期刊
OBESITY
卷 25, 期 7, 页码 1159-1166出版社
WILEY
DOI: 10.1002/oby.21866
关键词
-
资金
- Centers for Disease Control and Prevention (CDC) National Center for Chronic Disease Prevention and Health Promotion [U18DP003370]
- National Institute of Diabetes and Digestive and Kidney Diseases [K24 DK10589]
ObjectiveTo examine the extent to which a clinical intervention resulted in reduced BMI z scores among 2- to 12-year-old children compared to routine practice (treatment as usual [TAU]). MethodsThe Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a multifaceted initiative to prevent childhood obesity among low-income children. At the federally qualified community health centers (FQHCs) of two communities (Intervention Site #1 and #2), the following were implemented: (1) pediatric weight management training, (2) electronic decision supports for clinicians, (3) on-site Healthy Weight Clinics, (4) community health worker integration, and (5) healthful clinical environment changes. One FQHC in a demographically matched community served as the TAU site. Using electronic health records, we assessed BMI z scores and used linear mixed models to examine BMI z score change over 2 years in each intervention site compared to a TAU site. ResultsCompared to children in the TAU site (n=2,286), children in Intervention Site #2 (n=1,368) had a significant decline in BMI z scores following the start of the intervention (-0.16 units/y; 95% confidence interval: -0.21 to -0.12). No evidence of an effect was found in Intervention Site #1 (n=111). ConclusionsThe MA-CORD clinical interventions were associated with modest improvement in BMI z scores in one of two intervention communities compared to a TAU community.
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