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PLoS One. 2015 Dec 14;10(12):e0144502. doi: 10.1371/journal.pone.0144502. eCollection 2015.

Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial.

Author information

1
Asociación Nereu, Alimentación Saludable y Ejercicio Físico, Región Sanitaria de Lleida, Lleida, España.
2
Escuela Superior de Ciencias de la Salud, TecnoCampus Mataró. Universidad Pompeu Fabra, Barcelona, España.
3
Facultad de Enfermería, Universidad de Lleida, Lleida, España.
4
National Institute for Physical Education of Catalonia (INEFC) of Lleida, University of Lleida, Lleida, Spain.
5
Unitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària Jordi Gol. USR-IDIAP Jordi Gol, Lleida, Spain.
6
Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya, Sant Cugat, Barcelona.
7
Nutrition Department, University of Lleida, Lleida, Spain.
8
Centre d'Atenció Primària Primer de Maig. Institut Català de la Salut, Lleida, Spain.
9
Department of Paediatrics Hospital Universitari Arnau de Vilanova, Lleida, Spain.
10
Departament de Medicina, Universitat de Lleida, Lleida, Spain.

Abstract

INTRODUCTION:

Treatment of childhood obesity is a complex challenge for primary health care professionals.

OBJECTIVES:

To evaluate the effectiveness of the Nereu Program in improving anthropometric parameters, physical activity and sedentary behaviours, and dietary intake.

METHODS:

Randomized, controlled, multicentre clinical trial comparing Nereu Program and usual counselling group interventions in primary care settings. The 8-month study recruited 113 children aged 6 to 12 years with overweight/obesity. Before recruitment, eligible participants were randomly allocated to an intensive, family-based multi-component behavioural intervention (Nereu Program group) or usual advice from their paediatrician on healthy eating and physical activity. Anthropometric parameters, objectively measured sedentary and physical activity behaviours, and dietary intake were evaluated pre- and post-intervention.

RESULTS:

At the end of the study period, both groups achieved a similar decrease in body mass index (BMIsd) compared to baseline. Nereu Program participants (n = 54) showed greater increases in moderate-intense physical activity (+6.27% vs. -0.61%, p<0.001) and daily fruit servings (+0.62 vs. +0.13, p<0.026), and decreased daily soft drinks consumption (-0.26 vs. -0.02, p<0.047), respectively, compared to the counselling group (n = 59).

CONCLUSIONS:

At the end of the 8-month intervention, participants in the Nereu Program group showed improvement in physical activity and dietary behaviours, compared to the counselling group.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01878994.

PMID:
26658988
PMCID:
PMC4684233
DOI:
10.1371/journal.pone.0144502
[Indexed for MEDLINE]
Free PMC Article

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