A primary care-based, multicomponent lifestyle intervention for overweight adolescent females

Lynn L. DeBar, Victor J. Stevens, Nancy A Perrin, Philip Wu, John Pearson, Bobbi Jo Yarborough, John Dickerson, Frances Lynch

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVE: Most clinic-based weight control treatments for youth have been designed for preadolescent children by using family-based care. However, as adolescents become more autonomous and less motivated by parental influence, this strategy may be less appropriate. This study evaluated a primary care-based, multicomponent lifestyle intervention specifically tailored for overweight adolescent females. METHODS: Adolescent girls (N = 208) 12 to 17 years of age (mean ± SD: 14.1 ± 1.4 years), with a mean ± SD BMI percentile of 97.09 ±2.27, were assigned randomly to the intervention or usual care control group. The gender and developmentally tailored intervention included a focus on adoptable healthy lifestyle behaviors and was reinforced by ongoing feedback from the teen's primary care physician. Of those randomized, 195 (94%) completed the 6-month posttreatment assessment, and 173 (83%) completed the 12-month follow-up. The primary outcome was reduction in BMI z score. RESULTS: The decrease in BMI z score over time was significantly greater for intervention participants compared with usual care participants (-0.15 in BMI z score among intervention participants compared with -0.08 among usual care participants; P = .012). The 2 groups did not differ in secondary metabolic or psychosocial outcomes. Compared with usual care, intervention participants reported less reduction in frequency of family meals and less fast-food intake. CONCLUSIONS: A 5-month, medium-intensity, primary care-based, multicomponent behavioral intervention was associated with significant and sustained decreases in BMI z scores among obese adolescent girls compared with those receiving usual care.

Original languageEnglish (US)
JournalPediatrics
Volume129
Issue number3
DOIs
StatePublished - Mar 2012
Externally publishedYes

Fingerprint

Life Style
Primary Health Care
Fast Foods
Primary Care Physicians
Meals
Primary Care
Lifestyle
Eating
Weights and Measures
Control Groups
Therapeutics

Keywords

  • Adolescent obesity
  • Behavioral intervention
  • Primary care
  • Randomized controlled trial
  • Weight management

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

DeBar, L. L., Stevens, V. J., Perrin, N. A., Wu, P., Pearson, J., Yarborough, B. J., ... Lynch, F. (2012). A primary care-based, multicomponent lifestyle intervention for overweight adolescent females. Pediatrics, 129(3). https://doi.org/10.1542/peds.2011-0863

A primary care-based, multicomponent lifestyle intervention for overweight adolescent females. / DeBar, Lynn L.; Stevens, Victor J.; Perrin, Nancy A; Wu, Philip; Pearson, John; Yarborough, Bobbi Jo; Dickerson, John; Lynch, Frances.

In: Pediatrics, Vol. 129, No. 3, 03.2012.

Research output: Contribution to journalArticle

DeBar, LL, Stevens, VJ, Perrin, NA, Wu, P, Pearson, J, Yarborough, BJ, Dickerson, J & Lynch, F 2012, 'A primary care-based, multicomponent lifestyle intervention for overweight adolescent females', Pediatrics, vol. 129, no. 3. https://doi.org/10.1542/peds.2011-0863
DeBar, Lynn L. ; Stevens, Victor J. ; Perrin, Nancy A ; Wu, Philip ; Pearson, John ; Yarborough, Bobbi Jo ; Dickerson, John ; Lynch, Frances. / A primary care-based, multicomponent lifestyle intervention for overweight adolescent females. In: Pediatrics. 2012 ; Vol. 129, No. 3.
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