Original ArticleMulti-Site Randomized Controlled Trial of a Child-Centered Physical Activity Program, a Parent-Centered Dietary-Modification Program, or Both in Overweight Children: The HIKCUPS Study
Section snippets
Methods
The HIKCUPS (Hunter and Illawarra Kids Challenge Using Parent Support) study was a 3-arm parallel group, randomized controlled trial conducted at the Universities of Wollongong and Newcastle, New South Wales, Australia. These community venues were chosen to maximize accessibility for all participants. Participants were provided with parking vouchers for the face-to-face sessions, and travel costs were reimbursed for those who did not have private transport. Eligibility criteria included the
Results
The flow of participants is shown in the Figure (available at www.jpeds.com). Anthropometric data were collected for 165 children at baseline (Table I) and 114 (69%) and 106 (64%) children at 6- and 12-month follow-ups, respectively. There was no difference in retention rates among the 3 groups at 6-month follow-up, although at 12 months more participants from the Diet + Activity group (72%) and Diet group (71%) were retained compared with the Activity group (52%), (χ2 = 6.24, P = .04).
There
Discussion
This study has demonstrated that a child-centered physical activity program and a parent-centered dietary-modification program, both in isolation and combined, were efficacious in reducing relative BMI in overweight prepubertal children at 1-year follow-up. Furthermore, the 2 programs that included the dietary component resulted in approximately twice as great a reduction in BMI z-score, compared with the Activity program in isolation. Interestingly, the retention rates for the Activity program
References (19)
- et al.
Childhood obesity: public health crisis, common sense cure
Lancet
(2002) Progress on childhood obesity patchy in the USA
Lancet
(2008)- et al.
Parents as the exclusive agents of change in the treatment of childhood obesity
Am J Clin Nutr
(1998) - et al.
Obesity in children and young people: a crisis in public health
Obes Rev
(2004) - et al.
Health consequences of obesity
Arch Dis Child
(2003) - et al.
Efficacy of exercise for treating overweight in children and adolescents: a systematic review
Int J Obes
(2006) - et al.
Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomised trials
Arch Pediatr Adolesc Med
(2006) - et al.
Interventions for treating obesity in children
Cochrane Library
(2003) - et al.
Establishing a standard definition for child overweight and obesity worldwide: international survey
BMJ
(2000)
Cited by (81)
The effect of weight regain on cardiometabolic health in children with obesity: A systematic review of clinical studies
2021, Nutrition, Metabolism and Cardiovascular DiseasesCitation Excerpt :In the study of Sachdev et al. the fat% recovered to a non-significant difference with baseline levels (p = 0.5), however here patients regained more than double of their initially lost BMI points [47]. Five studies reported on waist circumference [41–43,47,48] and all reported a significant decrease in waist circumference after treatment [41–43,47,48]. A near complete weight regain and more than complete weight regain was observed in the studies by Okely et al. and Shalitin et al., with a difference from baseline of 0.1 kg/m2 decrease and +0.3 kg/m2 increase in BMI, respectively [42,43].
The Effectiveness of Nutrition Specialists on Pediatric Weight Management Outcomes in Multicomponent Pediatric Weight Management Interventions: A Systematic Review and Exploratory Meta-Analysis
2019, Journal of the Academy of Nutrition and DieteticsPediatric Weight Management Evidence-Based Practice Guidelines: Components and Contexts of Interventions
2018, Journal of the Academy of Nutrition and DieteticsCitation Excerpt :Because the effect of any one component (eg, clinic vs outside the clinic) might depend on the presence of other components (eg, family involved vs no involvement), the analysis focused on configurations of these components and how they affect weight status outcomes. Thirty-two studies had data available for this part of the analysis and included data on the following variables: weight status outcomes at each time period, family involvement vs no family involvement, inclusion of group PWM sessions vs exclusively individual PWM sessions, teens only vs children or mixed children or teens, clinic vs any other setting, an intervention of 6 months or more vs <6 months, and included an intensive multicomponent vs minimal or no intervention (deficient interventions).27,28,30,32,35,38,44,49,50,53,54,56,59,62,65,67-72,75,78,81,82,84,85,88-90,94 These studies were included in the treatment context analysis and provided support for the following four recommendations.
Funded by the National Health and Medical Research Council of Australia. The authors declare no conflicts of interest.
Trial Registration: clinicaltrials.gov (NCT00107692)