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Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT.

Publication ,  Journal Article
Butte, NF; Hoelscher, DM; Barlow, SE; Pont, S; Durand, C; Vandewater, EA; Liu, Y; Adolph, AL; Pérez, A; Wilson, TA; Gonzalez, A; Puyau, MR ...
Published in: Obesity (Silver Spring)
September 2017

OBJECTIVE: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. METHODS: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95 ]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). RESULTS: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was -1.94 (-3.88, -0.01) percentage points (P = 0.05). For age group 9-12, effect size was -1.38 (-2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95 . Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). CONCLUSIONS: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

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Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

September 2017

Volume

25

Issue

9

Start / End Page

1584 / 1593

Location

United States

Related Subject Headings

  • Primary Health Care
  • Pediatric Obesity
  • Male
  • Humans
  • Female
  • Endocrinology & Metabolism
  • Community Networks
  • Child, Preschool
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
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Butte, N. F., Hoelscher, D. M., Barlow, S. E., Pont, S., Durand, C., Vandewater, E. A., … Kelder, S. H. (2017). Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT. Obesity (Silver Spring), 25(9), 1584–1593. https://doi.org/10.1002/oby.21929
Butte, Nancy F., Deanna M. Hoelscher, Sarah E. Barlow, Stephen Pont, Casey Durand, Elizabeth A. Vandewater, Yan Liu, et al. “Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT.Obesity (Silver Spring) 25, no. 9 (September 2017): 1584–93. https://doi.org/10.1002/oby.21929.
Butte NF, Hoelscher DM, Barlow SE, Pont S, Durand C, Vandewater EA, et al. Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT. Obesity (Silver Spring). 2017 Sep;25(9):1584–93.
Butte, Nancy F., et al. “Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT.Obesity (Silver Spring), vol. 25, no. 9, Sept. 2017, pp. 1584–93. Pubmed, doi:10.1002/oby.21929.
Butte NF, Hoelscher DM, Barlow SE, Pont S, Durand C, Vandewater EA, Liu Y, Adolph AL, Pérez A, Wilson TA, Gonzalez A, Puyau MR, Sharma SV, Byrd-Williams C, Oluyomi A, Huang T, Finkelstein EA, Sacher PM, Kelder SH. Efficacy of a Community- Versus Primary Care-Centered Program for Childhood Obesity: TX CORD RCT. Obesity (Silver Spring). 2017 Sep;25(9):1584–1593.
Journal cover image

Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

September 2017

Volume

25

Issue

9

Start / End Page

1584 / 1593

Location

United States

Related Subject Headings

  • Primary Health Care
  • Pediatric Obesity
  • Male
  • Humans
  • Female
  • Endocrinology & Metabolism
  • Community Networks
  • Child, Preschool
  • Child