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Real-world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity.
Samuels, Stephanie L; Hu, Pamela; Maciejewski, Kaitlin R; Li, Fangyong; Dziura, James; Savoye, Mary; Sharifi, Mona.
Afiliação
  • Samuels SL; Section of Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Hu P; Section of Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Maciejewski KR; Yale University School of Public Health, Yale Center for Analytical Sciences, New Haven, Connecticut, USA.
  • Li F; Yale University School of Public Health, Yale Center for Analytical Sciences, New Haven, Connecticut, USA.
  • Dziura J; Yale University School of Public Health, Yale Center for Analytical Sciences, New Haven, Connecticut, USA.
  • Savoye M; Section of Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Sharifi M; Section of General Pediatrics, Department of Pediatrics, Yale Center for Implementation Science, Center for Medical Informatics, Yale University School of Medicine, New Haven, Connecticut, USA.
Obesity (Silver Spring) ; 31(1): 203-213, 2023 01.
Article em En | MEDLINE | ID: mdl-36502287
OBJECTIVE: This study aimed to examine the extent to which Bright Bodies, a high-intensity, family-based pediatric weight management intervention, improved BMI for participants since publication of the randomized controlled trial establishing efficacy in 2007 and to describe adaptations to the program. METHODS: For participants enrolled from 2008 to 2018, linear mixed-effects models were used to estimate monthly change in BMI expressed as percentage of the 95th percentile (%BMIp95) during participants' first beginner-level program. RESULTS: The sample included 396 youth individuals (mean age: 11.7 [SD 2.8] years, 61.6% female, 37.1% non-Hispanic Black, 26.3% Hispanic or Latino, 53.8% with public insurance, 80.1% with severe obesity). Across the 11 years, participants' %BMIp95 reduced on average by 1.63% (95% CI: 1.44%-1.82%) per month during their first program (mean duration: 10 weeks) after adjusting for age, sex, season and year, starting %BMIp95, race and ethnicity, and insurance category. Greater reduction in %BMIp95 was associated with male versus female sex, spring/fall versus winter seasons, enrollment in 2008 to 2018 versus 2015 to 2018, and higher starting %BMIp95 (p value for all <0.001). Adaptations since 2007 included pragmatic changes to increase engagement and address funding shortages. CONCLUSIONS: These results suggest sustained clinical effectiveness of Bright Bodies in the context of real-world adaptations.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Obesidade Infantil Tipo de estudo: Clinical_trials Limite: Adolescent / Child / Female / Humans / Male Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Obesidade Infantil Tipo de estudo: Clinical_trials Limite: Adolescent / Child / Female / Humans / Male Idioma: En Ano de publicação: 2023 Tipo de documento: Article