Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)

Adrienne R Hughes, Laura Stewart, Jan Chapple, John H McColl, Malcolm D C Donaldson, Christopher J H Kelnar, Mehran Zabihollah, Faisal Ahmed, John J Reilly

Research output: Contribution to journalArticle

114 Citations (Scopus)

Abstract

The objective of this study was to determine whether a generalizable best-practice individualized behavioral intervention reduced BMI z score relative to standard dietetic care among overweight children.
The design consisted of an assessor-blinded, randomized, controlled trial involving 134 overweight children (59 boys, 75 girls; BMI ≥ 98th centile relative to United Kingdom 1990 reference data for children aged 5–11 years) who were randomly assigned to a best-practice behavioral program (intervention) or standard care (control). The intervention used family-centered counseling and behavioral strategies to modify diet, physical activity, and sedentary behavior. BMI z score, weight, objectively measured physical activity and sedentary behavior, fat distribution, quality of life, and height z score were recorded at baseline and at 6 and 12 months.
The intervention had no significant effect relative to standard care on BMI z score from baseline to 6 months and 12 months. BMI z score decreased significantly in both groups from baseline to 6 and 12 months. For those who complied with treatment, there was a significantly smaller weight increase in those in the intervention group compared with control subjects from baseline to 6 months. There were significant between-group differences in favor of the intervention for changes in total physical activity, percentage of time spent in sedentary behavior, and light-intensity physical activity.
A generalizable, best-practice individualized behavioral intervention had modest benefits on objectively measured physical activity and sedentary behavior but no significant effect on BMI z score compared with standard care among overweight children. The modest magnitude of the benefits observed perhaps argues for a longer-term and more intense intervention, although such treatments may not be realistic for many health care systems.
LanguageEnglish
Pagese539 -e546
Number of pages8
JournalPediatrics
Volume121
Issue number3
DOIs
Publication statusPublished - 1 Mar 2008

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Keywords

  • obesity
  • child care
  • childhood obesity
  • pediatrics
  • randomised controlled trial
  • best-practice
  • individualized
  • behavioural program
  • childhood overweight
  • treatment

Cite this

Hughes, Adrienne R ; Stewart, Laura ; Chapple, Jan ; McColl, John H ; Donaldson, Malcolm D C ; Kelnar, Christopher J H ; Zabihollah, Mehran ; Ahmed, Faisal ; Reilly, John J. / Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight : Scottish Childhood Overweight Treatment Trial (SCOTT). In: Pediatrics. 2008 ; Vol. 121, No. 3. pp. e539 -e546.
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Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight : Scottish Childhood Overweight Treatment Trial (SCOTT). / Hughes, Adrienne R; Stewart, Laura; Chapple, Jan; McColl, John H; Donaldson, Malcolm D C; Kelnar, Christopher J H; Zabihollah, Mehran; Ahmed, Faisal; Reilly, John J.

In: Pediatrics, Vol. 121, No. 3, 01.03.2008, p. e539 -e546.

Research output: Contribution to journalArticle

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