Single versus multiple-family intervention in childhood overweight--Finnmark Activity School: a randomised trial
Objective To compare a new comprehensive lifestyle programme performed in groups of families with overweight (included obese) children with a more conventional single-family programme. The study design and interim anthropometrical results after 12 months are presented. Design Altogether 9...
| Published in: | Archives of Disease in Childhood |
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| Main Authors: | , , , , |
| Format: | Text |
| Language: | English |
| Published: |
BMJ Publishing Group Ltd
2014
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| Subjects: | |
| Online Access: | http://adc.bmj.com/cgi/content/short/99/3/225 https://doi.org/10.1136/archdischild-2012-303571 |
| Summary: | Objective To compare a new comprehensive lifestyle programme performed in groups of families with overweight (included obese) children with a more conventional single-family programme. The study design and interim anthropometrical results after 12 months are presented. Design Altogether 97 overweight and obese children aged 6–12 years with body mass index (BMI) corresponding to cut-off point ≥27.5 in adults were included. Study participants were randomised to multiple-family intervention (MUFI) or single-family intervention (SIFI) in a parallel design. MUFI comprised a 3-day inpatient programme at the hospital with other families and a multidisciplinary team, follow-up visits in their hometown individually and in groups, organised physical activity twice weekly and a 4-day family camp after 6 months. SIFI comprised individual counselling by paediatric nurse, paediatric consultant and nutritionist at the hospital and follow-up by public health nurse in the community. Solution focused approach was applied in both interventions. Primary outcome measures were change in BMI kg/m2 and BMI SD score (BMI SDS). Results BMI increased by 0.37 units in the MUFI compared to 0.77 units in the SIFI (p=0.18). BMI SDS decreased by 0.16 units in the MUFI group compared to 0.07 units in the SIFI group (p=0.07). Secondary endpoint waist circumference decreased 0.94 cm in the multiple-family group and increased 0.95 cm in the single-family group, p=0.04. Conclusions Interim analysis after 12 months showed no between-group difference in terms of BMI or BMI SDS. The MUFI group had a significant decrease in waist circumference compared to the SIFI group. The trial is registered at http://www.clinicaltrials.gov (NCT00872807) |
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