Family-based Intervention for Controlling Childhood Obesity: an Experience Among Iranian Children

Overview

Journal Int J Prev Med

Date 2013 Apr 30

PMID 23626894

Citations 17

Authors

Fatemeh Esfarjani

Marjan Khalafi

Fatemeh Mohammadi

Asiyeh Mansour

Roshanak Roustaee

Negar Zamani-Nour

Roya Kelishadi

Affiliations

Soon will be listed here.

Abstract

Background: Treatment of childhood obesity is difficult, and successful management may differ in various areas with different cultural backgrounds. The present study was conducted to assess the effect of lifestyle modification family-based intervention in young Iranian children.

Methods: This field trial study was conducted in 2011 among 156 obese children in Tehran, Iran. They were randomly assigned to intervention and control groups. At baseline, anthropometric measurements and biochemical analysis were performed. The second and third phases consisted of training sessions for parents of the intervention group. At the fourth phase, there was no training program. In all four phases, questionnaires on demographic characteristics, lifestyle and food frequency were completed by interviewing with mothers, and biochemical analysis was repeated at the end of the study.

Results: During the second and third phases of the study, weight and height increased significantly in both groups, although weight increased more slowly, and waist and hip circumferences was decreased in the intervention group. Serum triglycerides and cholesterol decreased significantly in the intervention group (P < 0.05). Analysis of food group consumption showed that in the intervention group, not only consumption of milk, dairy and nuts group increased significantly but also the corresponding figure decreased for bread and cereals, sugar and confectionery ingredients; moreover, the family's oil and fat consumption decreased significantly (P < 0.05). Watching TV and playing on the computer decreased significantly in the intervention group; however, walking time increased significantly in both groups (P < 0.05).

Conclusions: The family-based lifestyle program had limited but desirable effects on anthropometric and metabolic outcomes of the obese children. We suggest that a longer period of intervention may have more favorable results.

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References

Sahota P, Rudolf M, Dixey R, Hill A, Barth J, Cade J . Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity. BMJ. 2001; 323(7320):1027-9. PMC: 59380. DOI: 10.1136/bmj.323.7320.1027. View

Kelishadi R, Ghatrehsamani S, Hosseini M, Mirmoghtadaee P, Mansouri S, Poursafa P . Barriers to Physical Activity in a Population-based Sample of Children and Adolescents in Isfahan, Iran. Int J Prev Med. 2011; 1(2):131-7. PMC: 3075475. View

Dattilo A, Birch L, Krebs N, Lake A, Taveras E, Saavedra J . Need for early interventions in the prevention of pediatric overweight: a review and upcoming directions. J Obes. 2012; 2012:123023. PMC: 3362946. DOI: 10.1155/2012/123023. View

Tsiros M, Sinn N, Coates A, Howe P, Buckley J . Treatment of adolescent overweight and obesity. Eur J Pediatr. 2007; 167(1):9-16. DOI: 10.1007/s00431-007-0575-z. View

Sacher P, Kolotourou M, Chadwick P, Cole T, Lawson M, Lucas A . Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity (Silver Spring). 2010; 18 Suppl 1:S62-8. DOI: 10.1038/oby.2009.433. View

Mirmiran P, Hosseini Esfahani F, Mehrabi Y, Hedayati M, Azizi F . Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2009; 13(5):654-62. DOI: 10.1017/S1368980009991698. View

Kelishadi R . Childhood overweight, obesity, and the metabolic syndrome in developing countries. Epidemiol Rev. 2007; 29:62-76. DOI: 10.1093/epirev/mxm003. View

. Children, adolescents, and television. American Academy of Pediatrics Committee on Communications. Pediatrics. 1995; 96(4 Pt 1):786-7. View

Muller M, Danielzik S, Pust S . School- and family-based interventions to prevent overweight in children. Proc Nutr Soc. 2005; 64(2):249-54. DOI: 10.1079/pns2005424. View

10.

Gaeini A, Kashef M, Samadi A, Fallahi A . Prevalence of underweight, overweight and obesity in preschool children of Tehran, Iran. J Res Med Sci. 2011; 16(6):821-7. PMC: 3214402. View

11.

Armitage C . Evidence that implementation intentions reduce dietary fat intake: a randomized trial. Health Psychol. 2004; 23(3):319-23. DOI: 10.1037/0278-6133.23.3.319. View

12.

Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Hosseini M, Gouya M . Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child Care Health Dev. 2008; 34(1):44-54. DOI: 10.1111/j.1365-2214.2007.00744.x. View

13.

The N, Suchindran C, North K, Popkin B, Gordon-Larsen P . Association of adolescent obesity with risk of severe obesity in adulthood. JAMA. 2010; 304(18):2042-7. PMC: 3076068. DOI: 10.1001/jama.2010.1635. View

14.

Freedman D, Khan L, Serdula M, Dietz W, Srinivasan S, Berenson G . Inter-relationships among childhood BMI, childhood height, and adult obesity: the Bogalusa Heart Study. Int J Obes Relat Metab Disord. 2003; 28(1):10-6. DOI: 10.1038/sj.ijo.0802544. View

15.

Gunnarsdottir T, Njardvik U, Olafsdottir A, Craighead L, Bjarnason R . The role of parental motivation in family-based treatment for childhood obesity. Obesity (Silver Spring). 2011; 19(8):1654-62. DOI: 10.1038/oby.2011.59. View

16.

Dolinsky D, Armstrong S, Kinra S . The clinical treatment of childhood obesity. Indian J Pediatr. 2012; 80 Suppl 1:S48-54. DOI: 10.1007/s12098-012-0766-0. View

17.

Nemet D, Barkan S, Epstein Y, Friedland O, Kowen G, Eliakim A . Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics. 2005; 115(4):e443-9. DOI: 10.1542/peds.2004-2172. View

18.

Epstein L, Roemmich J, Robinson J, Paluch R, Winiewicz D, Fuerch J . A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Arch Pediatr Adolesc Med. 2008; 162(3):239-45. PMC: 2291289. DOI: 10.1001/archpediatrics.2007.45. View

19.

Karnik S, Kanekar A . Childhood obesity: a global public health crisis. Int J Prev Med. 2012; 3(1):1-7. PMC: 3278864. View

20.

Kuczmarski R, Ogden C, Guo S, Grummer-Strawn L, Flegal K, Mei Z . 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002; (246):1-190. View