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A whole family approach to childhood obesity management (GOALS): Relationship between adult and child BMI change

Watson, PM, Dugdill, L, Pickering, K, Bostock, S, Hargreaves, J, Staniford, L and Cable, NT 2011, 'A whole family approach to childhood obesity management (GOALS): Relationship between adult and child BMI change' , Annals of Human Biology, 38 (4) , pp. 445-452.

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Abstract

Background: A growing body of evidence advocates a multidisciplinary, family-focused approach to childhood obesity management, but there is a need to explore familial factors associated with intervention success. Aim: This study explored the relationship between adult BMI change and child BMI SDS change following completion of a community-based, lifestyle change intervention for obese children and families (Getting Our Active Lifestyles Started (GOALS)). Method: Sixty of 121 families with overweight children completed the GOALS intervention between September 2006 and March 2009.Complete pre- and post-intervention (6 months) BMI data was available for 47 of these families, 26 of whom attended 12-month follow-up. Child BMI was converted to age- and sex-specific standard deviation scores (SDS) using the 1990 UK growth references. Results: There was a strong correlation between adult BMI change and child BMI SDS change from pre- to post-intervention (r = 0.53, p < 0.001) and from pre-intervention to 12-month follow up (r = 0.72, p < 0.001). Over both time periods, children with adults who reduced BMI were more likely to reduce BMI SDS (p < 0.01) and showed a greater reduction in BMI SDS (p < 0.01) than children with adults who maintained or increased BMI. Conclusion: The results showed a strong positive association between adult BMI change and child BMI SDS change, particularly during the post-intervention period where therapeutic contact was minimal. The findings suggest active involvement of adult family members in the weight loss process improves child treatment outcomes.

Item Type: Article
Themes: Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Annals of Human Biology
Publisher: Informa Healthcare
Refereed: Yes
ISSN: 0301-4460
Depositing User: RH Shuttleworth
Date Deposited: 23 May 2012 16:20
Last Modified: 07 Jul 2014 11:14
URI: http://usir.salford.ac.uk/id/eprint/22755

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