{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:45:31Z","timestamp":1777484731858,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"\n Background:<\/jats:title>\n Few weight management interventions target young children with obesity from low-income minority families.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To conduct a nonrandomized, pragmatic, pilot study of an adapted, evidence-based, weight management program (Kids N Fitness [KNF]) customized for children ages 3\u20137 years (Kids N Fitness Jr. [KNF-JR]) on changes in adiposity, nutrition, and physical activity behaviors.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n One hundred eighty children (ages 3\u201316) with \u226585th percentile BMI and their parents participated in one of two 6-week weight management interventions dependent on the child's age: KNF-JR: 3\u20137 or regular KNF: 8\u201316. Comparisons were made between baseline anthropometrics and health questionnaire responses, and those from weeks 6 to 18. Two-sample tests for equality of proportions with continuity were used to measure proportions of success between KNF-JR and KNF.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n At week 6, both cohorts showed a mean decrease in BMI z-score (zBMI) of \u22120.02 (\n p<\/jats:italic>\n \u2009=\u20090.3 for KNF-JR [\n n<\/jats:italic>\n \u2009=\u200943];\n p<\/jats:italic>\n \u2009=\u20090.02 for KNF [\n n<\/jats:italic>\n \u2009=\u200959], with no significant group differences. Among program completers, 75% of KNF-JR and 83% of KNF maintained or lowered zBMI at week 18 (within-group difference\n p<\/jats:italic>\n \u2009<\u20090.01). On average across all participants, at week 18 vs. baseline, improvements occurred in screen time (\n p<\/jats:italic>\n \u2009<\u20090.01 KNF-JR,\n p<\/jats:italic>\n \u2009<\u20090.02 KNF), sweetened beverage intake (\n p<\/jats:italic>\n \u2009<\u20090.01 KNF-JR,\n p<\/jats:italic>\n \u2009=\u20090.03 KNF), physical activity (\n p<\/jats:italic>\n \u2009<\u20090.01 KNF-JR and KNF), and water (\n p<\/jats:italic>\n \u2009=\u20090.01 KNF-JR, non-significant KNF) and vegetable (\n p<\/jats:italic>\n \u2009<\u20090.01 KNF-JR,\n p<\/jats:italic>\n \u2009=\u20090.02 KNF) consumption.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This pilot demonstrated that an evidence-based weight management program can be adapted for all age groups and results in improved BMI status. Larger, randomized controlled trials are needed to verify effectiveness and sustained impact.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/chi.2021.0090","type":"journal-article","created":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T12:45:45Z","timestamp":1628858745000},"page":"56-66","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Kids N Fitness Junior: Outcomes of an Evidence-Based Adapted Weight Management Program for Children Ages Three\u2013Seven Years"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6858-9179","authenticated-orcid":false,"given":"Megan","family":"Lipton-Inga","sequence":"first","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Manzanarez","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3790-6255","authenticated-orcid":false,"given":"Alaina P.","family":"Vidmar","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."},{"name":"Department of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Garcia","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Fink","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Iverson","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell E.","family":"Geffner","sequence":"additional","affiliation":[{"name":"The Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA."},{"name":"Department of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"Childhood Obesity Facts\u2014Prevalence of Childhood Obesity in the United States . 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