CHECK: A randomized trial evaluating the efficacy and cost-effectiveness of home visitation in pediatric weight loss treatment

Appelhans, Bradley M.; French, Simone A.; Bradley, Lauren E.; Lui, Karen; Janssen, İmke; Richardson, Doug

doi:10.1016/j.cct.2019.105891

Cited by 6 publications

(8 citation statements)

References 68 publications

(66 reference statements)

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“…This analysis pooled data across arms to examine changes in treatment efficacy related to the COVID-19 pandemic. The trial's design paper includes methodological details and a description of the intervention (10).…”

Section: Analytic Samplementioning

confidence: 99%

“…The Creating Healthy Environments for Chicago Kids (CHECK) intervention is a standard-of-care pediatric obesity treatment program with 18 in-person sessions and 12 monthly telephone support calls (10). Following the issuance of public health guidelines in March 2020, in-person intervention visits were held via videoconference or telephone.…”

Section: Intervention Delivery Before and During Covid-19mentioning

confidence: 99%

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Attenuated efficacy of pediatric obesity treatment during the COVID‐19 pandemic

Appelhans

French

Martin

et al. 2021

Obesity

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The COVID-19 lockdown has had pervasive effects on children, including school closures, a shift to remote learning, and suspension of youth sports and recreational activities. Children gain weight at an accelerated rate when not in school (1), which has been attributed to greater engagement in obesogenic behaviors when children's days are unstructured (2). There is emerging evidence that children's physical activity, sedentary time, eating patterns, and sleep routines deteriorated during the COVID-19 lockdown (3-7) and that normalweight children gained weight at an alarming pace (8). The degree to which the pandemic interfered with weightmanagement efforts among children with overweight or obesity has not been reported, to our knowledge, to date, particularly in low-income, racially diverse populations. Standard-of-care pediatric weight-management interventions generally produce modest, but sustained and meaningful, reductions in weight (9). However, their efficacy may have been diminished during the COVID-19 lockdown. Understanding the impact of the pandemic on weightmanagement interventions is important for ongoing treatment planning and for interpreting the results of pediatric obesity treatment trials conducted during this period. This study leveraged data from 230 low-income families participating in a clinical trial to examine the change in efficacy of structured, family-based pediatric obesity treatment delivered before versus during the COVID-19 lockdown.

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Section: Analytic Samplementioning

confidence: 99%

Section: Intervention Delivery Before and During Covid-19mentioning

confidence: 99%

Attenuated efficacy of pediatric obesity treatment during the COVID‐19 pandemic

Appelhans

French

Martin

et al. 2021

Obesity

View full text Add to dashboard Cite

show abstract

“…The sample was drawn from an ongoing family‐based pediatric weight loss trial (http://clinicaltrials.gov: NCT03195790; see [Appelhans et al, 2020]). Participants were 269 children ages 6–12 years, with a body mass index (BMI) in the overweight to obese range (≥85 percentile).…”

Section: Methodsmentioning

confidence: 99%

The relative contributions of adiposity and activity levels to physical performance in children with excess weight

Appelhans

French

Martin

et al. 2022

American J Hum Biol

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This study examined predictors of physical performance, a key aspect of quality of life, in children with excess weight. Methods: Participants were 269 children aged 6-12 years with a body mass index above the 85th percentile. Children completed a standardized physical performance task capturing lower extremity strength, balance, and gait speed. Height, weight, and waist circumference were objectively measured, and daily moderate-vigorous physical activity (min/day) and sedentary time (% of day) were assessed with a 7-day accelerometer protocol.Results: Physical performance task completion averaged 15.0 (SD = 2.5) seconds. Children with higher body mass index z-scores and waist circumferences had significantly longer task completion times. The task took 1.8 additional seconds per 1.0 body mass index z-score (p < .001), and 1.2 additional seconds for every 20 cm higher waist circumference (p < .001). Daily moderatevigorous physical activity and sedentary time were unrelated to physical performance, and did not moderate its associations with the adiposity measures.Conclusion: Among children with excess weight, physical performance declines with increasing levels of total and central adiposity. Daily activity levels do not moderate this association. Interventions that directly target weight reduction would likely yield the greatest improvement in physical performance in children with overweight or obesity.

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“…Interventions in the home setting, including through telehealth, have the potential to reach individuals who may have difficulty accessing the health care system (eg, because of lack of transportation or financial issues). 82,83 Working with patients and families in their homes can improve understanding of family's strengths and supports as well as barriers to treatment and provides an opportunity to further individualize the treatment approach plan. 84 Telehealth visits can offer improved access to weight management programs, may improve engagement with the patient and family, and offer opportunities for multiple caregivers in different households or locations to attend a visit.…”

Section: Implicationmentioning

confidence: 99%