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The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention

Bonnie T Jortberg1, Raquel Rosen2, Sarah Roth2

  • 1From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (BTJ, LMD, LC, NSA, MKB, WPD); the Colorado Academy of Family Physicians (RR, SR, LC); and Rose Family Medicine Residency Program, Rose Medical Center, Denver, CO (NSA, MKB). bonnie.jortberg@ucdenver.edu.

Journal of the American Board of Family Medicine : JABFM
|July 9, 2016
PubMed

Insights

The Fit Family Challenge (FFC) is a feasible primary care intervention for childhood obesity. It led to significant improvements in BMI percentile and lifestyle factors for children completing the program.

Area of Science:

  • Pediatric Health
  • Public Health Interventions
  • Behavioral Medicine

Background:

  • Childhood obesity rates have risen significantly over decades.
  • Primary care settings are recommended for obesity identification and intervention.
  • The Fit Family Challenge (FFC) is a novel primary care-based intervention.

Purpose of the Study:

  • To describe the implementation of the FFC program.
  • To evaluate the results of the FFC intervention in primary care.
  • To assess changes in clinical and lifestyle factors related to childhood obesity.

Main Methods:

  • A pilot study involving 29 primary care practices in Colorado.
  • Intervention included training on obesity guidelines and a family-focused curriculum.
  • 290 children (aged 6-12) with BMI above the 85th percentile participated.

Main Results:

  • FFC implementation was feasible in primary care settings.
  • Significant decreases in BMI percentile and BMI z-scores observed with 9-15 months follow-up.
  • Lifestyle factors improved; food insecurity and Spanish-speaking families showed less follow-up.

Conclusions:

  • Primary care-based childhood obesity interventions can yield significant clinical improvements.
  • The FFC demonstrates potential for effective childhood obesity management in primary care.
  • Further research is needed to optimize interventions for diverse populations.
Abstract

Keywords:
Behavior TherapyBlood PressureBody Mass IndexChildColoradoCurriculumFamily PracticeFollow-Up StudiesFood SupplyLife StyleOutcome Assessment (Health Care)Pediatric ObesityPediatricsPilot ProjectsPrimary Health CareUnited States

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