Abstract
Language | English |
---|---|
Article number | 234 |
Number of pages | 6 |
Journal | Trials |
Volume | 15 |
DOIs | |
Publication status | Published - 19 Jun 2014 |
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Keywords
- obesity
- overweight
- adolescents
- treatment
- BMI
- randomised controlled trial
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National Adolescent Treatment Trial for Obesity in Kuwait (NATTO) : project design and results of a randomised controlled trial of a good practice approach to treatment of adolescent obesity in Kuwait. / Boodai, Shurooq A; McColl, John H; Reilly, John J.
In: Trials, Vol. 15, 234, 19.06.2014.Research output: Contribution to journal › Article
TY - JOUR
T1 - National Adolescent Treatment Trial for Obesity in Kuwait (NATTO)
T2 - Trials
AU - Boodai, Shurooq A
AU - McColl, John H
AU - Reilly, John J
PY - 2014/6/19
Y1 - 2014/6/19
N2 - Few randomised controlled trials (RCTs) of interventions for the treatment of adolescent obesity have taken place outside the western world. This RCT tested whether a simple ‘good practice’ intervention for the treatment of adolescent obesity would have a greater impact on weight status and other outcomes than a referral to primary care (control) in adolescents in Kuwait City. We report on an assessor-blinded RCT of a treatment intervention in 82 obese 10- to 14-year-olds (mean age 12.4, SD 1.2 years), randomised to a good practice treatment or primary care control group over 6 months. The good practice intervention was intended as relatively low intensity (6 hours contact over 24 weeks, group-based), aiming to change sedentary behaviour, physical activity, and diet. The primary outcome was a change in body mass index (BMI) Z score; other outcomes were changes in waist circumference and blood pressure. The retention of subjects to follow up was acceptable (n = 31 from the intervention group, and n = 32 from the control group), but engagement with both the intervention and control treatment was poor. Treatment had no significant effect on BMI Z score relative to control, and no other significant benefits to intervention were observed. The trial was feasible, but highlights the need to engage obese adolescents and their families in the interventions being trialled. The trial should inform the development of future adolescent obesity treatment trials in the Gulf States with the incorporation of qualitative assessment in future intervention trials.
AB - Few randomised controlled trials (RCTs) of interventions for the treatment of adolescent obesity have taken place outside the western world. This RCT tested whether a simple ‘good practice’ intervention for the treatment of adolescent obesity would have a greater impact on weight status and other outcomes than a referral to primary care (control) in adolescents in Kuwait City. We report on an assessor-blinded RCT of a treatment intervention in 82 obese 10- to 14-year-olds (mean age 12.4, SD 1.2 years), randomised to a good practice treatment or primary care control group over 6 months. The good practice intervention was intended as relatively low intensity (6 hours contact over 24 weeks, group-based), aiming to change sedentary behaviour, physical activity, and diet. The primary outcome was a change in body mass index (BMI) Z score; other outcomes were changes in waist circumference and blood pressure. The retention of subjects to follow up was acceptable (n = 31 from the intervention group, and n = 32 from the control group), but engagement with both the intervention and control treatment was poor. Treatment had no significant effect on BMI Z score relative to control, and no other significant benefits to intervention were observed. The trial was feasible, but highlights the need to engage obese adolescents and their families in the interventions being trialled. The trial should inform the development of future adolescent obesity treatment trials in the Gulf States with the incorporation of qualitative assessment in future intervention trials.
KW - obesity
KW - overweight
KW - adolescents
KW - treatment
KW - BMI
KW - randomised controlled trial
U2 - 10.1186/1745-6215-15-234
DO - 10.1186/1745-6215-15-234
M3 - Article
VL - 15
JO - Trials
JF - Trials
SN - 1745-6215
M1 - 234
ER -