A randomized controlled trial of orthodontist-based brief advice to prevent child obesity

被引：9

作者：

Hovell, Melbourne F. ^{[1
]}

Schmitz, Katharine E. ^{[1
]}

Liles, Sandy ^{[1
]}

Robusto, Kristi ^{[1
]}

Hofstetter, C. Richard ^{[1
]}

Nichols, Jeanne F. ^{[1
,2
]}

Rock, Cheryl L. ^{[1
,2
]}

Irvin, Veronica ^{[1
,3
]}

Parker, Melanie S. ^{[1
,4
]}

Surillo, Santiago A. ^{[1
,5
]}

Noel, David ^{[1
]}

机构：

[1] San Diego State Univ, Ctr Behav Epidemiol & Community Hlth, Grad Sch Publ Hlth, 9245 Sky Pk Court,Suite 230, San Diego, CA 92123 USA

[2] Univ Calif San Diego, Sch Med, Dept Family Med & Publ Hlth, 3855 Hlth Sci Dr, La Jolla, CA 92093 USA

[3] Oregon State Univ, Coll Publ Hlth & Human Sci, Sch Social & Behav Hlth Sci, 457 Waldo Hall, Corvallis, OR 97331 USA

[4] 3737 Moraga Ave,Suite A303, San Diego, CA 92117 USA

[5] 4700 Spring St,Suite 104, La Mesa, CA 91942 USA

来源：

CONTEMPORARY CLINICAL TRIALS | 2018年 / 70卷

基金：

美国国家卫生研究院;

关键词：

Obesity; Physical activity; Diet; Nutrition; Brief clinician intervention; Children; parents; orthodontists; PHYSICAL-ACTIVITY PROMOTION; PRIMARY-CARE; UNITED-STATES; TOBACCO-USE; INTERVENTIONS;

D O I：

10.1016/j.cct.2018.05.003

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Objective: We conducted a randomized controlled trial to test whether brief exercise and diet advice provided during child patient visits to their orthodontic office could improve diet, physical activity, and age-and-genderadjusted BMI. Methods: We enrolled orthodontic offices in Southern California and Tijuana, Mexico, and recruited their patients aged 8-16 to participate in a two-year study. At each office visit, staff provided the children with "prescriptions" for improving diet and exercise behaviors. Multilevel models, which adjusted for clustering, determined differential group effects on health outcomes, and moderation of effects. Results: We found differential change in BMI favoring the intervention group, but only among male participants (p < 0.001; Cohen's d = 0.085). Of four dietary variables, only junk food consumption changed differentially, in favor of the intervention group (p = 0.020; d = 0.122); the effect was significant among overweight/obese (p = 0.001; d = 0.335) but not normal weight participants. Physical activity declined non-differentially in both groups and both genders. Conclusion: The intervention, based on the Geoffrey Rose strategy, had limited success in achieving its aims.

引用

页码：53 / 61

页数：9

共 35 条

[1] Trends in Amphibian Occupancy in the United States [J].