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Randomized Controlled Trial
. 2014 Jun 19:15:234.
doi: 10.1186/1745-6215-15-234.

National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): project design and results of a randomised controlled trial of a good practice approach to treatment of adolescent obesity in Kuwait

Shurooq A Boodai  1 , John H McColl, John J Reilly
Affiliations
Randomized Controlled Trial

National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): project design and results of a randomised controlled trial of a good practice approach to treatment of adolescent obesity in Kuwait

Shurooq A Boodai et al. Trials. .

Abstract

Background: Few randomised controlled trials (RCTs) of interventions for the treatment of adolescent obesity have taken place outside the western world. This RCT tested whether a simple 'good practice' intervention for the treatment of adolescent obesity would have a greater impact on weight status and other outcomes than a referral to primary care (control) in adolescents in Kuwait City.

Methods: We report on an assessor-blinded RCT of a treatment intervention in 82 obese 10- to 14-year-olds (mean age 12.4, SD 1.2 years), randomised to a good practice treatment or primary care control group over 6 months. The good practice intervention was intended as relatively low intensity (6 hours contact over 24 weeks, group-based), aiming to change sedentary behaviour, physical activity, and diet. The primary outcome was a change in body mass index (BMI) Z score; other outcomes were changes in waist circumference and blood pressure.

Results: The retention of subjects to follow up was acceptable (n = 31 from the intervention group, and n = 32 from the control group), but engagement with both the intervention and control treatment was poor. Treatment had no significant effect on BMI Z score relative to control, and no other significant benefits to intervention were observed.

Conclusions: The trial was feasible, but highlights the need to engage obese adolescents and their families in the interventions being trialled. The trial should inform the development of future adolescent obesity treatment trials in the Gulf States with the incorporation of qualitative assessment in future intervention trials.

Trial registration: RCT Registered as National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): http://www.controlled-trials.com/ISRCTN37457227, 1 December 2009.

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Figures

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Figure 1
CONSORT 2010 flow diagram.
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References

    1. El-Ghaziri M, Boodai S, Young D, Reilly JJ. Impact of using national versus international definitions of underweight, overweight, and obesity: an example from Kuwait. Publ Health Nutr. 2011;14:2074–2078. - PubMed
    1. Al-Isa AN. Body mass index, overweight and obesity among Kuwaiti intermediate school adolescents aged 10–14 years. Eur J Clin Nutr. 2004;58:1273–1277. - PubMed
    1. Luttikhuis HO, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP, Summerbell CD. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1:CD001872. - PubMed
    1. Collins CE, Warren J, Neve M, McCoy P, Stokes BJ. Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomized trials. Arch Pediatr Adolesc Med. 2006;160:906–922. - PubMed
    1. Reilly JJ, Kelnar CJ, Alexander DW, Hacking B, McDowell ZC, Stewart LM, Methven E. Health consequences of obesity: systematic review and evidence appraisal. Arch Dis Child. 2003;88:748–752. - PMC - PubMed

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