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• W2300852181 abstract "Background: 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. Methods: 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. Results: 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 sex, children in the FITLINE condition reduced BMI significantly more than children in the control condition (mean difference = −0.89; p = 0.0003). Significant improvements in many dietary and sedentary behaviors also were noted. Conclusions: The FITLINE program reduced short-term BMI and improved dietary and sedentary behaviors. A randomized, controlled trial is warranted to assess the program's efficacy and potential to serve as a model for reducing obesity in pediatric practice." @default.
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• W2300852181 date "2016-02-01" @default.
• W2300852181 modified "2023-10-03" @default.
• W2300852181 title "Use of a FITLINE to Support Families of Overweight and Obese Children in Pediatric Practices" @default.
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• W2300852181 doi "https://doi.org/10.1089/chi.2015.0101" @default.
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