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A family‐oriented intervention programme to curtail obesity from five years of age had no effect over no intervention
Author(s) -
Donkor Hilde Mjell,
Grundt Jacob Holter,
Júlíusson Petur Benedikt,
Eide Geir Egil,
Hurum Jørgen,
Bjerknes Robert,
Markestad Trond
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15080
Subject(s) - medicine , body mass index , interquartile range , waist , obesity , percentile , anthropometry , overweight , psychological intervention , intervention (counseling) , childhood obesity , demography , underweight , physical therapy , pediatrics , statistics , mathematics , psychiatry , sociology
Aim To examine the effect of a family‐oriented multidisciplinary intervention programme to curtail weight increase in young children with obesity. Methods Children who weighed more than one kilogram above the 97th percentile for height at the preschool assessment in Oppland County, Norway, were identified. Parents residing in one part of the county were invited to participate in a group‐based three‐year intervention programme while the rest had no interventions. Body mass index (BMI) and family characteristics at entry and measurements at birth were explanatory variables, and change in BMI standard deviation score (SDS) the outcome measure. For the intervention group, outcome was also related to skinfold thicknesses, waist‐to‐height ratio and physical ability. Results The programme was completed by 31 families in the intervention and 33 in the control group. At entry, the respective median (interquartile) age was 5.83 (0.36) and 5.74 (0.66) years, and the BMI SDS 2.35 (1.06) and 1.95 (0.49), P = .012. The median decrease in BMI SDS was 0.19 in both groups. The decline increased with increasing BMI SDS at entry, but irrespective of group. Social or behavioural factor or other anthropometric measures were not associated with outcome. Conclusion The intervention programme had no effect on BMI SDS.