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The Built Environment Moderates Effects of Family-Based Childhood Obesity Treatment over 2 Years

Permanent URL:
http://handle.nal.usda.gov/10113/56796
File:
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Abstract:
Background: Research suggests the built environment can influence child activity and eating. Purpose: Test whether the built environment is related to effectiveness of standardized family-based behavioral treatments on overweight children’s weight loss. Method: zBMI changes for 212 children (8-12 years old) who participated in four randomized trials to treat obesity were related to built environment related to physical activity or food purchasing. Results: Parkland, larger average block size and fewer supermarkets were associated with greater zBMI change at 2 years. Girls and older children with low access to convenience stores had better success at 2 years, while interactions of no parkland with low block size, high number of supermarkets or convenience stores were related to reduced long-term zBMI change. Conclusions: Built environment is associated with child success in behavioral treatments for obesity, and efficacy may be improved by individualizing treatments based on characteristics of the built environment.
Author(s):
Leonard H. Epstein , Samina Raja , Tinuke Oluyomi Daniel , Rocco A. Paluch , Denise E. Wilfley , Brian E. Saelens , James N. Roemmich
Subject(s):
childhood obesity , children , food purchasing , girls , physical activity , psychotherapy , randomized clinical trials , social environment , supermarkets , weight loss
Source:
Annals of Behavioral Medicine 2012 v.44
Language:
English
Year:
2012
Collection:
Journal Articles, USDA Authors, Peer-Reviewed
Rights:
Works produced by employees of the U.S. Government as part of their official duties are not copyrighted within the U.S. The content of this document is not copyrighted.