{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T09:07:13Z","timestamp":1769850433777,"version":"3.49.0"},"reference-count":48,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To test in the primary care setting the short- and long-term efficacy of a behavioral intervention that simultaneously targeted an overweight child and parent versus an information control (IC) targeting weight control only in the child.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Two- to 5-year-old children who had BMI \u226585th percentile and an overweight parent (BMI &amp;gt;25 kg\/m2) were randomized to Intervention or IC, both receiving diet and activity education over 12 months (13 sessions) followed by 12-month follow-up (3 sessions). Parents in the Intervention group were also targeted for weight control and received behavioral intervention. Pediatricians in 4 practices enrolled their patients with the assistance of embedded recruiters (Practice Enhancement Assistants) who assisted with treatment too.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>A total of 96 of the 105 children randomized (Intervention n = 46; IC n = 50) started the program and had data at baseline. Children in the Intervention experienced greater reductions in percent over BMI (group \u00d7 months; P = .002) and z-BMI (group \u00d7 months; P &amp;lt; 0.001) compared with IC throughout treatment and follow-up. Greater BMI reduction was observed over time for parents in the Intervention compared with IC (P &amp;lt; .001) throughout treatment and follow-up. Child weight changes were correlated with parent weight changes at 12 and 24 months (r = 0.38 and 0.26; P &amp;lt; .001 and P = .03).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Concurrently targeting preschool-aged overweight and obese youth and their parents in primary care with behavioral intervention results in greater decreases in child percent over BMI, z-BMI, and parent BMI compared with IC. The difference between Intervention and IC persists after 12 months of follow-up.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2013-4084","type":"journal-article","created":{"date-parts":[[2014,7,22]],"date-time":"2014-07-22T03:53:39Z","timestamp":1406001219000},"page":"290-297","source":"Crossref","is-referenced-by-count":45,"title":["Treatment Outcomes of Overweight Children and Parents in the Medical Home"],"prefix":"10.1542","volume":"134","author":[{"given":"Teresa","family":"Quattrin","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James N.","family":"Roemmich","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;"},{"name":"USDA\/ARS Grand Forks Human Nutrition Research Center, Grand Forks, North Dakota; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Paluch","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihnhee","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University at Buffalo, Buffalo, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard H.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle A.","family":"Ecker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2014,8,1]]},"reference":[{"issue":"8","key":"2021120906524973300_B1","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1001\/jama.2014.732","article-title":"Prevalence of childhood and adult obesity in the United States, 2011-2012.","volume":"311","author":"Ogden","year":"2014","journal-title":"JAMA"},{"issue":"5","key":"2021120906524973300_B2","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1037\/0278-6133.26.5.521","article-title":"Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials.","volume":"26","author":"Wilfley","year":"2007","journal-title":"Health Psychol"},{"issue":"5","key":"2021120906524973300_B3","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1037\/0278-6133.13.5.373","article-title":"Ten-year outcomes of behavioral family-based treatment for childhood obesity.","volume":"13","author":"Epstein","year":"1994","journal-title":"Health Psychol"},{"issue":"4","key":"2021120906524973300_B4","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0002-8223(21)03961-4","article-title":"Family-based behavioral weight control in obese young children.","volume":"86","author":"Epstein","year":"1986","journal-title":"J Am Diet Assoc"},{"issue":"4","key":"2021120906524973300_B5","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1542\/peds.2012-0701","article-title":"Efficacy of family-based weight control program for preschool children in primary care.","volume":"130","author":"Quattrin","year":"2012","journal-title":"Pediatrics"},{"issue":"5","key":"2021120906524973300_B6","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1037\/0278-6133.26.5.533","article-title":"Clinician\u2019s comment on treatment of childhood overweight meta-analysis.","volume":"26","author":"Saelens","year":"2007","journal-title":"Health Psychol"},{"issue":"1","key":"2021120906524973300_B7","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1038\/oby.2002.4","article-title":"Behavioral weight control for overweight adolescents initiated in primary care.","volume":"10","author":"Saelens","year":"2002","journal-title":"Obes Res"},{"issue":"3","key":"2021120906524973300_B8","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1089\/met.2004.2.160","article-title":"Diminished insulin resistance with weight loss in severely overweight youth.","volume":"2","author":"Roemmich","year":"2004","journal-title":"Metab Syndr Relat Disord"},{"issue":"2","key":"2021120906524973300_B9","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1542\/peds.2004-2536","article-title":"Childhood obesity and type 2 diabetes mellitus.","volume":"116","author":"Hannon","year":"2005","journal-title":"Pediatrics"},{"issue":"1","key":"2021120906524973300_B10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1038\/oby.2010.75","article-title":"Adiposity in childhood is related to C-reactive protein and adiponectin in young adulthood: from the Bogalusa Heart Study.","volume":"19","author":"Toprak","year":"2011","journal-title":"Obesity (Silver Spring)"},{"issue":"5","key":"2021120906524973300_B11","doi-asserted-by":"crossref","first-page":"1499S","DOI":"10.3945\/ajcn.2010.28701B","article-title":"Childhood obesity and adult morbidities.","volume":"91","author":"Biro","year":"2010","journal-title":"Am J Clin Nutr"},{"issue":"1","key":"2021120906524973300_B12","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1037\/0278-6133.19.Suppl1.5","article-title":"Long-term maintenance of weight loss: current status.","volume":"19","author":"Jeffery","year":"2000","journal-title":"Health Psychol"},{"issue":"15","key":"2021120906524973300_B13","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1056\/NEJMoa061883","article-title":"A self-regulation program for maintenance of weight loss.","volume":"355","author":"Wing","year":"2006","journal-title":"N Engl J Med"},{"issue":"10","key":"2021120906524973300_B14","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1001\/jama.299.10.1139","article-title":"Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial.","volume":"299","author":"Svetkey","year":"2008","journal-title":"JAMA"},{"key":"2021120906524973300_B15","unstructured":"USDA. Estimated calorie needs per day by age, gender, and physical activity level. Available at: www.cnpp.usda.gov\/publications\/usdafoodpatterns\/estimatedcalorieneedsperdaytable.pdf. Accessed June 12, 2014"},{"issue":"4","key":"2021120906524973300_B16","doi-asserted-by":"crossref","first-page":"688","DOI":"10.2337\/dc08-1799","article-title":"Diet soda intake and risk of incident metabolic syndrome and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA).","volume":"32","author":"Nettleton","year":"2009","journal-title":"Diabetes Care"},{"issue":"5","key":"2021120906524973300_B17","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1161\/CIRCULATIONAHA.107.689935","article-title":"Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community.","volume":"116","author":"Dhingra","year":"2007","journal-title":"Circulation"},{"key":"2021120906524973300_B18","first-page":"374","article-title":"Development of evidence-based treatments for pediatric obesity","volume-title":"Evidence-Based Psychotherapies for Children and Adolescents","author":"Epstein","year":"2003"},{"issue":"3","key":"2021120906524973300_B19","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1038\/sj.ejcn.1602090","article-title":"What is the best measure of adiposity change in growing children: BMI, BMI %, BMI z-score or BMI centile?","volume":"59","author":"Cole","year":"2005","journal-title":"Eur J Clin Nutr"},{"issue":"314","key":"2021120906524973300_B20","first-page":"1","article-title":"CDC growth charts: United States.","author":"Kuczmarski","year":"2000","journal-title":"Adv Data"},{"key":"2021120906524973300_B21","first-page":"1","article-title":"Construction of LMS parameters for the Centers for Disease Control and Prevention 2000 Growth Charts.","volume":"63","author":"Flegal","year":"2013","journal-title":"Natl Health Stat Rep"},{"issue":"24","key":"2021120906524973300_B22","doi-asserted-by":"crossref","first-page":"2247","DOI":"10.1056\/NEJMoa1109333","article-title":"A clinical trial to maintain glycemic control in youth with type 2 diabetes.","volume":"366","author":"Zeitler","year":"2012","journal-title":"N Engl J Med"},{"issue":"4","key":"2021120906524973300_B23","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1002\/ajhb.20608","article-title":"Comparison of methods to evaluate changes in relative body mass index in pediatric weight control.","volume":"19","author":"Paluch","year":"2007","journal-title":"Am J Hum Biol"},{"key":"2021120906524973300_B24"},{"issue":"1","key":"2021120906524973300_B25","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2008-1408","article-title":"Trends in the diagnosis of overweight and obesity in children and adolescents: 1999-2007.","volume":"123","author":"Benson","year":"2009","journal-title":"Pediatrics"},{"issue":"7","key":"2021120906524973300_B26","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1001\/archpedi.159.7.632","article-title":"Diagnosis, evaluation, and treatment of childhood obesity in pediatric practice.","volume":"159","author":"Dorsey","year":"2005","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"8","key":"2021120906524973300_B27","first-page":"581","article-title":"Practice facilitators: a review of the literature.","volume":"37","author":"Nagykaldi","year":"2005","journal-title":"Fam Med"},{"key":"2021120906524973300_B28","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1370\/afm.303","article-title":"Primary care practice-based research networks: working at the interface between research and quality improvement.","volume":"3","author":"Mold","year":"2005","journal-title":"Ann Fam Med"},{"issue":"9","key":"2021120906524973300_B29","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1038\/sj.ijo.0802383","article-title":"Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials.","volume":"27","author":"McLean","year":"2003","journal-title":"Int J Obes Relat Metab Disord"},{"issue":"2","key":"2021120906524973300_B30","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1542\/peds.2004-1452","article-title":"Obese children who are referred to the pediatric endocrinologist: characteristics and outcome.","volume":"115","author":"Quattrin","year":"2005","journal-title":"Pediatrics"},{"issue":"2","key":"2021120906524973300_B31","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1089\/chi.2012.0153","article-title":"Patient-centered approaches to childhood obesity care.","volume":"9","author":"Cheng","year":"2013","journal-title":"Child Obes"},{"issue":"2","key":"2021120906524973300_B32","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1038\/oby.2010.207","article-title":"Correlates of participation in a pediatric primary care-based obesity prevention intervention.","volume":"19","author":"Taveras","year":"2011","journal-title":"Obesity (Silver Spring)"},{"issue":"2","key":"2021120906524973300_B33","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1542\/peds.2009-2037","article-title":"Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement.","volume":"125","author":"Barton","year":"2010","journal-title":"Pediatrics"},{"issue":"2","key":"2021120906524973300_B34","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2009-1955","article-title":"Effectiveness of weight management interventions in children: a targeted systematic review for the USPSTF.","volume":"125","author":"Whitlock","year":"2010","journal-title":"Pediatrics"},{"issue":"4","key":"2021120906524973300_B35","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1001\/archpedi.158.4.342","article-title":"Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment.","volume":"158","author":"Wrotniak","year":"2004","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"4","key":"2021120906524973300_B36","first-page":"454","article-title":"The effect of weight control on lipid changes in obese children.","volume":"143","author":"Epstein","year":"1989","journal-title":"Am J Dis Child"},{"issue":"4","key":"2021120906524973300_B37","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1136\/adc.2009.165340","article-title":"What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health?","volume":"95","author":"Ford","year":"2010","journal-title":"Arch Dis Child"},{"key":"2021120906524973300_B38","unstructured":"Centers for Disease Control and Prevention. Overweight and obesity causes and consequences 2012. Accessed April 27, 2012. Available at: www.cdc.gov\/obesity\/adult\/causes\/index.html\/"},{"issue":"7","key":"2021120906524973300_B39","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1038\/oby.2012.43","article-title":"Associations of obesogenic behaviors in mothers and obese children participating in a randomized trial.","volume":"20","author":"Sonneville","year":"2012","journal-title":"Obesity (Silver Spring)"},{"issue":"7","key":"2021120906524973300_B40","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1038\/oby.2012.48","article-title":"Parent predictors of child weight change in family based behavioral obesity treatment.","volume":"20","author":"Boutelle","year":"2012","journal-title":"Obesity (Silver Spring)"},{"issue":"1","key":"2021120906524973300_B41","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0022-3476(77)80440-X","article-title":"Nutrition and growth.","volume":"91","author":"Forbes","year":"1977","journal-title":"J Pediatr"},{"issue":"3 pt 2","key":"2021120906524973300_B42","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1542\/peds.101.S2.518","article-title":"Health consequences of obesity in youth: childhood predictors of adult disease.","volume":"101","author":"Dietz","year":"1998","journal-title":"Pediatrics"},{"issue":"1","key":"2021120906524973300_B43","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1001\/jamapediatrics.2013.416","article-title":"Indicated prevention of adult obesity: how much weight change is necessary for normalization of weight status in children?","volume":"167","author":"Goldschmidt","year":"2013","journal-title":"JAMA Pediatr"},{"key":"2021120906524973300_B44"},{"issue":"1","key":"2021120906524973300_B45","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1056\/NEJM199801013380109","article-title":"Losing weight\u2014an ill-fated New Year\u2019s resolution.","volume":"338","author":"Kassirer","year":"1998","journal-title":"N Engl J Med"},{"issue":"2","key":"2021120906524973300_B46","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0025-7125(05)70230-3","article-title":"Behavioral treatment of obesity.","volume":"84","author":"Wadden","year":"2000","journal-title":"Med Clin North Am"},{"issue":"2","key":"2021120906524973300_B47","first-page":"123","article-title":"Long-term follow-up of behavioral treatment for obesity: patterns of weight regain among men and women.","volume":"13","author":"Kramer","year":"1989","journal-title":"Int J Obes"},{"issue":"5","key":"2021120906524973300_B48","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1002\/j.1550-8528.1995.tb00170.x","article-title":"Do children lose and maintain weight easier than adults: a comparison of child and parent weight changes from six months to ten years.","volume":"3","author":"Epstein","year":"1995","journal-title":"Obes Res"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/134\/2\/290\/1103792\/peds_2013-4084.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/134\/2\/290\/1103792\/peds_2013-4084.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T01:12:45Z","timestamp":1639098765000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/134\/2\/290\/32997\/Treatment-Outcomes-of-Overweight-Children-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,1]]},"references-count":48,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014,8,1]]},"published-print":{"date-parts":[[2014,8,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2013-4084","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,1]]}}}