindberg, LouiseKarolinska Institutet (author)
  • Nordin, KarinKarolinska Institutet (author)
  • Ejderhamn, JanKarolinska Univ Hosp, Astrid Lindgren Childrenk Hosp, Stockholm, Sweden (author)
  • Fisher, Philip AOregon Social Learning Ctr, Eugene, OR USA; Univ Oregon, Dept Psychol, Eugene, OR USA (author)
  • Chamberlain, PatriciaOregon Social Learning Ctr, Eugene, OR USA (author)
  • Marcus, ClaudeKarolinska Institutet (author)
  • Nowicka, Paulina,1974-Karolinska Institutet,Uppsala universitet,Institutionen för kostvetenskap,Karolinska Inst, Inst Environm Med, Dept Clin Sci Intervent & Technol, Div Pediat, Solna, Sweden(Swepub:uu)pauno673 (author)
  • Karolinska InstitutetOregon Social Learning Ctr, Eugene, OR, USA (creator_code:org_t)

Related titles

  • In:Pediatrics: American Academy of Pediatrics (AAP)144:20031-40051098-4275

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