A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT

Magarey, Anthea M., Perry, Rebecca A., Baur, Louise A., Steinbeck, Katharine S., Sawyer, Michael, Hills, Andrew P., Wilson, Gizelle, Lee, Anthea and Daniels, Lynne A. (2011) A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT. Pediatrics, 127 2: 214-222. doi:10.1542/peds.2009-1432


Author Magarey, Anthea M.
Perry, Rebecca A.
Baur, Louise A.
Steinbeck, Katharine S.
Sawyer, Michael
Hills, Andrew P.
Wilson, Gizelle
Lee, Anthea
Daniels, Lynne A.
Title A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT
Journal name Pediatrics   Check publisher's open access policy
ISSN 0031-4005
1098-4275
Publication date 2011-02
Year available 2011
Sub-type Article (original research)
DOI 10.1542/peds.2009-1432
Volume 127
Issue 2
Start page 214
End page 222
Total pages 9
Place of publication Elk Grove Village, IL, United States
Publisher American Academy of Pediatrics
Language eng
Formatted abstract
Objective: To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect.

Participants and Methods: We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesity Task Force cut points) children, aged 5 to 9 years. The 6-month program targeted parents as the agents of change for implementing family lifestyle changes. Only parents attended group sessions. We measured BMI and waist z scores and parenting constructs at baseline, 6, 12, 18, 24 months.

Results: Participants (n = 169; 56% girls) were randomized to a parenting skills plus healthy lifestyle group (n = 85) or a healthy lifestyle - only group (n = 84). At final 24-month assessment 52 and 54 children remained in the parenting skills plus healthy lifestyle and the healthy lifestyle - only groups respectively. There were reductions (P < .001) in BMI z score (0.26 [95% confidence interval: 0.22-0.30]) and waist z score (0.33 [95% confidence interval: 0.26-0.40]). There was a 10% reduction in z scores from baseline to 6 months that was maintained to 24 months with no additional intervention. Overall, there was no significant group effect. A similar pattern of initial improvement followed by stability was observed for parenting outcomes and no group effect.

Conclusions: Using approaches that specifically target parent behavior, relative weight loss of ∼10% is achievable in moderately obese prepubertal children and can be maintained for 2 years from baseline. These results justify an investment in treatment as an effective secondary obesity-prevention strategy. 
Keyword BMI
Child
Obesity
Parenting
Treatment
Waist circumference
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Human Movement and Nutrition Sciences Publications
 
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