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Targeting parents exclusively in the treatment of childhood obesity: long-term results |
Golan M, Crow S |
Obesity Research 2004 Feb;12(2):357-361 |
clinical trial |
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To report the long-term change in children's overweight following a family-based health-centered approach where only parents were targeted compared with a control intervention where only children were targeted. RESEARCH METHODS AND PROCEDURES: Fifty of the 60 children who participated in the original study were located 7 years later, and their weight and height were measured. At the point of the 7-year follow-up, the children were 14 to 19 years of age. Repeated measure ANOVA was used to test differences between the groups in percent overweight at different time-points. RESULTS: Mean reduction in percent overweight was greater at all follow-up points in children of the parent-only group compared with those in the children-only group (p < 0.05). Seven years after the program terminated, mean reduction in children's overweight was 29% in the parent-only group versus 20.2% in the children-only group (p < 0.05). DISCUSSION: Over the long term, treatment of childhood obesity with the parents as the exclusive agents of change was superior to the conventional approach.
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