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The modification of activity patterns and energy expenditure in obese young girls
Epstein LH, Woodall K, Goreczny AJ, Wing RR, Robertson RJ
Behavior Therapy 1984 Jan;15(1):101-108
clinical trial
4/10 [Eligibility criteria: Yes; 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*

The effects of reinforcing active play on activity and energy expenditure were evaluated in obese 5- to 8-year-old girls during a morning summer camp. After 4 days of baseline assessing free play activity, the treatment group was alternately reinforced for increasing activity or sharing; the control group remained in baseline. Behavioral observations of activity showed clear effects of the sequential treatment phases. In addition, caloric expenditure was reliably increased by the treatment procedures both during and after the enhanced activity.

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