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- Publisher Website: 10.1089/chi.2022.0008
- Scopus: eid_2-s2.0-85136519581
- PMID: 35384736
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Article: Changes in Adiposity without Impacting Bone Health in Nine- to Twelve-Year-Old Children with Overweight and Obesity after a One-Year Family-Centered Lifestyle Behavior Intervention
Title | Changes in Adiposity without Impacting Bone Health in Nine- to Twelve-Year-Old Children with Overweight and Obesity after a One-Year Family-Centered Lifestyle Behavior Intervention |
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Authors | |
Keywords | childhood obesity dietary family-based intervention overweight physical activity randomized controlled trial |
Issue Date | 2023 |
Citation | Childhood Obesity, 2023, v. 19, n. 1, p. 46-56 How to Cite? |
Abstract | Background: Few family-centered lifestyle interventions (FCLIs) for children with overweight or obesity (OW/OB) have assessed regional adiposity and bone health. This study assessed changes in adiposity in 9- to 12-year olds with OW/OB in a 1-year FCLI. Methods: Children were randomized to FCLI (six registered dietitian-led sessions) or no intervention (Control, CTRL). The FCLI focused on physical activity, nutrition education, and behavioral counseling children with families present. Assessments occurred at baseline and every 3 months for 1 year to assess changes in waist circumference (WC), body mass index for age-and-sex Z-scores (BAZ), body composition (dual-energy x-ray absorptiometry), and cardiometabolic biomarkers. Mixed models were used to determine the effects of group and time or group-by-time interactions for all outcomes. Results: Sixty children (age: 11.1 ± 1.1 years, BAZ: 2.7 ± 0.6) were enrolled; 55 participants (n = 28 CTRL, n = 27 FCLI) completed the study. There were no between group differences from baseline to follow-up for any measure. The FCLI group had significant decreases in BAZ over 12 months (-0.18 ± 0.27, p = 0.03) but not CTRL (-0.05 ± 0.32, p = 0.92). WC and android fat mass did not change in FCLI (p > 0.20) but increased in CTRL (p < 0.02). Whole body bone area, content, and areal bone mineral density (aBMD) increased in both groups (p < 0.010); whole body aBMD Z-score decreased by 5.8% and 1.6% in CTRL and FCLI, respectively (p < 0.001). There were no significant within group changes in biomarkers. Conclusion: The FCLI resulted in small reductions in BAZ and a plateau in android fat mass, which suggest that FCLIs are suitable as an intervention for 9- to 12-year-old children with OW/OB. |
Persistent Identifier | http://hdl.handle.net/10722/345270 |
ISSN | 2023 Impact Factor: 1.5 2023 SCImago Journal Rankings: 0.854 |
DC Field | Value | Language |
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dc.contributor.author | Cohen, Tamara R. | - |
dc.contributor.author | Mak, Ivy L. | - |
dc.contributor.author | Loiselle, Sarah Eve | - |
dc.contributor.author | Kasvis, Popi | - |
dc.contributor.author | Hazell, Tom J. | - |
dc.contributor.author | Vanstone, Catherine A. | - |
dc.contributor.author | Rodd, Celia | - |
dc.contributor.author | Weiler, Hope A. | - |
dc.date.accessioned | 2024-08-15T09:26:18Z | - |
dc.date.available | 2024-08-15T09:26:18Z | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | Childhood Obesity, 2023, v. 19, n. 1, p. 46-56 | - |
dc.identifier.issn | 2153-2168 | - |
dc.identifier.uri | http://hdl.handle.net/10722/345270 | - |
dc.description.abstract | Background: Few family-centered lifestyle interventions (FCLIs) for children with overweight or obesity (OW/OB) have assessed regional adiposity and bone health. This study assessed changes in adiposity in 9- to 12-year olds with OW/OB in a 1-year FCLI. Methods: Children were randomized to FCLI (six registered dietitian-led sessions) or no intervention (Control, CTRL). The FCLI focused on physical activity, nutrition education, and behavioral counseling children with families present. Assessments occurred at baseline and every 3 months for 1 year to assess changes in waist circumference (WC), body mass index for age-and-sex Z-scores (BAZ), body composition (dual-energy x-ray absorptiometry), and cardiometabolic biomarkers. Mixed models were used to determine the effects of group and time or group-by-time interactions for all outcomes. Results: Sixty children (age: 11.1 ± 1.1 years, BAZ: 2.7 ± 0.6) were enrolled; 55 participants (n = 28 CTRL, n = 27 FCLI) completed the study. There were no between group differences from baseline to follow-up for any measure. The FCLI group had significant decreases in BAZ over 12 months (-0.18 ± 0.27, p = 0.03) but not CTRL (-0.05 ± 0.32, p = 0.92). WC and android fat mass did not change in FCLI (p > 0.20) but increased in CTRL (p < 0.02). Whole body bone area, content, and areal bone mineral density (aBMD) increased in both groups (p < 0.010); whole body aBMD Z-score decreased by 5.8% and 1.6% in CTRL and FCLI, respectively (p < 0.001). There were no significant within group changes in biomarkers. Conclusion: The FCLI resulted in small reductions in BAZ and a plateau in android fat mass, which suggest that FCLIs are suitable as an intervention for 9- to 12-year-old children with OW/OB. | - |
dc.language | eng | - |
dc.relation.ispartof | Childhood Obesity | - |
dc.subject | childhood obesity | - |
dc.subject | dietary | - |
dc.subject | family-based | - |
dc.subject | intervention | - |
dc.subject | overweight | - |
dc.subject | physical activity | - |
dc.subject | randomized controlled trial | - |
dc.title | Changes in Adiposity without Impacting Bone Health in Nine- to Twelve-Year-Old Children with Overweight and Obesity after a One-Year Family-Centered Lifestyle Behavior Intervention | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1089/chi.2022.0008 | - |
dc.identifier.pmid | 35384736 | - |
dc.identifier.scopus | eid_2-s2.0-85136519581 | - |
dc.identifier.volume | 19 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 46 | - |
dc.identifier.epage | 56 | - |
dc.identifier.eissn | 2153-2176 | - |