A two year family based behaviour treatment for obese children

J X Jiang1, X L Xia, T Greiner

  • 1National Center for Women's and Children's Health, Beijing, China. jiangjingxiong@chinawch.org.cn

Insights

A family-based behavioral intervention effectively reduced childhood obesity in Beijing. The two-year program improved body mass index (BMI), blood pressure, and lipid levels in obese schoolchildren.

Area of Science:

  • Pediatric Nutrition
  • Behavioral Medicine
  • Public Health

Background:

  • Childhood obesity is a significant nutritional challenge in China, particularly since the 1990s.
  • Addressing this growing public health concern requires effective interventions tailored to the local context.

Purpose of the Study:

  • To assess the feasibility of a family-based behavioral treatment for obese schoolchildren in China.
  • To evaluate the impact of this intervention on key health indicators in obese children.

Main Methods:

  • A randomized controlled trial was conducted in a Beijing school involving 68 obese children.
  • Participants were assigned to either a two-year family-based behavioral treatment or a control group.
  • Measurements included height, weight, blood pressure, cholesterol, and triglyceride levels.

Main Results:

  • The treatment group showed a significant reduction in Body Mass Index (BMI) from 26.6 to 24.0.
  • Significant decreases in total cholesterol (5.5%) and triglycerides (9.7%) were observed in the treatment group.
  • Blood pressure also significantly decreased in the treatment group, unlike the control group.

Conclusions:

  • Family-based behavioral interventions are feasible and effective for treating childhood obesity in Beijing.
  • The intervention successfully reduced obesity, lowered blood pressure, and improved serum lipid profiles in participating children.
  • These findings support the implementation of similar programs to combat childhood obesity in similar settings.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Behavior Modification01:21

Behavior Modification

Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
Binge Eating Disorders01:23

Binge Eating Disorders

Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
Behavior Therapy01:22

Behavior Therapy

Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
Family Therapy01:30

Family Therapy

Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...