The effectiveness of a stage-based lifestyle modification intervention for obese children

Nor Baizura Md Yusop, Zalilah Mohd Shariff, Ting Tzer Hwu, Ruzita Abd. Talib, Nicola Spurrier

Research output: Contribution to journalArticle

Abstract

Background: Interventions that encompass behavioural modifications of dietary intake and physical activity are essential for the management of obesity in children. This study assessed the effectiveness of a stage-based lifestyle modification intervention for obese children. Methods: A total of 50 obese children (7-11 years old) were randomized to the intervention group (IG, n = 25) or the control group (CG, n = 25). Data were collected at baseline, at follow-up (every month) and at six months after the end of the intervention. IG received stage-based lifestyle modification intervention based on the Nutrition Practice Guideline for the Management of Childhood Obesity, while CG received standard treatment. Changes in body composition, physical activity and dietary intake were examined in both the intervention and control groups. Results: Both groups had significant increases in weight (IG: 1.5 ± 0.5 kg; CG: 3.9 ± 0.6 kg) (p < 0.01) and waist circumference (IG: 0.1 ± 0.5 cm; CG: 2.2 ± 0.7 cm) (p < 0.05), but the increases were significantly higher in CG than IG. Body Mass Index (BMI)-for-age z scores decreased significantly in IG (- 0.2 ± 0.0, p < 0.01) but not in CG. The physical activity of the IG significantly increased (0.44 ± 0.13) compared with that of CG (- 0.28 ± 0.18), and the difference in mean change between groups was statistically significant (p < 0.05). Dietary intake was not significantly different between the two groups. However, calorie and carbohydrate intake decreased significantly in both groups. Conclusions: A stage-based intervention that modified dietary and physical activity behaviour may be effective in weight management for obese children. Trial registration: NCT03429699 retrospectively registered 9 February 2018.

Original languageEnglish
Article numbers12889-018-5206-2
JournalBMC Public Health
Volume18
Issue number1
DOIs
Publication statusPublished - 1 Mar 2018

Fingerprint

Life Style
Exercise
Pediatric Obesity
Diet Therapy
Weights and Measures
Nutrition Policy
Control Groups
Practice Management
Waist Circumference
Body Composition
Practice Guidelines
Body Mass Index
Carbohydrates
Therapeutics

Keywords

  • Body composition
  • Dietary intake
  • Lifestyle intervention
  • Obese children
  • Physical activity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The effectiveness of a stage-based lifestyle modification intervention for obese children. / Md Yusop, Nor Baizura; Mohd Shariff, Zalilah; Hwu, Ting Tzer; Abd. Talib, Ruzita; Spurrier, Nicola.

In: BMC Public Health, Vol. 18, No. 1, s12889-018-5206-2, 01.03.2018.

Research output: Contribution to journalArticle

Md Yusop, Nor Baizura ; Mohd Shariff, Zalilah ; Hwu, Ting Tzer ; Abd. Talib, Ruzita ; Spurrier, Nicola. / The effectiveness of a stage-based lifestyle modification intervention for obese children. In: BMC Public Health. 2018 ; Vol. 18, No. 1.
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