Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT

Nancy F. Butte; Deanna M. Hoelscher; Sarah E. Barlow; Stephen Pont; Casey Durand; Elizabeth A. Vandewater; Yan Liu; Anne L. Adolph; Adriana Pérez; Theresa A. Wilson; Alejandra Gonzalez; Maurice R. Puyau; Shreela V. Sharma; Courtney Byrd-Williams; Abiodun Oluyomi; Terry Huang; Eric A. Finkelstein; Paul M. Sacher; Steven H. Kelder

doi:10.1002/oby.21929

Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT

Nancy F. Butte, Deanna M. Hoelscher, Sarah E. Barlow, Stephen Pont, Casey Durand, Elizabeth A. Vandewater, Yan Liu, Anne L. Adolph, Adriana Pérez, Theresa A. Wilson, Alejandra Gonzalez, Maurice R. Puyau, Shreela V. Sharma, Courtney Byrd-Williams, Abiodun Oluyomi, Terry Huang, Eric A. Finkelstein, Paul M. Sacher, Steven H. Kelder

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMI_p95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMI_p95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMI_p95 (P = 0.07). MEND2-5 did not differentially affect %BMI_p95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMI_p95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMI_p95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

Original language	English (US)
Pages (from-to)	1584-1593
Number of pages	10
Journal	Obesity
Volume	25
Issue number	9
DOIs	https://doi.org/10.1002/oby.21929
State	Published - Sep 2017

ASJC Scopus subject areas

Medicine (miscellaneous)
Endocrinology, Diabetes and Metabolism
Endocrinology
Nutrition and Dietetics

Access to Document

10.1002/oby.21929

Cite this

Butte, N. F., Hoelscher, D. M., Barlow, S. E., Pont, S., Durand, C., Vandewater, E. A., Liu, Y., Adolph, A. L., Pérez, A., Wilson, T. A., Gonzalez, A., Puyau, M. R., Sharma, S. V., Byrd-Williams, C., Oluyomi, A., Huang, T., Finkelstein, E. A., Sacher, P. M., & Kelder, S. H. (2017). Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT. Obesity, 25(9), 1584-1593. https://doi.org/10.1002/oby.21929

Butte, NF, Hoelscher, DM, Barlow, SE, Pont, S, Durand, C, Vandewater, EA, Liu, Y, Adolph, AL, Pérez, A, Wilson, TA, Gonzalez, A, Puyau, MR, Sharma, SV, Byrd-Williams, C, Oluyomi, A, Huang, T, Finkelstein, EA, Sacher, PM & Kelder, SH 2017, 'Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT', Obesity, vol. 25, no. 9, pp. 1584-1593. https://doi.org/10.1002/oby.21929

@article{84bd2ec6950c48a8a9b327f444a086bb,

title = "Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT",

abstract = "Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.",

author = "Butte, {Nancy F.} and Hoelscher, {Deanna M.} and Barlow, {Sarah E.} and Stephen Pont and Casey Durand and Vandewater, {Elizabeth A.} and Yan Liu and Adolph, {Anne L.} and Adriana P{\'e}rez and Wilson, {Theresa A.} and Alejandra Gonzalez and Puyau, {Maurice R.} and Sharma, {Shreela V.} and Courtney Byrd-Williams and Abiodun Oluyomi and Terry Huang and Finkelstein, {Eric A.} and Sacher, {Paul M.} and Kelder, {Steven H.}",

note = "Funding Information: This research was supported by cooperative agreement RFA-DP-11-007 from the Centers for Disease Control and Prevention. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Centers for Disease Control and Prevention. Additional support was provided by the Michael and Susan Dell Foundation through the Michael & Susan Dell Center for Healthy Living. This work is a publication of the United States Department of Agriculture (USDA/ARS) Children?s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, and had been funded in part with federal funds from the USDA/ARS under Cooperative Agreement No. 58-6250-0-008. The contents of this publication do not necessarily reflect the views or policies of the USDA, nor does mention of trade names, commercial products, or organizations imply endorsement from the U.S. government. Publisher Copyright: {\textcopyright} 2017 The Obesity Society",

year = "2017",

month = sep,

doi = "10.1002/oby.21929",

language = "English (US)",

volume = "25",

pages = "1584--1593",

journal = "Obesity",

issn = "1930-7381",

publisher = "Wiley-Blackwell",

number = "9",

}

TY - JOUR

T1 - Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity

T2 - TX CORD RCT

AU - Butte, Nancy F.

AU - Hoelscher, Deanna M.

AU - Barlow, Sarah E.

AU - Pont, Stephen

AU - Durand, Casey

AU - Vandewater, Elizabeth A.

AU - Liu, Yan

AU - Adolph, Anne L.

AU - Pérez, Adriana

AU - Wilson, Theresa A.

AU - Gonzalez, Alejandra

AU - Puyau, Maurice R.

AU - Sharma, Shreela V.

AU - Byrd-Williams, Courtney

AU - Oluyomi, Abiodun

AU - Huang, Terry

AU - Finkelstein, Eric A.

AU - Sacher, Paul M.

AU - Kelder, Steven H.

N1 - Funding Information: This research was supported by cooperative agreement RFA-DP-11-007 from the Centers for Disease Control and Prevention. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Centers for Disease Control and Prevention. Additional support was provided by the Michael and Susan Dell Foundation through the Michael & Susan Dell Center for Healthy Living. This work is a publication of the United States Department of Agriculture (USDA/ARS) Children?s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, and had been funded in part with federal funds from the USDA/ARS under Cooperative Agreement No. 58-6250-0-008. The contents of this publication do not necessarily reflect the views or policies of the USDA, nor does mention of trade names, commercial products, or organizations imply endorsement from the U.S. government. Publisher Copyright: © 2017 The Obesity Society

PY - 2017/9

Y1 - 2017/9

N2 - Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

AB - Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

UR - http://www.scopus.com/inward/record.url?scp=85023632271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85023632271&partnerID=8YFLogxK

U2 - 10.1002/oby.21929

DO - 10.1002/oby.21929

M3 - Article

C2 - 28703504

AN - SCOPUS:85023632271

SN - 1930-7381

VL - 25

SP - 1584

EP - 1593

JO - Obesity

JF - Obesity

IS - 9

ER -

Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this