Effects of diet plus exercise on weight change in parents and children.

Abstract

Obese children and parents from 53 families were randomly assigned to three groups: diet, diet plus exercise, and no treatment control. At 6 months, parents and children in both treatment groups had equal and significantly better weight change than members of the control group. At 1 year, however, parents given diet plus exercise showed better weight losses than parents given diet alone. No treatment group differences were found for children after 1 year. Parent and child weight changes during the first 6 months of treatment were highly correlated, but those during months 6 to 12 were uncorrelated. Discriminant analyses showed that initial relative weight was the best predictor of 12-month relative weight for both parents and children and that exposure to the exercise program during treatment was a predictor of maintenance of nonobesity.

Impact of a child obesity intervention on dietary intake and behaviors

“…No between-group differences in weight were reported by Epstein et al 19 for two of four studies with long-term (10 year) follow-up. In one study, 20 families were randomized to regimes of diet and lifestyle exercise, diet alone or to a non-treatment control. The other study 21 assessed the effects of parental weight status, two non-obese parents versus at least one obese parent and child self-control on child weight loss.…”

Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment

“…This may be considered a positive outcome, given that increased physical activity is resulted an important predictor of successful weight maintenance in treated obese children (Epstein et al, 1984). Probably, as a result of the more active lifestyle, all motor skills of the children improved significantly.…”

Effectiveness of Lifestyle Interventions in Child Obesity: Systematic Review With Meta-analysis

“…Eight additional studies (12 articles) from the previous review that met the comparison criteria were also included. [63][64][65][66][67][68][69][70][71][72][73][74] The total number of studies included in this review is 38.…”

“…Nearly half of the studies were conducted in the United States (n = 18), 22,24,29,33,41,[46][47][48][49]50,56,63,64,[66][67][68][69]71 5 in Australia, 25,30,[35][36][37] and the others in Israel (n = 3), 39,43,44 Germany (n = 2), 32,51 the United Kingdom (n = 2), 34,40 Belgium, 65 China, 28 Finland, 42 Iran, 45 Korea, 31 Mexico, 38 Taiwan, 26 and Tunisia. 23 Eighteen studies targeted obese children exclusively, 22,23,26,28,29,31,34,38,[40][41][42]44,46,…”