5260.0: Wednesday, November 15, 2000 - Board 4

Abstract #14308

Countering the growing trend of childhood obesity: The efficacy of a family-based behavioral weight control program for children

Cindy M. Zedeck, MA, Stanford Center for Research in Disease Prevention School of Medicine, Stanford University, 1000 Welch Rd, Palo Alto, CA 94304, 650-725-4424, czedeck@scrdp.stanford.edu, Thomas N. Robinson, MD, MPH, Department of Pediatrics and Center for Research in Disease Prevention School of Medicine, Stanford University, 1000 Welch Rd, Palo Alto, CA 94304, and W. Elizabeth Shepard, MD, Department of Pediatrics, Santa Clara Valley Medical Center, San Jose, CA.

Rates of childhood obesity are increasing at alarming speed. The associated health risks make this a major public health concern. Despite the increasing need to address this growing epidemic, most children’s weight control interventions have produced only modest, short-term results. We designed a six-month family-based behavioral weight control program for overweight children to help them maintain or gradually reduce their weight (0-1 pound of weight loss per week) through lifestyle changes. Children between the ages of 8-12 and at least 20% overweight for age, sex and height were recruited through community health providers. 31 families, 32 children (20 girls, 12 boys; 53% White, 6% African American, 9% Asian, 9% Pacific Islander, 16% Latino, and 6% other) enrolled in three groups of 9-12 families. The mean baseline percentage overweight was 74.1% (Range=30.9-134.72%). Children and parents met separately and together in weekly one and one half-hour groups for 24 sessions. Each session taught diet or activity skills using behavioral techniques to promote behavior change. Two groups (N=17) assessed at the end of six months showed a mean change of -11.12 +/-8.18 in percent overweight. 16 of 17 (94%) children reduced their percentage overweight at six months (range: -4.77 to -28.54%). A third group (n=10) currently at session 19 shows a mean change of -9.28 +/-7.91%. These results suggest that family-based behavioral group programs may be effective at substantially reducing overweight in children. Future research is necessary to evaluate long-term impacts of this program.

Learning Objectives: At the conclusion of the presentation, the participant will be able to 1) describe the methodology, structure, and outcomes of a family-based children's weight control program and 2) identify the behavioral tools used to promote healthy lifestyle changes in overweight children

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA