Treating rural pediatric obesity through telemedicine: baseline data from a randomized controlled trial
- PMID: 21372069
- PMCID: PMC3131699
- DOI: 10.1093/jpepsy/jsr011
Treating rural pediatric obesity through telemedicine: baseline data from a randomized controlled trial
Abstract
Objective: To describe baseline characteristics of participants in a pediatric obesity intervention tailored specifically to rural families delivered via telemedicine.
Methods: Randomized-control trial comparing a family-based behavioral intervention to a usual care condition. Participants Fifty-eight first through fifth graders and their parents from the rural Midwest. Measures Demographic, body mass index (BMI), Actigraph activity monitor information, 24-h dietary recalls, Child Behavior Checklist, Behavioral Pediatrics Feeding Assessment Scale.
Results: Child mean BMI was in the 94th percentile for weight. Average daily dietary intake exceeded 2,000 kcal and children consumed over eight servings of high-calorie, low-nutrient-dense foods. Children are engaged in approximately 65 min of moderate, 12 min of vigorous and over 300 min of sedentary physical activity daily.
Conclusions: Baseline data suggest children in rural areas may engage in adequate physical activity but eat many daily servings of energy-dense foods. Rural families may benefit from a comprehensive, rurally tailored obesity-related health behavior intervention.
References
-
- Achenbach T M. Manual for the Child Behavior Checklist/4–18 and 1991 Profile. 1991. University of Vermont, Department of Psychiatry, Burlington (VT)
-
- American Heart Association. Dietary Recommendations for Children. 2010. Retrieved from: http://www.americanheart.org/presenter.jhtml?identifier=3033999.
-
- Babbit R L, Hoch T A, Coe D A, Cataldo M F, Kelly K J, Stackhouse C, Perman J A. Behavioral assessment and treatment of pediatric feeding disorders. Journal of Developmental and Behavioral Pediatrics. 1994;15:278–291. - PubMed
-
- Birch L L, Fisher J O. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101:539–549. - PubMed
