NEW YORK (Reuters Health) - a program including regular follow-ups with nurses and concentrated himself tries again on TV, fast food, cut and sodas seems some overweight and obese children from hold, more weight gain, according to a new study.
In particular girls in General and children were from households with an income of less than $50,000, to gain less weight in the course of a year if they were in the program.
But it seemed no impact on boys or in children from households with higher income.
"We are fighting a little to understand" why it not help children, study author Dr. Elsie Taveras Harvard Medical school told Reuters Health.
"We do not design it as an intervention specifically for children of low-income populations", but for the population in particular and for girls, it had a great impact, she said.
Plus, children who received the intervention cut back seemed television 30 minutes per day, and they on their less likely to soda and consume fast food. It is possible, with more time, these changes can affect your weight, and them to the authors to follow, for another year to find out, Taveras said.
Other studies have shown a link between television and obesity in children. Although this television program but not weight total affected, said the two still likely the researchers are connected. "I think it is quite possible the changes in the behaviour, the (weight) catch changes."
The intervention turned to primary care doctors, can live as the same healthy messages in other aspects of children daycare, community centers, schools - integration have added a larger influence Taveras. "Much more effective than what we see in only the primary care setting could the additive effects of consistent messages and more reinforcements."
The additional cost would be value. According to the study published in the archives of Pediatrics & adolescent medicine, more than 1 in 5 US children aged between 2 and 5 are overweight, and obese more 1 in 10.
During the study Taveras and her colleagues randomly assigned to overweight and obese children aged 2 to 6 to either normal care from their primary care physicians or a new program designed to lose weight.
The program consisted of frequent check-in the with a nurse practitioner, which is focused on it again on TV, fast food and soda helps weight and especially ideas, to lose, so cut.
It requires a completely new way of working, Taveras said. For example, nurses have been trained in how to motivate and support the children and their parents to change. In the clinics electronic health records have been updated to doctors order tests and remind other services.
After a year, none of the two groups of children, a total weight - lost so that the program not in this respect was successful. Girls who received the intervention but significantly less weight than young - won 0.4 points of less in a BMI chart, which in size and weight factors.
Children, whose Haushalte earned almost $50,000 or less also won 1 full BMI point less than children who just a year with their primary care doctors checked, treated.
Measures developed, to lose weight children often erfolglos-but still worthwhile value, Dr. Robert Klesges said at the University of Tennessee Health Science Center, which was not involved in the study.
Last year Klesges and his team found that African American girl, who in a programme designed to prevent always fettleibig-- by it goals for healthy diet and exercise at the teach their parents about the provision of healthy Nahrungsmitteln--were just as good weight gain as a girl, who participated in a programme of General self-esteem.
The studies are expensive, but "very important," he told Reuters Health, due to the frequency of obesity in children, and the damage it can do to their health. "It is a major health problem, we can not stop trying."
Source: http://bit.ly/eNt0lp archives of Pediatrics & adolescent medicine, online 4 April 2011.
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