Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2015 Apr 10:16:143.
doi: 10.1186/s13063-015-0673-6.

Effects of weight management program on postural stability and neuromuscular function among obese children: study protocol for a randomized controlled trial

Affiliations
Randomized Controlled Trial

Effects of weight management program on postural stability and neuromuscular function among obese children: study protocol for a randomized controlled trial

Fenghua Sun et al. Trials. .

Abstract

Background: Childhood obesity is one of the most critical public health problems in the world. It is associated with low neuromuscular function and postural deformities. Whether weight loss can improve postural stability and neuromuscular control, benefit daily activities, or prevent injury is unknown. Therefore, this study attempts to investigate the effect of a 6 month weight management program on postural stability and neuromuscular control among obese children.

Methods/design: We will conduct a prospective, single-blind, randomized controlled trial with 120 prepubescent obese children. Participants will be randomly assigned to a weight management group or a control group. The weight management group will participate in a dietary and exercise program. The control group will receive health education. After the intervention, participants will be followed for 6 months with no active intervention. The primary and secondary outcomes will be assessed at the baseline, and after 6 months and 12 months. Primary outcome measures will include body weight, body height, body mass index, waist circumference, hip circumference, and body fat percentage. Secondary outcome measures will include three-dimensional functional biomechanics in different tasks, proprioception tests of the knee and ankle, neuromuscular response of the leg muscles, and muscle strength tests of the knee and ankle. Furthermore, adverse events will be recorded and analyzed. An intention-to-treat analysis will be performed if any participants withdraw from the trial.

Discussion: The important features of this trial include the randomization procedures and large sample size. This study attempts to estimate the effect of weight loss intervention on outcomes, including daily life function, postural stability, and neuromuscular control in prepubescent obese children. Therefore, our results can be useful for obese children, medical staff, and healthcare decision makers.

Trial registration: Chinese Clinical Trial Registry ChiCTR-IOB-15005874.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow diagram of study design.

References

    1. World Health Organization. Childhood Overweight and Obesity. 2012. http://www.who.int/dietphysicalactivity/childhood/en/. Accessed 22 Oct 2014.
    1. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, et al. Health consequences of obesity. Arch Dis Child. 2003;88:748–52. doi: 10.1136/adc.88.9.748. - DOI - PMC - PubMed
    1. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101:518–25. - PubMed
    1. Shultz SP, Byrne NM, Hills AP. Musculoskeletal function and obesity: implications for physical activity. Curr Obes Rep. 2014;2014(3):355–60. doi: 10.1007/s13679-014-0107-x. - DOI - PubMed
    1. Hills AP, Hennig EM, Byrne NM, Steele JR. The biomechanics of adiposity - structural and functional limitations of obesity and implications for movement. Obes Rev. 2002;3:35–43. doi: 10.1046/j.1467-789X.2002.00054.x. - DOI - PubMed

Publication types

MeSH terms