|Appears in Collections:||Faculty of Health Sciences and Sport Journal Articles|
|Peer Review Status:||Refereed|
|Title:||Randomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)|
|Author(s):||Hughes, Adrienne R|
McColl, John H
Donaldson, Malcolm D C
Kelnar, Christopher J H
Reilly, John J
body mass index
randomized controlled trial
|Citation:||Hughes AR, Stewart L, Chapple J, McColl JH, Donaldson MDC, Kelnar CJH, Zabihollah M, Ahmed F & Reilly JJ (2008) Randomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT), Pediatrics, 121 (3), pp. e539-e546.|
|Abstract:||OBJECTIVE. To determine whether a generalisable best practice individualized behavioral intervention reduced BMI Z score relative to standard dietetic care among overweight children. METHODS. The design consisted of an assessor-blinded randomized controlled trial involving 134 overweight children (59 boys, 75 girls; BMI98th UK centile, age 5-11 years) randomized to a best practice behavioral program (intervention) or standard care (control). The intervention used family-centered counseling and behavioral strategies to modify diet, physical activity and sedentary behavior. BMI Z-score, weight, objectively measured physical activity and sedentary behavior, fat distribution, quality of life and height Z-score were recorded at baseline, 6 and 12 months. RESULTS. The intervention had no significant effect relative to standard care on BMI Z-score from baseline to 6 months (-0.10 vs -0.06; 95%CI -0.05 to 0.11) and 12 months (-0.07 vs -0.19; 95%CI -0.17 to 0.07). BMI Z score decreased significantly in both groups from baseline to six and 12 months. For those who complied with treatment, there was a significantly smaller weight (kg) increase in the intervention group compared to controls from baseline to six months (95%CI 0.05, 2.25). There were significant between group differences in favor of the intervention for changes in total physical activity (95% CI -199 to –31 accelerometer counts/minute), % of time spent in sedentary behavior (95%CI 0.8 to 6.3) and light intensity physical activity (95%CI -4.8 to -0.5). CONCLUSIONS. A generalizable, best practice individualized behavioral intervention had modest benefits on objectively measured physical activity and sedentary behavior but no significant effect on BMI Z score compared to standard care among overweight children. The modest magnitude of the benefits observed perhaps argues for a longer-term and more intense intervention, though such treatments may not be realistic for many healthcare systems.|
|Rights:||2008 © Copyright American Academy of Pediatrics. All rights reserved.; The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.|
|PedsSCOTTrevisedfinal.pdf||237.52 kB||Adobe PDF||Under Permanent Embargo Request a copy|
Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.
This item is protected by original copyright
Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
If you believe that any material held in STORRE infringes copyright, please contact email@example.com providing details and we will remove the Work from public display in STORRE and investigate your claim.