Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial

Gianni Bocca; Eva Corpeleijn; Ronald P. Stolk; Pieter J. J. Sauer

doi:10.1001/archpediatrics.2012.1638

Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial

Gianni Bocca^*, Eva Corpeleijn, Ronald P. Stolk, Pieter J. J. Sauer

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

47 Citations (Scopus)

Abstract

Objective: To assess the effects of a multidisciplinary intervention program for 3-year-old to 5-year-old overweight and obese children compared with a usual-care program.

Design: Randomized controlled clinical trial conducted from October 2006 to March 2008.

Setting: Groningen Expert Center for Kids with Obesity at Beatrix Children's Hospital, University Medical Center Groningen.

Participants: Seventy-five children (29 overweight, 46 obese) aged 3 to 5 years.

Intervention: A multidisciplinary intervention program vs a usual-care program. Anthropometry was performed and body composition was determined by bioelectrical impedance analysis and ultrasonography at the start and end of the 16-week program and 12 months after starting the intervention.

Main Outcome Measures: The actual weight reduction, change in body mass index (BMI, calculated as weight in kilograms divided by height in meters squared), BMI z score, body fat percentage, and visceral fat in the multidisciplinary intervention group compared with a usual-care group.

Results: At the end of the treatment program, children in the multidisciplinary intervention group showed a greater decrease in BMI, BMI z score, and waist circumference z score compared with children in the usual-care group. At 12 months, children in the intervention group showed greater decreases in BMI, BMI z score, waist circumference, and waist circumference z score compared with children in the usual-care group. Visceral fat showed a trend toward a higher decrease.

Conclusions: A multidisciplinary intervention program in 3-year-old to 5-year-old overweight and obese children had beneficial effects on anthropometry and body composition. The positive effects were still present 12 months after the start of the intervention.

Trial Registration: isrctn.org Identifier: ISRCTN47185691

Original language	English
Pages (from-to)	1109-1115
Number of pages	7
Journal	Archives of Pediatrics & Adolescent Medicine
Volume	166
Issue number	12
DOIs	https://doi.org/10.1001/archpediatrics.2012.1638
Publication status	Published - Dec-2012

Keywords

WEIGHT-MANAGEMENT PROGRAM
PREPUBERTAL CHILDREN
INSULIN-RESISTANCE
METABOLIC SYNDROME
CHILDHOOD OBESITY
PHYSICAL-ACTIVITY
PRESCHOOL-CHILDREN
ADOLESCENTS
PREVALENCE
ADIPOSITY

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10.1001/archpediatrics.2012.1638

Cite this

@article{5739365950cd43a78ed4eb2028135719,

title = "Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial",

abstract = "Objective: To assess the effects of a multidisciplinary intervention program for 3-year-old to 5-year-old overweight and obese children compared with a usual-care program.Design: Randomized controlled clinical trial conducted from October 2006 to March 2008.Setting: Groningen Expert Center for Kids with Obesity at Beatrix Children's Hospital, University Medical Center Groningen.Participants: Seventy-five children (29 overweight, 46 obese) aged 3 to 5 years.Intervention: A multidisciplinary intervention program vs a usual-care program. Anthropometry was performed and body composition was determined by bioelectrical impedance analysis and ultrasonography at the start and end of the 16-week program and 12 months after starting the intervention.Main Outcome Measures: The actual weight reduction, change in body mass index (BMI, calculated as weight in kilograms divided by height in meters squared), BMI z score, body fat percentage, and visceral fat in the multidisciplinary intervention group compared with a usual-care group.Results: At the end of the treatment program, children in the multidisciplinary intervention group showed a greater decrease in BMI, BMI z score, and waist circumference z score compared with children in the usual-care group. At 12 months, children in the intervention group showed greater decreases in BMI, BMI z score, waist circumference, and waist circumference z score compared with children in the usual-care group. Visceral fat showed a trend toward a higher decrease.Conclusions: A multidisciplinary intervention program in 3-year-old to 5-year-old overweight and obese children had beneficial effects on anthropometry and body composition. The positive effects were still present 12 months after the start of the intervention.Trial Registration: isrctn.org Identifier: ISRCTN47185691",

keywords = "WEIGHT-MANAGEMENT PROGRAM, PREPUBERTAL CHILDREN, INSULIN-RESISTANCE, METABOLIC SYNDROME, CHILDHOOD OBESITY, PHYSICAL-ACTIVITY, PRESCHOOL-CHILDREN, ADOLESCENTS, PREVALENCE, ADIPOSITY",

author = "Gianni Bocca and Eva Corpeleijn and Stolk, {Ronald P.} and Sauer, {Pieter J. J.}",

year = "2012",

month = dec,

doi = "10.1001/archpediatrics.2012.1638",

language = "English",

volume = "166",

pages = "1109--1115",

journal = "Archives of Pediatrics and Adolescent Medicine",

issn = "1072-4710",

number = "12",

}

Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial. / Bocca, Gianni ; Corpeleijn, Eva ; Stolk, Ronald P.; Sauer, Pieter J. J.

In: Archives of Pediatrics & Adolescent Medicine, Vol. 166, No. 12, 12.2012, p. 1109-1115.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Results of a Multidisciplinary Treatment Program in 3-Year-Old to 5-Year-Old Overweight or Obese Children A Randomized Controlled Clinical Trial

AU - Bocca, Gianni

AU - Corpeleijn, Eva

AU - Stolk, Ronald P.

AU - Sauer, Pieter J. J.

PY - 2012/12

Y1 - 2012/12

N2 - Objective: To assess the effects of a multidisciplinary intervention program for 3-year-old to 5-year-old overweight and obese children compared with a usual-care program.Design: Randomized controlled clinical trial conducted from October 2006 to March 2008.Setting: Groningen Expert Center for Kids with Obesity at Beatrix Children's Hospital, University Medical Center Groningen.Participants: Seventy-five children (29 overweight, 46 obese) aged 3 to 5 years.Intervention: A multidisciplinary intervention program vs a usual-care program. Anthropometry was performed and body composition was determined by bioelectrical impedance analysis and ultrasonography at the start and end of the 16-week program and 12 months after starting the intervention.Main Outcome Measures: The actual weight reduction, change in body mass index (BMI, calculated as weight in kilograms divided by height in meters squared), BMI z score, body fat percentage, and visceral fat in the multidisciplinary intervention group compared with a usual-care group.Results: At the end of the treatment program, children in the multidisciplinary intervention group showed a greater decrease in BMI, BMI z score, and waist circumference z score compared with children in the usual-care group. At 12 months, children in the intervention group showed greater decreases in BMI, BMI z score, waist circumference, and waist circumference z score compared with children in the usual-care group. Visceral fat showed a trend toward a higher decrease.Conclusions: A multidisciplinary intervention program in 3-year-old to 5-year-old overweight and obese children had beneficial effects on anthropometry and body composition. The positive effects were still present 12 months after the start of the intervention.Trial Registration: isrctn.org Identifier: ISRCTN47185691

AB - Objective: To assess the effects of a multidisciplinary intervention program for 3-year-old to 5-year-old overweight and obese children compared with a usual-care program.Design: Randomized controlled clinical trial conducted from October 2006 to March 2008.Setting: Groningen Expert Center for Kids with Obesity at Beatrix Children's Hospital, University Medical Center Groningen.Participants: Seventy-five children (29 overweight, 46 obese) aged 3 to 5 years.Intervention: A multidisciplinary intervention program vs a usual-care program. Anthropometry was performed and body composition was determined by bioelectrical impedance analysis and ultrasonography at the start and end of the 16-week program and 12 months after starting the intervention.Main Outcome Measures: The actual weight reduction, change in body mass index (BMI, calculated as weight in kilograms divided by height in meters squared), BMI z score, body fat percentage, and visceral fat in the multidisciplinary intervention group compared with a usual-care group.Results: At the end of the treatment program, children in the multidisciplinary intervention group showed a greater decrease in BMI, BMI z score, and waist circumference z score compared with children in the usual-care group. At 12 months, children in the intervention group showed greater decreases in BMI, BMI z score, waist circumference, and waist circumference z score compared with children in the usual-care group. Visceral fat showed a trend toward a higher decrease.Conclusions: A multidisciplinary intervention program in 3-year-old to 5-year-old overweight and obese children had beneficial effects on anthropometry and body composition. The positive effects were still present 12 months after the start of the intervention.Trial Registration: isrctn.org Identifier: ISRCTN47185691

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KW - PREPUBERTAL CHILDREN

KW - INSULIN-RESISTANCE

KW - METABOLIC SYNDROME

KW - CHILDHOOD OBESITY

KW - PHYSICAL-ACTIVITY

KW - PRESCHOOL-CHILDREN

KW - ADOLESCENTS

KW - PREVALENCE

KW - ADIPOSITY

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DO - 10.1001/archpediatrics.2012.1638

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JO - Archives of Pediatrics and Adolescent Medicine

JF - Archives of Pediatrics and Adolescent Medicine

SN - 1072-4710

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