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Child Obes. 2013 Dec;9(6):492-500. doi: 10.1089/chi.2013.0053. Epub 2013 Oct 31.

Outcomes from an urban pediatric obesity program targeting minority youth: the Healthy Hawks program.

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1
1 Department of Pediatrics, Center for Children's Healthy Lifestyles & Nutrition, University of Kansas Medical Center , Kansas City, KS.

Abstract

BACKGROUND:

The aim of this study was to describe the outcomes of a family-based behavioral group treatment program with a group of urban, minority, low-income families.

METHODS:

Two hundred and ten families enrolled in a 12-week family-based behavioral group treatment program for pediatric obesity. The program was offered in English and in Spanish and targeted the enrollment of low-income highly diverse youth and families. Primary outcome measures included child BMI z-score (zBMI), maternal BMI, 3-day diet record, and accelerometer.

RESULTS:

Seventy-one percent of enrolled families completed the 12-week program. Significant 12-week outcomes were achieved for child zBMI (p<0.001) and for maternal BMI (p<0.001), as well as for child kcals (p<0.001), sugar-sweetened beverages (p=0.017), and red foods (p<0.001). Only change in child zBMI remained significant at 1 year (p<0.05). Physical activity outcomes were not significant and not in the expected direction. There were no differences in outcome by race/ethnicity, but by age, younger children had higher zBMI at baseline and were also more likely to decrease zBMI during the intervention.

CONCLUSIONS:

It is possible to enroll and maintain urban, minority, low-income families in a family-based behavioral group treatment program for pediatric obesity. Outcome data indicate that these families achieve significant outcomes on zBMI, and that children who remain available for assessment maintain this at 1 year, which is an improvement over previous research using other intervention methodologies with this population.

PMID:
24175630
DOI:
10.1089/chi.2013.0053
[Indexed for MEDLINE]

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