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Telephone-Based Adiposity Prevention for Families with Overweight Children (T.A.F.F.-Study): One Year Outcome of a Randomized, Controlled Trial

Author

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  • Jana Markert

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    These authors contributed equally to this work.)

  • Sabine Herget

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    These authors contributed equally to this work.)

  • David Petroff

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    Clinical Trial Centre, University of Leipzig, 04107 Leipzig, Germany)

  • Ruth Gausche

    (CrescNet gGmbH, University of Leipzig, 04103 Leipzig, Germany)

  • Andrea Grimm

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    CrescNet gGmbH, University of Leipzig, 04103 Leipzig, Germany)

  • Wieland Kiess

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    Department of Women and Child Health, University Hospital for Children and Adolescents, Center for Pediatric Research, 04103 Leipzig, Germany)

  • Susann Blüher

    (Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany
    Department of Women and Child Health, University Hospital for Children and Adolescents, Center for Pediatric Research, 04103 Leipzig, Germany)

Abstract

The one-year outcome of the randomized controlled T.A.F.F. ( T elephone based A diposity prevention F or F amilies) study is presented. Screening of overweight (BMI-SDS > 90th centile) children 3.5–17.4 years was performed via the German CrescNet database, and candidates were randomized to an intervention group (IG) and control group (CG). The intervention consisted of computer-aided telephone counselling for one year, supported by mailed newsletters. The primary endpoint was change in BMI-SDS; secondary endpoints were eating behavior, physical activity, media consumption, quality of life. Data from 289 families (145 IG (51% females); 144 CG (50% females)) were analyzed (Full Analysis Set: FAS; Per Protocol Set: PPS). Successful intervention was defined as decrease in BMI-SDS ≥ 0.2. In the FAS, 21% of the IG was successful as compared to 16% from the CG (95% CI for this difference: (−4, 14), p = 0.3, mean change in BMI-SDS: −0.02 for IG vs. 0.02 for CG; p = 0.4). According to the PPS, however, the success rate was 35% in the IG compared to 19% in the CG (mean change in BMI-SDS: −0.09 for IG vs. 0.02 for CG; p = 0.03). Scores for eating patterns ( p = 0.01), media consumption ( p = 0.007), physical activity ( p = 9 × 10 −9 ), quality of life ( p = 5 × 10 −8 ) decreased with age, independent of group or change in BMI-SDS. We conclude that a telephone-based obesity prevention program suffers from well-known high attrition rates so that its effectiveness could only be shown in those who adhered to completion. The connection between lifestyle and weight status is not simple and requires further research to better understand.

Suggested Citation

  • Jana Markert & Sabine Herget & David Petroff & Ruth Gausche & Andrea Grimm & Wieland Kiess & Susann Blüher, 2014. "Telephone-Based Adiposity Prevention for Families with Overweight Children (T.A.F.F.-Study): One Year Outcome of a Randomized, Controlled Trial," IJERPH, MDPI, vol. 11(10), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:10:p:10327-10344:d:40919
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    References listed on IDEAS

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    1. Diego Gómez-Arbeláez & Paul A. Camacho & Daniel D. Cohen & Katherine Rincón-Romero & Laura Alvarado-Jurado & Sandra Pinzón & John Duperly & Patricio López-Jaramillo, 2014. "Higher Household Income and the Availability of Electronic Devices and Transport at Home Are Associated with Higher Waist Circumference in Colombian Children: The ACFIES Study," IJERPH, MDPI, vol. 11(2), pages 1-10, February.
    2. Nicole Moretto & Elizabeth Kendall & Jennifer Whitty & Joshua Byrnes & Andrew P. Hills & Louisa Gordon & Erika Turkstra & Paul Scuffham & Tracy Comans, 2014. "Yes, The Government Should Tax Soft Drinks: Findings from a Citizens’ Jury in Australia," IJERPH, MDPI, vol. 11(3), pages 1-16, February.
    3. Paul Branscum & Manoj Sharma, 2012. "After-School Based Obesity Prevention Interventions: A Comprehensive Review of the Literature," IJERPH, MDPI, vol. 9(4), pages 1-20, April.
    4. Rachel Johnson & Greg Welk & Pedro F. Saint-Maurice & Michelle Ihmels, 2012. "Parenting Styles and Home Obesogenic Environments," IJERPH, MDPI, vol. 9(4), pages 1-16, April.
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    1. Hagen Wulff & Yanping Duan & Petra Wagner, 2021. "Physical Activity and Social Network Use of Adolescents in Overweight and Obesity Treatment," IJERPH, MDPI, vol. 18(13), pages 1-12, June.

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