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Decreasing sedentary behaviors in treating pediatric obesity.
L H Epstein1, R A Paluch, C C Gordy
1Department of Psychology, University at Buffalo, The State University of New York 14260, USA.
Archives of Pediatrics & Adolescent Medicine
|March 10, 2000
Summary
Reducing sedentary behaviors in children can significantly aid in pediatric obesity treatment. This approach, alongside increased physical activity, effectively lowers body fat and improves fitness.
Area of Science:
- Pediatric Endocrinology
- Behavioral Medicine
- Public Health
Background:
- Television watching is a known risk factor for childhood obesity.
- The impact of reducing sedentary behaviors in obesity treatment programs requires further investigation.
Purpose of the Study:
- To compare the effectiveness of targeting sedentary behavior reduction versus increasing physical activity in treating obesity in children aged 8-12.
- To evaluate these strategies within a comprehensive, family-based behavioral weight control program.
Main Methods:
- A randomized, controlled outcome study was conducted at a childhood obesity research clinic.
- Ninety families with obese children (8-12 years) were assigned to programs targeting either sedentary behavior decrease or physical activity increase.
- Both programs included dietary and behavioral change components.
Main Results:
- Both approaches led to significant reductions in overweight percentage and body fat over two years.
- Aerobic fitness improved in both intervention groups.
- While targeted sedentary time decreased and activity increased, some substitution of non-targeted sedentary behaviors occurred.
Conclusions:
- Reducing sedentary behaviors is a valuable complementary strategy for treating pediatric obesity.
- Comprehensive, family-based programs can effectively incorporate behavioral modifications for weight management in children.