Achieving long-term weight maintenance in mexican-american adolescents with a school-based intervention

Craig A. Johnston; Jennette P. Moreno; Martina R. Gallagher; Jing Wang; Maria A. Papaioannou; Chermaine Tyler; John P. Foreyt

doi:10.1016/j.jadohealth.2013.04.001

Achieving long-term weight maintenance in mexican-american adolescents with a school-based intervention

Craig A. Johnston, Jennette P. Moreno, Martina R. Gallagher, Jing Wang, Maria A. Papaioannou, Chermaine Tyler, John P. Foreyt

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

10 Scopus citations

Abstract

Purpose: This study evaluated 24-month outcomes of a school-based intensive lifestyle weight management program targeting overweight Mexican-American adolescents. Methods: We recruited a total of 71 adolescents (32 males; 45.1%) between the ages of 10 and 14 years, at or above the 85th percentile for body mass index (BMI). Participants were randomized to a 6-month instructor-led intervention (ILI) or a self-help (SH) program. Both interventions were aimed at modifying eating and physical activity behaviors using behavior modification strategies. We assessed changes in participants' standardized BMI and BMI percentile at baseline, 1, and 2 years. Results: Repeated-measures analyses showed that ILI participants showed significantly greater decreases in standardized BMI at 1 and 2 years (F = 8.58, p <.01; and F = 9.27, p <.01, respectively) compared with SH controls. Similar results were found for changes in BMI and BMI percentile. At 2 years, the ILI condition decreased their average BMI percentile by 3.9 percentile points, compared to an increase of 1.6 percentile points in the SH condition. Conclusions: A school-based intervention resulted in improved weight outcomes in overweight Mexican-American adolescents and results were maintained over 2 years.

Original language	English (US)
Pages (from-to)	335-341
Number of pages	7
Journal	Journal of Adolescent Health
Volume	53
Issue number	3
DOIs	https://doi.org/10.1016/j.jadohealth.2013.04.001
State	Published - Sep 2013
Externally published	Yes

Keywords

Adolescents
Childhood obesity
Mexican-American
Prevention
School-based program
Weight management

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

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Achieving long-term weight maintenance in mexican-american adolescents with a school-based intervention. / Johnston, Craig A.; Moreno, Jennette P.; Gallagher, Martina R.; Wang, Jing; Papaioannou, Maria A.; Tyler, Chermaine; Foreyt, John P.

In: Journal of Adolescent Health, Vol. 53, No. 3, 09.2013, p. 335-341.

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

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title = "Achieving long-term weight maintenance in mexican-american adolescents with a school-based intervention",

abstract = "Purpose: This study evaluated 24-month outcomes of a school-based intensive lifestyle weight management program targeting overweight Mexican-American adolescents. Methods: We recruited a total of 71 adolescents (32 males; 45.1%) between the ages of 10 and 14 years, at or above the 85th percentile for body mass index (BMI). Participants were randomized to a 6-month instructor-led intervention (ILI) or a self-help (SH) program. Both interventions were aimed at modifying eating and physical activity behaviors using behavior modification strategies. We assessed changes in participants' standardized BMI and BMI percentile at baseline, 1, and 2 years. Results: Repeated-measures analyses showed that ILI participants showed significantly greater decreases in standardized BMI at 1 and 2 years (F = 8.58, p <.01; and F = 9.27, p <.01, respectively) compared with SH controls. Similar results were found for changes in BMI and BMI percentile. At 2 years, the ILI condition decreased their average BMI percentile by 3.9 percentile points, compared to an increase of 1.6 percentile points in the SH condition. Conclusions: A school-based intervention resulted in improved weight outcomes in overweight Mexican-American adolescents and results were maintained over 2 years.",

keywords = "Adolescents, Childhood obesity, Mexican-American, Prevention, School-based program, Weight management",

author = "Johnston, {Craig A.} and Moreno, {Jennette P.} and Gallagher, {Martina R.} and Jing Wang and Papaioannou, {Maria A.} and Chermaine Tyler and Foreyt, {John P.}",

note = "Funding Information: This study was supported in part by a gift from the Kellogg Company and by a grant from the United Stated Department of Agriculture (ARS 2533759358 ). The authors thank the staff of YES Preparatory Academy for their dedication to improving the lives of children. ",

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AU - Papaioannou, Maria A.

AU - Tyler, Chermaine

AU - Foreyt, John P.

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N2 - Purpose: This study evaluated 24-month outcomes of a school-based intensive lifestyle weight management program targeting overweight Mexican-American adolescents. Methods: We recruited a total of 71 adolescents (32 males; 45.1%) between the ages of 10 and 14 years, at or above the 85th percentile for body mass index (BMI). Participants were randomized to a 6-month instructor-led intervention (ILI) or a self-help (SH) program. Both interventions were aimed at modifying eating and physical activity behaviors using behavior modification strategies. We assessed changes in participants' standardized BMI and BMI percentile at baseline, 1, and 2 years. Results: Repeated-measures analyses showed that ILI participants showed significantly greater decreases in standardized BMI at 1 and 2 years (F = 8.58, p <.01; and F = 9.27, p <.01, respectively) compared with SH controls. Similar results were found for changes in BMI and BMI percentile. At 2 years, the ILI condition decreased their average BMI percentile by 3.9 percentile points, compared to an increase of 1.6 percentile points in the SH condition. Conclusions: A school-based intervention resulted in improved weight outcomes in overweight Mexican-American adolescents and results were maintained over 2 years.

AB - Purpose: This study evaluated 24-month outcomes of a school-based intensive lifestyle weight management program targeting overweight Mexican-American adolescents. Methods: We recruited a total of 71 adolescents (32 males; 45.1%) between the ages of 10 and 14 years, at or above the 85th percentile for body mass index (BMI). Participants were randomized to a 6-month instructor-led intervention (ILI) or a self-help (SH) program. Both interventions were aimed at modifying eating and physical activity behaviors using behavior modification strategies. We assessed changes in participants' standardized BMI and BMI percentile at baseline, 1, and 2 years. Results: Repeated-measures analyses showed that ILI participants showed significantly greater decreases in standardized BMI at 1 and 2 years (F = 8.58, p <.01; and F = 9.27, p <.01, respectively) compared with SH controls. Similar results were found for changes in BMI and BMI percentile. At 2 years, the ILI condition decreased their average BMI percentile by 3.9 percentile points, compared to an increase of 1.6 percentile points in the SH condition. Conclusions: A school-based intervention resulted in improved weight outcomes in overweight Mexican-American adolescents and results were maintained over 2 years.

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Achieving long-term weight maintenance in mexican-american adolescents with a school-based intervention

Abstract

Keywords

ASJC Scopus subject areas

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