Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agents of change

Golan, Moria; Fainaru, M; Weizman, Abraham

doi:10.1038/sj.ijo.0800749

Cited by 203 publications

(168 citation statements)

References 11 publications

(15 reference statements)

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“…It would be very interesting to provide a cost-effectiveness analysis of treating only one member of the family, whether it be the child or parent, 29,30 vs effects for concurrent treatment of both the parent and child.…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of group and mixed family-based treatment for childhood obesity

et al. 2001

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OBJECTIVE: Family-based, behavioral treatment has been shown to be an effective intervention for the management of pediatric obesity. The goal of this study was to compare the cost-effectiveness of two protocols for the delivery of family-based behavioral treatment. REASEARCH METHODS AND PROCEDURES: Thirty-one families with obese children were randomized to groups in which families were provided mixed treatment incorporating both group and individualized treatment vs group treatment only. Costeffectiveness of treatment was defined as the magnitude of reduction in standardized BMI and percentage overweight per dollar spent for recruitment and treatment. Anthropometric data were assessed at baseline, 6 months and 12 months postrandomization. RESULTS: Results for the 24 families with complete data showed the group intervention was significantly more cost-effective than the mixed treatment. This was due to the similarity between the two groups in Z-BMI or percentage overweight change for children and their parents, while the mixed treatment was significantly more expensive to deliver than the group treatment. DISCUSSION: These findings suggest that a family-based, behavioral intervention employing group treatment alone is a more cost-effective approach to treating pediatric obesity than a mixed group plus individual format.

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Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of group and mixed family-based treatment for childhood obesity

et al. 2001

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“…8 There are promising results from behavioral therapy-based group programs for treatment of childhood obesity. 9,10 Nutrition, physical activity and behavior-modifying techniques have been components of the programs. However, according to recent reviews, 11,12 most published studies on obesity in children have been rather small, with homogenous motivated groups enrolled in hospital settings.…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling

2007

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Objective: The aim of the study was to compare the efficacy of group treatment stressing a health-promoting lifestyle with routine counseling in the treatment of childhood obesity. Design and subjects: Seventy obese children (weight for height 115-182%) aged 7-9 years were randomized either to routine counseling (two appointments for children) or to family-based group treatment (15 separate sessions for parents and children). These sessions included nutrition education, physical activity education and behavioral therapy. Outcome measures: Children's weights and heights were measured at baseline, after the 6-month intervention and after the 6-month follow-up. The change of weight for height based on Finnish growth charts was used as the primary, and changes in body mass index (BMI) and BMI standard deviation scores (BMI-SDS) as secondary outcome measures. Results: Children attending the group treatment lost more weight for height (6.8%) than children receiving routine counseling (1.8%) (P ¼ 0.001). The difference was significant when the data were analyzed in four groups by the cut-off limits of 0, À5 and À10% for the change in weight for height. The respective decreases in BMI were 0.8 vs 0.0 (P ¼ 0.003) and in BMI-SDS 0.3 vs 0.2 (P ¼ 0.022). The results remained similar in adjusted analyses. Both group and routine programs were feasible with a high, 87-99%, participation rate in sessions and appointments and very low, 3% or less, attrition rate from the programs. Six months after the intervention, beneficial effects were partly lost, but for changes in weight for height and BMI, the differences between the two treatment programs still were significant, and for BMI-SDS, there was a trend. Conclusions: Family-based group treatment that stresses a health-promoting lifestyle and is given separately for parents and children, offers an effective mode of therapy to treat obese school-aged children.

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“…Weight change in the parent-only intervention group was hypothesized to be mediated through better control of the nutritional environment and possibly change toward the authoritative parenting style, which was emphasized in the intervention. 225 …”

Section: Preschool Agementioning

confidence: 99%

Recommendations for Prevention of Childhood Obesity

Davis¹,

et al. 2007

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The majority of US youth are of healthy weight, but the majority of US adults are overweight or obese. Therefore, a major health challenge for most American children and adolescents is obesity prevention-today, and as they age into adulthood. In this report, we review the most recent evidence regarding many behavioral and practice interventions related to childhood obesity, and we present recommendations to health care providers. Because of the importance, we also suggest approaches that clinicians can use to encourage obesity prevention among children, including specific counseling strategies and practice-based, systems-level interventions. In addition, we suggest how clinicians may interact with and promote local and state policy initiatives designed to prevent obesity in their communities.www.pediatrics.org/cgi

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Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agents of change

Abstract: Treatment of childhood obesity with the parents as the exclusive agents of change, induces more behavioural changes as well as greater weight loss, than the conventional approach.

Cited by 203 publications

References 11 publications

Cost-effectiveness of group and mixed family-based treatment for childhood obesity

Cost-effectiveness of group and mixed family-based treatment for childhood obesity

Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling

Recommendations for Prevention of Childhood Obesity

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