A Controlled Evaluation of a Fitness and Nutrition Intervention Program on Cardiovascular Health in 10-Year-Old to 12-Year-Old Children

Vandongen, R.; Jenner, Dave; Thompson, Craig; Taggart, Andrew; Spickett, Evadne E.; Burke, Valerie; Beilin, Lawrence J.; Milligan, R.; Dunbar, D.

doi:10.1006/pmed.1995.1003

Cited by 159 publications

(163 citation statements)

References 0 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…Thus, we hypothesized that effects will be significantly larger for interventions offered to adolescents versus children. Participant gender-Results from prior trials suggest that obesity prevention programs that promote a healthier lower-calorie diet (Perry et al, 1998) and those that also attempted to increase physical activity and/or decrease sedentary behavior (Gortmaker et al, 1999;Vandongen et al, 1995) produced larger effects for females than for males. However, another obesity prevention program that promoted healthy lower-calorie diets and increased physical activity found significantly stronger effects for males than for females (Kain, Uauy, Vio, Cerda, & Leyton, 2004) and one obesity treatment trial found that an intervention solely aimed at increasing activity and decreasing sedentary behaviors was more effective for boys than girls, though an intervention solely focusing on increasing activity level was equally effective for boys and girls (Epstein, Paluch, & Raynor, 2001).…”

Section: Participant Featuresmentioning

confidence: 99%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

574

571

View full text Add to dashboard Cite

This meta-analytic review summarizes obesity prevention programs and their effects and investigates participant, intervention, delivery, and design features associated with larger effects. A literature search identified 64 prevention programs seeking to produce weight gain prevention effects, of which 21% produced significant prevention effects that were typically pre to post effects. Larger effects emerged for programs targeting children and adolescents (versus preadolescents) and females, programs that were relatively brief, programs solely targeting weight control versus other health behaviors (e.g., smoking), programs evaluated in pilot trials, and programs wherein participants must self-select into the intervention. Other factors, including mandated improvements in diet and exercise, sedentary behavior reduction, delivery by trained interventionists, and parental involvement, were not associated with significantly larger effects. A Meta-Analytic Review of Obesity Prevention Programs for Children and Adolescents: The Skinny on Interventions that WorkObesity in adulthood results in an increased risk for future death from all causes, coronary heart disease, atherosclerotic cerebrovascular disease, and colorectal cancer, as well as serious medical problems, including hyperlipidemia, hypertension, gallbladder disease, and diabetes mellitus (Calle, Thun, Petrelli, Rodriguez, & Heath, 1999). Obesity in childhood and adolescence is also associated with serious medical problems, including high blood pressure, adverse lipoprotein profiles, diabetes mellitus, atherosclerotic cerebrovascular disease, coronary heart disease, colorectal cancer, and death from all causes, as well as lower educational attainment and poverty (Dietz, 1998). The prevalence of obesity has increased sharply over the last three decades; currently 65% of adults are classified as overweight or obese (Hedley et al., 2004). The prevalence of obesity has risen even more sharply among adolescents and young adults (Hedley et al., 2004), which is alarming because obesity persists into adulthood for 70% of obese adolescents (Magarey, Daniels, Boulton, & Cockington, 2003). Obesity also carries a high fiscal cost; roughly $100 billion per year is spent on obesityrelated health care (Wolf, 1998).Unfortunately, successful treatments for obesity have been elusive. For adults, the current treatment of choice only results in about a 10% reduction in body weight and virtually all patients regain this weight within a few years of treatment . Obesity treatments for children and adolescents have yielded similar effects, though behavioral familybased interventions have produced more persistent weight loss effects (Epstein, Valoski, Wing, Correspondence should be addressed to Eric Stice, who is currently at Oregon Research Institute, 1715 Franklin Blvd., Eugene, Oregon, 97403. Email: estice@ori.org. Eric Stice, Heather Shaw, Department of Psychology, University of Texas at Austin. C. Nathan Marti, Department of Educational Administration, University of Tex...

show abstract

Section: Participant Featuresmentioning

confidence: 99%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

574

571

View full text Add to dashboard Cite

show abstract

“…Of 45 potentially relevant papers considered, we excluded 32 for the following reasons: eight were conducted in mixed weight cohorts, [31][32][33][34][35][36][37] four were specifically conducted in normal weight cohorts, [38][39][40][41] six studies compared overweight subjects with normal weight control subjects, [42][43][44][45][46][47] five studies were nonrandomized trials [48][49][50][51][52] and nine studies [53][54][55][56][57][58][59][60][61] published data which were previously published, in three studies already included in this review. 51,62,63 Treatment/intervention All studies were of supervised exercise.…”

Section: Studies Included/excludedmentioning

confidence: 99%

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

2006

View full text Add to dashboard Cite

Background: Overweight prevalence among children/adolescents is increasing, while adult obesity may potentially cause a decline in life expectancy. More exercise is uniformly recommended, although treatment efficacy remains unclear. Objective: To determine the efficacy of exercise alone for treating overweight in children/adolescents. Design: A systematic review and meta-analysis of randomized trials published in English were completed following multiple database searches performed on December 10, 2004. Studies of isolated or adjunctive exercise/physical activity treatment in overweight/obese children or adolescents which reported any overweight outcome were included. Literature searches identified 645 papers which were manually searched, of which 45 were considered for inclusion, of which 13 papers which reported 14 studies were included (N ¼ 481 overweight boys and girls, aged B12 years). Two reviewers independently identified relevant papers for potential inclusion and assessed methodological quality. Principal measures of effects included the mean difference (MD) (between treatment and control groups), the weighted MD (WMD), and the standardized MD (SMD). Results: Few studies were of robust design. The pooled SMD was À0.4 (À0.7, À0.1, P ¼ 0.006) for percent body fat, and À0.2 (À0.6, 0.1, P ¼ 0.07) for central obesity outcomes, whereas the pooled WMD was À2.7 kg (À6.1 kg, 0.8 kg, P ¼ 0.07) for body weight, all of which favored exercise. Pooled effects on body weight were significant and larger for studies of higher doses, whereas nonsignificant and smaller effects were seen for studies of lower doses of exercise (155-180 min/weeks vs 120-150 min/ weeks). Conclusions: Based on the small number of short-term randomized trials currently available, an aerobic exercise prescription of 155-180 min/weeks at moderate-to-high intensity is effective for reducing body fat in overweight children/adolescents, but effects on body weight and central obesity are inconclusive. Recommendations for future study designs are discussed.

show abstract

“…48 In our experience, involvement of the family led to greater improvement in health behaviours in nutrition and physical activity programs for school children. 49 BMI and health behaviours are associated within families. Parental overweight or obesity indicates a greater risk of obesity in offspring and should be recognized as a marker of families at risk.…”

Section: Predictors Of Bmi In Australian Childrenmentioning

confidence: 99%

Family lifestyle and parental body mass index as predictors of body mass index in Australian children: a longitudinal study

2001

View full text Add to dashboard Cite

OBJECTIVE:To investigate associations between body mass index (BMI) and family characteristics, including lifestyle, in parents and offspring from Australian families. DESIGN AND SUBJECTS: Longitudinal survey of 219 families of Australian children who had been surveyed 3-yearly between the ages of 9 and 18 y. MEASUREMENTS: Socio-economic status, weight and height, diet from 3 day records or food frequency questionnaires, alcohol consumption, smoking habits and physical ®tness in offspring (bicycle ergometry in 18-y-olds). RESULTS: In 18-y-olds, in models examining offspring's lifestyle variables, BMI was predicted negatively by physical ®tness (P 0.012), and positively by alcohol intake (P 0.046) in sons while, in daughters, only a negative association with physical ®tness was signi®cant. In models including parental characteristics, BMI in 18-y-old sons and daughters was signi®cantly predicted by mothers' and fathers' BMI, independently of offsprings' alcohol intake, smoking, physical ®tness and parents' education, and, in daughters, by fathers' alcohol intake. These models explained 48% of variance in daughters and 33% in sons. In both sons and daughters, BMI over the 9 y of the survey was consistently higher in offspring with overweight or obese fathers (P 0.033 for sons, P 0.024 for daughters) or mothers (P 0.031 for sons, P 0.037 for daughters). Physical ®tness at the ages of 12, 15 and 18 y was negatively related to fathers' obesity in daughters and mothers' obesity in sons. Obesity in fathers was associated with a four-fold increase in risk of obesity at the age of 18 y in both sons and daughters with an independent eightfold increase in risk for daughters if mothers were obese. Birthweight was unrelated to overweight or obesity in the 18-y-olds. Alcohol intake in sons related signi®cantly to alcohol intake in either parent while, for daughters, there was a signi®cant association only with fathers' alcohol consumption. In daughters, fat intake was positively associated with fat intake score in both fathers and mothers. CONCLUSION: Parental overweight or obesity may identify children at risk for a range of unhealthy behaviours. Promotion of a healthy lifestyle targeting overweight families, particularly in lower socio-economic groups, should be a priority.

show abstract

A Controlled Evaluation of a Fitness and Nutrition Intervention Program on Cardiovascular Health in 10-Year-Old to 12-Year-Old Children

Cited by 159 publications

References 0 publications

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

Family lifestyle and parental body mass index as predictors of body mass index in Australian children: a longitudinal study

Contact Info

Product

Resources

About