None listed
Conditions
Brief summary
There is a lack of clinical research looking at interventions for child and adolescent obesity with long-term follow-up, especially in New Zealand. This study aims to improve local obesity services for 5-16 year olds in the Taranaki region, and assess whether the devised intervention programme shows benefits in those participants that are assessed as ready to make healthy lifestyle changes. The intervention programme involves physical activity, dietary education, and psychology input. It will run for one year, but follow-up will be for two years. The benefits that are hoped to be found are improvement in health measures such as body mass index, weight, physical fitness and activity, improved diet, and improved attitude to making healthy lifestyle choices. It is important that this service is assessed through a trial to ensure the intervention is better than current standard of care, and to ensure long-term funding for the service.
Interventions
Physical Activity - fitness assessments and knowledge of importance of physical fitness at 0, 6, 12, 18, 24 and 60 months. Initial home visits by Active Families co-ordinator (1 hour), then weekly activity sessions for 40 weeks during the year (1.5 hours per session).
Dietary education - dietician input and initial home visits (1 hour), with food frequency questionnaire and knowlege of importance of diet at 0, 6, 12, 18, 24 and 60 months.
Psychology input - input as group at commencement of inte
Physical Activity - fitness assessments and knowledge of importance of physical fitness at 0, 6, 12, 18, 24 and 60 months. Initial home visits by Active Families co-ordinator (1 hour), then weekly activity sessions for 40 weeks during the year (1.5 hours per session). Dietary education - dietician input and initial home visits (1 hour), with food frequency questionnaire and knowlege of importance of diet at 0, 6, 12, 18, 24 and 60 months. Psychology input - input as group at commencement of intervention (2 x 1 hour sessions), and then at family/individual level as indicated. Assessment of Paediatric quality of life, with assessment of anxiety and depression.
Sponsors
Taranaki Base Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
5 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
BMI>98th centile (obese) according to WHO growth charts, or >91st centile (overweight) with significant weight-related co-morbidities. "Ready for change" as assessed by questionnaire and overall assessment of level of motivation by Healthy Lifestyles Co-ordinator on interview. Committed family member.
Exclusion criteria
Significant co-morbidities: i.e. any medical condition serious enough to make it impossible for a child/adolescent to embark on a programme of increasing physical activity.
Outcome results
None listed