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SPORTS MEDICINE :
MEDICAL: CONDITIONS: OBESITY :
PHYSICAL EXERCISE AND FITNESS :
DIET DIETS DIETING: WEIGHT LOSS :
CHILDREN:
Two Tested Approaches to Treating Childhood Obesity Appear Effective
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Two Tested Approaches to Treating Childhood Obesity Appear Effective
Date:
April 20, 2015
Source:
Massachusetts General Hospital
Summary:
A study of two protocols for the treatment of childhood obesity
finds that both were successful in limiting one-year weight gain
in obese children. Both interventions use information technology
to provide clinicians with up-to-date obesity management guidelines
and tools to help families manage behaviors related to obesity and
fitness.
Science News
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A MassGeneral Hospital for Children (MGHfC) study comparing two
protocols for the treatment of childhood obesity finds that both
were successful in limiting one-year weight gain in obese children.
Both interventions, described in a paper published in the April 20
issue of JAMA Pediatrics, combine use of information technology to
provide clinicians with the most up-to-date guidelines for the
management of obesity in children with tools designed to help
families manage behaviors related to obesity and fitness.
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"In this clinical trial, we found that an intervention that gave
pediatricians point-of-care, evidence-based information on managing
their obese patients and that supported behavioral change within
families resulted in improved body mass index among 6- to 12-year-old
children," says Elsie Taveras, MD, MPH, chief of General Pediatrics
at MGHfC and lead author of the report. "Our results suggest that
making it easy for clinicians to access the latest treatment
guidelines using health information technology, along with providing
family support for the necessary behavioral changes, can improve the
quality of care for obese children and help them achieve better
outcomes."
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Taveras and her co-authors note that, while preventing obesity in
children is important, helping those who already are obese improve
their body mass index (BMI) is even more challenging. Although
obesity management guidelines have been available to pediatricians
for some time, many previously studied interventions addressing
childhood obesity in primary care settings have not been effective.
Possible reasons for this include pediatricians' inconsistency in
following obesity management guidelines and an over-reliance on
in-person guidance by study clinicians. The current investigation --
entitled the Study of Technology to Accelerate Research (STAR) --
used an electronic health record to provide physicians with clinical
decision-support tools and information and offered two levels of
support to patients and families.
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snip
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At the end of the one-year study period, the average BMI increase of
children in both intervention groups was significantly less that it
was for those in the usual-care practice group. In addition, clinicians
at intervention-group practices did a much better job of documenting
patients' BMI status and the counseling they provided regarding
nutrition and physical activity -- factors considered essential to
"high-quality" pediatric primary care. The investigators were surprised
that there was no significant difference in BMI improvement between the
two intervention groups, but closer analysis revealed that children in
the coaching group whose families completed all of the coaching phone
calls and received the text/email messages actually had the most
improved BMIs of all.
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"What was also much better in the coaching group was parents'
satisfaction with their health care services," adds Taveras.
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The complete article may be read at the URL above.
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*Journal Reference*:
Elsie M. Taveras, Richard Marshall, Ken P. Kleinman, Matthew W. Gillman,
Karen Hacker, Christine M. Horan, Renata L. Smith, Sarah Price,
Mona Sharifi, Sheryl L. Rifas-Shiman, Steven R. Simon.
*Comparative Effectiveness of Childhood Obesity Interventions in Pediatric
Primary Care*.
*JAMA Pediatrics*, 2015;
DOI: 10.1001/jamapediatrics.2015.0182
<http://dx.doi.org/10.1001/jamapediatrics.2015.0182>
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