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Two-year follow-up results for Hip-Hop to Health Jr: a randomized controlled trial for overweight prevention in preschool minority children
Fitzgibbon ML, Stolley MR, Schiffer L, van Horn L, Kaufer-Christoffel K, Dyer A
The Journal of Pediatrics 2005 May;146(5):618-625
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: To assess the impact of a culturally proficient dietary/physical activity intervention on changes in body mass index (BMI) (kg/m2). STUDY DESIGN: Randomized controlled trial (Hip-Hop to Health Jr) conducted between September 1999 and June 2002 in 12 Head Start preschool programs in Chicago, Illinois. RESULTS: Intervention children had significantly smaller increases in BMI compared with control children at 1-year follow-up, 0.06 versus 0.59 kg/m2; difference -0.53 kg/m2 (95% CI -0.91 to -0.14), p = 0.01; and at 2-year follow-up, 0.54 versus 1.08 kg/m2; difference -0.54 kg/m2 (95% CI -0.98 to -0.10), p = 0.02, with adjustment for baseline age and BMI. The only significant difference between intervention and control children in food intake/physical activity was the year 1 difference in percent of calories from saturated fat, 11.6% versus 12.8% (p = 0.002). CONCLUSIONS: Hip-Hop to Health Jr was effective in reducing subsequent increases in BMI in preschool children. This represents a promising approach to prevention of overweight among minority children in the preschool years.

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