About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Programs Provide Temporary Maintenance of Weight Loss

by Medindia Content Team on October 10, 2007 at 6:16 PM
Font : A-A+

Programs Provide Temporary Maintenance of Weight Loss

Maintenance programs that lay emphasize on behavioral skills and social facilitation appear to help children sustain the weight they have lost although the effectiveness lessened over time, according to a study in the October 10 issue of JAMA.

The prevalence of overweight among children in the United States has tripled in recent decades and related health care costs have nearly quadrupled, according to background information in the article. "Lifestyle interventions remain the most well-established interventions for overweight 7- to 12-year-olds. Although some evidence supports long-term efficacy, maintaining weight loss remains a challenge, with most interventions marked by considerable relapse," the authors write.

Advertisement

Denise E. Wilfley, Ph.D., of Washington University School of Medicine, St. Louis, and colleagues evaluated the effects of two interventions following standard family-based behavioral weight loss treatment: a behavioral skills maintenance (BSM) and a social facilitation maintenance (SFM) intervention, compared to no intervention.

The BSM approach is based on the premise that specific strategies are needed for weight loss maintenance, emphasizing self-regulation behaviors and relapse-prevention strategies. The SFM approach is based on the premise that relapse results from the absence of a social environment supportive of continued weight control. This approach also targets peer (e.g., teasing) and self-perceptual (e.g., body image) factors identified as barriers to overweight children's physical activity.
Advertisement

The randomized controlled trial, conducted between October 1999 and July 2004 in a university-based weight control clinic, included 204 healthy 7- to 12-year-olds, 20 percent to 100 percent above median (midpoint) body mass index (BMI) for age and sex, with at least one overweight parent. Children enrolled in five months of weight loss treatment and 150 were randomized to one of three maintenance conditions: control group or four months of BSM or SFM treatment. Follow-up assessments occurred immediately following maintenance treatments and 1 and 2 years following randomization.

The researchers found that children receiving either BSM or SFM maintained relative weight significantly better than children assigned to the control group from randomization to postweight maintenance. Active maintenance treatment effectiveness relative to the control group declined during follow-up, but the effects of SFM alone and when analyzed together with BSM were significantly better than the control group when examining certain BMI score outcomes from baseline to 2-year follow-up. Baseline child social problem scores moderated child relative weight change from baseline to 2-year follow-up, with low social problem children in SFM vs. the control group having the best outcomes. There were no significant differences in child weight outcomes between BSM and SFM in either the short-term or long-term.

"The alarming prevalence of child overweight necessitates the development of more effective long-term intervention strategies. Our study demonstrated that extended treatment contact with either a continued BSM focus or a novel SFM focus improves weight loss maintenance in a childhood overweight population in comparison with a weight loss program alone at least in the short-term, with some evidence for sustained long-term efficacy among more socially adept children receiving an SFM treatment," the researchers write.

Source: Eurekalert
GAN /J
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Top 7 Benefits of Good Oral Hygiene
Healthy and Safer Thanksgiving 2021
Long-Term Glycemic Control - A Better Measure of COVID-19 Severity
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Diet Pills The Cabbage Diet Bulimia Nervosa The Macrobiotic Diet Height and Weight-Kids 

Recommended Reading
Dietary Counseling Leads to Weight Loss
Dietary counseling has resulted in weight loss of approximately 6 percent of initial body weight ......
Bulimia Nervosa
The term ''Bulimia'' refers to episodes of uncontrolled excessive eating, known as "binges," followe...
Diet Pills
Diet pills are flooding the market by millions. The positive side of diet pills to most people is th...
The Cabbage Diet
The plausible reason that can be sited is the inherent low calorie property of cabbage....

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use