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Health in overweight children: 2-year follow-up of Finnmark activity school -- a randomised trial [with consumer summary]
Kokkvoll A, Grimsgaard S, Steinsbekk S, Flaegstad T, Njolstad I
Archives of Disease in Childhood 2015 May;100(5):441-448
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; 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 compare a comprehensive lifestyle intervention for overweight children performed in groups of families with a conventional single-family treatment. Two-year follow-up data on anthropometric and psychological outcome are presented. DESIGN: Overweight and obese children aged 6 to 12 years with body mass index (BMI) corresponding to >= 27.5 kg/m2 in adults were randomised to multiple-family (n = 48) or single-family intervention (n = 49) in a parallel design. Multiple-family intervention comprised an inpatient programme with other families and a multidisciplinary team, follow-up visits in their hometown, weekly physical activity and a family camp. Single-family intervention included counselling by paediatric nurse, paediatric consultant and nutritionist at the hospital and follow-up by a community public health nurse. Primary outcome measures were change in BMI kg/m2 and BMI SD score after 2 years. RESULTS: BMI increased by 1.29 kg/m2 in the multiple-family intervention compared with 2.02 kg/m2 in the single-family intervention (p = 0.075). BMI SD score decreased by 0.20 units in the multiple-family group and 0.08 units in the single-family intervention group (p = 0.046). A between-group difference of 2.4 cm in waist circumference (p = 0.038) was detected. Pooled data from both treatment groups showed a significant decrease in BMI SD score of 0.14 units and a significant decrease in parent-reported and self-reported Strength and Difficulty Questionnaire total score of 1.9 units. CONCLUSIONS: Two-year outcome showed no between-group difference in BMI. A small between-group effect in BMI SD score and waist circumference favouring multiple-family intervention was detected. Pooled data showed an overall improvement in psychological outcome measures and BMI SD score. TRIAL REGISTRATION NUMBER: NCT00872807, http://www.ClinicalTrials.gov.
Reproduced with permission from the BMJ Publishing Group.

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