NEW YORK (Reuters Health) - a programme including regular follow-ups with nurses and concentrated attempts to reduce the TV, fast food and soft drinks seems to keep some children overweight and obésités to have more weight, a new study.
Specifically, girls in General and children from families earning less than $50,000 were less likely to take the weight in a year if they were in the program.
But it seems to have no effect on the boys, or childhood household income higher.
"We have fought a little to try to understand" why the program did not help the children in all, the author of the study Dr. Elsie Taveras of Harvard Medical School says Reuters Health.
"We did not develop as an intervention specifically for children of low-income populations", but that the people in particular and for girls, it has had a big effect, she said.
More, the children who received the intervention reduce watching them TV by about 30 minutes per day, and they have seemed less likely to drink the bicarbonate of soda and fast food. It is possible, with time, these changes could have an impact on their weight, and discover the plan authors for another year, said Taveras.
Other studies have shown a link between obesity and watching TV in childhood. Although this affected program watching TV, but not the overall weight, the two are probably still connected, said the researcher. "I think it's quite possible that (weight) changes lag behind changes in behavior."
Intervention revolves around primary care physicians, thus integrating the same messages healthy in other aspects of the lives of children - child care centres, community centres, schools - perhaps have a greater impact, added Taveras. "The cumulative effects of multiple reinforcements and consistent messages could be much more effective than what we see in the context of just primary health care."
The additional effort would be worth. According to the study, published in the Archives of Pediatrics & Adolescent Medicine, the more than 1 in 5 U.S. children aged 2 to 5 are obese, and another 1 in 10 are obese.
In the study, Taveras and colleagues randomly overweight and obésités children aged 2 to 6 either normal care from their primary care physicians or a new program designed to help them lose weight.
The program included frequent checkins with a nurse practitioner, which focused on help lose weight and specially designed for ideas to help reduce the TV, fast food and soft drinks.
It took a totally new way of working, said Taveras. For example, nurses have been trained in how to motivate and encourage children and their parents to make changes. In clinics, electronic medical records have been updated to remind doctors order tests and other services.
After one year, none of the two groups of children, in all, had lost weight - so that the program has failed in this regard. However, the girls who received the intervention gained significantly less than weight than boys - 0.4 points on a BMI chart, which factors in weight and height.
Treaties kids whose households received $50,000 or less also earned about 1 full point of BMI less than kids who simply check each year with their primary care physicians.
Interventions aimed at helping children lose weight are often unsuccessful — but always worth the effort, said Dr. Robert Klesges, at the University of Tennessee Health Science Center, who did not participate in the study.
Last year, Klesges and his team has found that African-American girls who participated in a program designed to prevent them from becoming obese - giving them targets for a healthy diet and exercise while teaching parents about healthy foods - were just as likely to take that weight girls who participated in a program General comments view of itself.
The tests are expensive, but "extremely important," he told Reuters Health, due to the frequency of obesity among children and the damage it can do to their health. "It is an important public health problem, we can not stop.
SOURCE: http://bit.ly/eNt0lp Archives of Pediatrics & Adolescent Medicine, online on April 4, 2011.
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