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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.
Background:
Childhood obesity has become a nutritional problem in China since the 1990s.
Aims:
A family based behavioural treatment was developed and tested, to see if its use was feasible in China and to evaluate its impact on obese schoolchildren.
Methods:
In a single school in Beijing, 33 obese children were randomly assigned to a treatment group and 35 to a control group. The treatment group participated in a family based behavioural treatment programme for two years. Height and weight were measured every six months for all participants. Blood pressure, cholesterol, and triglyceride levels were measured at baseline and after two years of programme implementation.
Results:
Body mass index (BMI, kg/m2) was significantly reduced in the treatment group (from 26.6 (1.7) to 24.0 (0.9), 95% CI 2.06 to 3.18) but not in the control group (from 26.1 (1.5) to 26.0 (1.6)). Total cholesterol decreased 5.5% and triglycerides 9.7% in the treatment group. There was a significant correlation between change in BMI and change in triglycerides. There were no significant changes in plasma lipids in the controls. Blood pressure values also decreased significantly in the treatment, but not the control group.
Conclusions:
A family based behavioural intervention was feasible to use in treating obesity in schoolchildren in Beijing, China. After two years of implementation, it successfully decreased the degree of obesity, reduced levels of blood pressure, and decreased serum lipids in treatment; there were no significant changes among control children.
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