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Two‐year follow‐up of a primary care‐based intervention to prevent and manage childhood obesity: the High Five for Kids study
Author(s) -
RifasShiman Sheryl L.,
Taveras Elsie M.,
Gortmaker Steven L.,
Hohman Katherine H.,
Horan Christine M.,
Kleinman Ken P.,
Mitchell Kathleen,
Price Sarah,
Prosser Lisa A.,
Gillman Matthew W.
Publication year - 2017
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12141
Subject(s) - medicine , motivational interviewing , overweight , obesity , intervention (counseling) , childhood obesity , randomized controlled trial , pediatrics , screen time , cluster randomised controlled trial , gerontology , family medicine , demography , psychiatry , sociology
Summary Background The obesity epidemic has spared no age group, even young infants. Most childhood obesity is incident by the age of 5 years, making prevention in preschool years a priority. Objective To examine 2‐year changes in age‐ and sex‐specific BMI z ‐scores and obesity‐related behaviours among 441 of the 475 originally recruited participants in High Five for Kids, a cluster randomized controlled trial in 10 paediatric practices. Methods The intervention included a more intensive 1‐year intervention period (four in‐person visits and two phone calls) followed by a less intensive 1‐year maintenance period (two in‐person visits) among children who were overweight or obese and age 2–6 years at enrolment. The five intervention practices restructured care to manage these children including motivational interviewing and educational modules targeting television viewing and intakes of fast food and sugar‐sweetened beverages. Results After 2 years, compared with usual care, intervention participants had similar changes in BMI z ‐scores (−0.04 units; 95% CI −0.14, 0.06), television viewing (−0.20 h/d; −0.49 to 0.09) and intakes of fast food (−0.09 servings/week; −0.34 to 0.17) and sugar‐sweetened beverages (−0.26 servings/day; −0.67 to 0.14). Conclusion High Five for Kids, a primarily clinical‐based intervention, did not affect BMI z ‐scores or obesity‐related behaviours after 2 years.