Is BMI alone a sufficient outcome to evaluate interventions for child obesity?
Authors
Kolotourou, MariaRadley, Duncan
Chadwick, Paul
Smith, Lindsey Rachel
Orfanos, Stavros
Kapetanakis, Venediktos
Singhal, Atul
Cole, Tim J.
Sacher, Paul M.
Affiliation
Mytime MENDIssue Date
2013-06-15Subjects
childhood obesity
Metadata
Show full item recordAbstract
Background: BMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent of effects on adiposity. We investigated whether benefits to health outcomes following the Mind, Exercise, Nutrition...Do It! (MEND) childhood obesity intervention were independent of or associated with changes in zBMI. Methods: A total of 79 obese children were measured at baseline; 71 and 42 participants were followed-up at 6 and 12 months respectively, and split into four groups depending on magnitude of change in zBMI. Differences between groups for waist circumference, cardiovascular fitness, physical and sedentary activities, and self-esteem were investigated. Results: Apart from waist circumference and its z-score, there were no differences or trends across zBMI subgroups for any outcome. Independent of the degree of zBMI change, benefits in several parameters were observed in children participating in this obesity intervention. Conclusion: We concluded that isolating a single parameter like zBMI change and neglecting other important outcomes is restrictive and may undermine the evaluation of childhood obesity intervention effectiveness. © Copyright 2013, Mary Ann Liebert, Inc. 2013.Citation
Kolotourou M, Radley D, Chadwick P, Smith L, Orfanos S, Kapetanakis V, Singhal A, Cole TJ, Sacher PM (2013) 'Is BMI alone a sufficient outcome to evaluate interventions for child obesity?', Childhood Obesity, 9 (4), pp.350-356.Publisher
Mary Ann LiebertJournal
Childhood ObesityPubMed ID
23767805PubMed Central ID
PMC3728723Additional Links
https://www.liebertpub.com/doi/10.1089/chi.2013.0019https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728723/
Type
ArticleLanguage
enISSN
2153-2168ae974a485f413a2113503eed53cd6c53
10.1089/chi.2013.0019