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Child Obes. 2016 Apr;12(2):103-12. doi: 10.1089/chi.2015.0073. Epub 2016 Jan 20.

The MATCH Program: Long-Term Obesity Prevention Through a Middle School Based Intervention.

Author information

1
1 Departments of Pediatrics and Public Health, East Carolina University , Greenville, NC.
2
2 Department of Biostatistics, College of Allied Health Sciences, East Carolina University , Greenville, NC.
3
3 Office of Professional Development and Community Engagement, College of Public Health and Social Justice, St. Louis University , St. Louis, MO.

Abstract

BACKGROUND:

Motivating Adolescents with Technology to CHOOSE Health™ (MATCH) has been provided for eight years in North Carolina middle schools with high obesity prevalence.

METHODS:

Seventh grade teachers in two schools delivered MATCH lessons in 2009, with one control school. In 2013 students were remeasured and completed a health behavior survey. Outcomes include BMI, BMI z-score (zBMI), weight category, and self-reported behaviors. Comparisons used t tests (continuous measures), Fisher's exact test (categorical measures), and linear mixed models (trend between groups).

RESULTS:

Of original participants, 104/189 (55%) of MATCH and 117/173 (68%) of control were remeasured. In the control group, retained participants had lower baseline BMI and were higher percent white. Among all participants, zBMI decreased in MATCH (mean change -0.15 with SD = 0.60) and increased in control (mean change 0.04 with SD = 0.52); between groups p = 0.02. In mixed models for the all overweight subgroup, MATCH had a downward trend in zBMI over time that was significantly different from control (slope MATCH -0.0036 versus control 0.0009; p = 0.01). For shifts in weight category: incidence of obesity was lower in MATCH (13%) versus control (39%); remission of overweight to healthy weight was greater in MATCH (40%) versus control (26%). MATCH participants self-reported lower frequency of intake of sweetened beverages and snacks and hours of weekday TV time than control students.

CONCLUSIONS:

MATCH participation can result in long-term prevention of obesity compared to control, with differences in self-reported health behavior changes to support an underlying mechanism for the observed BMI differences.

PMID:
26789983
DOI:
10.1089/chi.2015.0073
[Indexed for MEDLINE]

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