Use of a FITLINE to Support Families of Overweight and Obese Children in Pediatric Practices

Childhood Obesity
Lori PbertAlan C Geller

Abstract

The American Academy of Pediatrics (AAP) recommends a staged approach to pediatric weight management, starting with helping families to make targeted dietary and activity changes. This pilot study evaluated the preliminary efficacy of a pediatric practice-based referral program to support parents in helping their overweight/obese children improve their weight-related behaviors and BMI. A nonrandomized intervention study with contemporaneous control was used. Parents and their children ages 8-12 with BMI ≥85th percentile (N = 37) were recruited from a pediatric practice serving a low-income, multiethnic population. Providers delivered brief intervention and referred families to six weekly FITLINE telephone counseling sessions with a nutritionist who guided parents in helping their child make AAP-recommended changes. Child BMI and parent survey of child diet and physical activity were completed at baseline and 3 months. Medical record data from 44 children matched for age and BMI were collected. Mean change in BMI from baseline to 3-month follow-up was -0.49 BMI units (standard deviation [SD], 0.95; p = 0.007) for the FITLINE group and 0.35 BMI units (SD, 0.96; p = 0.02) for the control group. Adjusting for baseline BMI, age, and...Continue Reading

References

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Citations

May 1, 2019·Journal of Pediatric Psychology·David M JanickeJanet H Silverstein
Apr 27, 2020·The International Journal of Behavioral Nutrition and Physical Activity·Nicole E BlackburnMark A Tully
Jul 25, 2021·Current Obesity Reports·Erin L MoormanDavid M Janicke
Sep 18, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Alexis JonesM W Beets

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Clinical Trials Mentioned

NCT02085434

Software Mentioned

Prevention Plus
FITLINE
REDCap

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