Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1111
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dc.contributor.authorHughes, Adrienne Ren_UK
dc.contributor.authorStewart, Lauraen_UK
dc.contributor.authorChapple, Janen_UK
dc.contributor.authorMcColl, John Hen_UK
dc.contributor.authorDonaldson, Malcolm D Cen_UK
dc.contributor.authorKelnar, Christopher J Hen_UK
dc.contributor.authorZabihollah, Mehranen_UK
dc.contributor.authorAhmed, Faisalen_UK
dc.contributor.authorReilly, John Jen_UK
dc.date.accessioned2017-09-22T22:32:31Z-
dc.date.available2017-09-22T22:32:31Zen_UK
dc.date.issued2008-03en_UK
dc.identifier.urihttp://hdl.handle.net/1893/1111-
dc.description.abstractOBJECTIVE. 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; BMI98th 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.en_UK
dc.language.isoenen_UK
dc.publisherAmerican Academy of Pediatricsen_UK
dc.relationHughes 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. http://pediatrics.aappublications.org/; https://doi.org/10.1542/peds.2007-1786en_UK
dc.rights2008 © 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.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectObesityen_UK
dc.subjectOverweight childrenen_UK
dc.subjecttreatmenten_UK
dc.subjectbody mass indexen_UK
dc.subjectphysical activityen_UK
dc.subjectsedentary behavioren_UK
dc.subjectrandomized controlled trialen_UK
dc.subjectObesity in Childrenen_UK
dc.subjectObesity Treatmenten_UK
dc.subjectChildren Nutritionen_UK
dc.titleRandomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)en_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate3000-01-01en_UK
dc.rights.embargoreason[PedsSCOTTrevisedfinal.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1542/peds.2007-1786en_UK
dc.identifier.pmid18310175en_UK
dc.citation.jtitlePediatricsen_UK
dc.citation.issn1098-4275en_UK
dc.citation.issn0031-4005en_UK
dc.citation.volume121en_UK
dc.citation.issue3en_UK
dc.citation.spagee539en_UK
dc.citation.epagee546en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.identifier.urlhttp://pediatrics.aappublications.org/en_UK
dc.author.emailadrienne.hughes@stir.ac.uken_UK
dc.contributor.affiliationSporten_UK
dc.contributor.affiliationRoyal Hospital for Sick Children (NHS Lothian)en_UK
dc.contributor.affiliationYorkhill Hospitalen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Liverpoolen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.identifier.isiWOS:000253780100058en_UK
dc.identifier.scopusid2-s2.0-40949098686en_UK
dc.identifier.wtid805210en_UK
dc.date.accepted2007-08-15en_UK
dcterms.dateAccepted2007-08-15en_UK
dc.date.filedepositdate2009-04-24en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionAMen_UK
local.rioxx.authorHughes, Adrienne R|en_UK
local.rioxx.authorStewart, Laura|en_UK
local.rioxx.authorChapple, Jan|en_UK
local.rioxx.authorMcColl, John H|en_UK
local.rioxx.authorDonaldson, Malcolm D C|en_UK
local.rioxx.authorKelnar, Christopher J H|en_UK
local.rioxx.authorZabihollah, Mehran|en_UK
local.rioxx.authorAhmed, Faisal|en_UK
local.rioxx.authorReilly, John J|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate3000-01-01en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenamePedsSCOTTrevisedfinal.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0031-4005en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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