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Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice.
Child Obes. 2015 Aug; 11(4):355-63.CO

Abstract

BACKGROUND

US Hispanic children experience a disproportionate burden of overweight and obesity. Comprehensive high-intensity behavioral programs have demonstrated effectiveness in improving weight status among obese children. However, there remains a need to develop more efficient interventions that are feasible in primary care and demonstrate effectiveness in Hispanic children.

METHODS

The pilot study used a two-group randomized design. Eligible overweight (BMI between the 85th and 94th percentile for age and gender) or obese (BMI ≥95th percentile) Hispanic children and their parents (N=118 child/parent dyads) were recruited from a rural pediatric clinic and randomized to: standard care (SC; n=61 dyads) or behavioral intervention (INT; n=57 dyads). The primary outcomes-weight, waist circumference, and zBMI-were measured at baseline, 2, 6, and 18 weeks. Multivariate logistic regression was used to examine the effect of INT on the likelihood of weight maintenance adjusting for potential confounding variables.

RESULTS

Significantly fewer INT children (68.5%) experienced weight gain, compared to SC children (89.7%; p=0.009). The same pattern was observed for waist circumference, where fewer INT children (44%) experienced an increase in waist circumference, compared to SC children (68.6%; p=0.02). Although a trend of improvement in favor of the INT was observed for zBMI, it was not significant.

CONCLUSIONS

This study provides preliminary evidence for the feasibility of a primary-care-based approach to promoting weight maintenance among a high-risk population.

Authors+Show Affiliations

1 Institute for Health Promotion Research, University of Texas Health Science Center at San Antonio , San Antonio, TX.1 Institute for Health Promotion Research, University of Texas Health Science Center at San Antonio , San Antonio, TX.2 Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio , San Antonio, TX.2 Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio , San Antonio, TX.3 Central Texas Health Research , New Braunfels, TX.4 New Braunfels Pediatrics Associates , New Braunfels, TX.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

25950140

Citation

Parra-Medina, Deborah, et al. "Promoting Weight Maintenance Among Overweight and Obese Hispanic Children in a Rural Practice." Childhood Obesity (Print), vol. 11, no. 4, 2015, pp. 355-63.
Parra-Medina D, Mojica C, Liang Y, et al. Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice. Child Obes. 2015;11(4):355-63.
Parra-Medina, D., Mojica, C., Liang, Y., Ouyang, Y., Ramos, A. I., & Gomez, I. (2015). Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice. Childhood Obesity (Print), 11(4), 355-63. https://doi.org/10.1089/chi.2014.0120
Parra-Medina D, et al. Promoting Weight Maintenance Among Overweight and Obese Hispanic Children in a Rural Practice. Child Obes. 2015;11(4):355-63. PubMed PMID: 25950140.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice. AU - Parra-Medina,Deborah, AU - Mojica,Cynthia, AU - Liang,Yuanyuan, AU - Ouyang,Yongjian, AU - Ramos,Awilda I, AU - Gomez,Ismaela, Y1 - 2015/05/07/ PY - 2015/5/8/entrez PY - 2015/5/8/pubmed PY - 2016/6/9/medline SP - 355 EP - 63 JF - Childhood obesity (Print) JO - Child Obes VL - 11 IS - 4 N2 - BACKGROUND: US Hispanic children experience a disproportionate burden of overweight and obesity. Comprehensive high-intensity behavioral programs have demonstrated effectiveness in improving weight status among obese children. However, there remains a need to develop more efficient interventions that are feasible in primary care and demonstrate effectiveness in Hispanic children. METHODS: The pilot study used a two-group randomized design. Eligible overweight (BMI between the 85th and 94th percentile for age and gender) or obese (BMI ≥95th percentile) Hispanic children and their parents (N=118 child/parent dyads) were recruited from a rural pediatric clinic and randomized to: standard care (SC; n=61 dyads) or behavioral intervention (INT; n=57 dyads). The primary outcomes-weight, waist circumference, and zBMI-were measured at baseline, 2, 6, and 18 weeks. Multivariate logistic regression was used to examine the effect of INT on the likelihood of weight maintenance adjusting for potential confounding variables. RESULTS: Significantly fewer INT children (68.5%) experienced weight gain, compared to SC children (89.7%; p=0.009). The same pattern was observed for waist circumference, where fewer INT children (44%) experienced an increase in waist circumference, compared to SC children (68.6%; p=0.02). Although a trend of improvement in favor of the INT was observed for zBMI, it was not significant. CONCLUSIONS: This study provides preliminary evidence for the feasibility of a primary-care-based approach to promoting weight maintenance among a high-risk population. SN - 2153-2176 UR - https://www.unboundmedicine.com/medline/citation/25950140/Promoting_Weight_Maintenance_among_Overweight_and_Obese_Hispanic_Children_in_a_Rural_Practice_ L2 - https://www.liebertpub.com/doi/10.1089/chi.2014.0120?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -