Obesity
Conditions
Keywords
Pediatric Obesity, Child Overweight
Brief summary
The rise in childhood overweightness and concomitant increase in chronic disease risk warrants exploration into the effectiveness of interventions targeting the eating and activity habits of overweight youth. This research study developed and tested a Beverage Choice and Lifestyle Modification (BCLM) intervention for 4 to 8 year old children who are at-risk for being overweight or are overweight and who consume large amounts of sugar sweetened beverages and juice. The overall study objectives were to test the acceptability and effectiveness of the BCLM intervention for improving the weight status, energy (kcal) intake, beverage selections and beverage preferences of children in targeted age and BMI group. The investigators hypothesized that those children randomized to the BCLM group will show greater improvements in weight and Body Mass Index (BMI) status, beverage choices,and energy intake than those assigned to our Nutrition Education (NE) group.
Interventions
BEHAVIORALBeverage Choice and Lifestyle Modification
The family-based BCLM intervention trained children and parents in self monitoring of sugar sweetened beverage intake and goal-setting, incorporated feedback and reinforcement, and provided water bottles and water filters to promote a reduction in sugar sweetened beverages and overall energy intake. 16 sessions were provided over a 6-month period.
OTHERNutrition Education (NE)
This treatment for parents and children addressed a variety of topics in nutrition including benefits of fruits and vegetables, the food pyramid, vitamins, benefits of eating a variety of foods, and healthy beverage selections. No behavioral change training component was included. 16 sessions over 24 weeks was provided.
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Ages 4-8 years old * BMI≥85th percentile (based on age and sex) * consumes large (≥16 oz.day) sugar sweetened beverages
Exclusion criteria
* Child has a serious medical condition * Signs of elevated psychopathology are present, as assessed by the Child Behavior Checklist (CBCL) * Parent demonstrates elevated psychiatric problems or eating disorders * Failure of parent or child to meet BMI criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Mass Index Percentile (BMI%) | Baseline and Month 6 | Change in BMI% will be measured from baseline to end of treatment (month 6). |
| Child percent overweight | Baseline and Month 6 | Change in child percent overweight will be measured from baseline to end of treatment (month 6). |
| Waist Circumference | Baseline to Month 6 | Change in waist circumference will be measured from baseline to end of treatment (month 6). |
| Energy (kcal) intake | Baseline to Month 6 | Change in energy intake (kcals/day) will be measured from baseline to end of treatment (month 6) using 3-day food diaries. |
| Sugar-sweetened beverage intake | Baseline to Month 6 | Change in sugar-sweetened beverage intake will be measured from baseline to end of treatment (month 6). |
| Treatment acceptance and satisfaction | Month 6 | Overall treatment acceptance and satisfaction will be measured at end of treatment. |
| Body Mass Index (BMI) | Baseline and Month 6 | Change in BMI will be measured from baseline to end of treatment (month 6). |
| Body Mass Index z-score (BMI-z) | Baseline and month 6 | Change in BMI-z will be measured from baseline to end of treatment (month 6). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child preferences and motivation for sugar-sweetened beverages | Baseline and Month 6 | Change in child preference and motivation for sugar-sweetened beverages will be measured from baseline to month 6 using a computerized behavioral choice task assessment. |
Countries
United States
Outcome results
None listed