A FAMILY-ORIENTED, HEALTHY EATING, ACTIVITY, AND LIFESTYLE TRAINING WITH HANDS-ON EXPERIENCE (FOR HEALTH) – INTERIM PHASE-1 RESULTS OF A COMMUNITY-BASED PILOT TREATMENT PROGRAM FOR OVERWEIGHT AND OBESE PRESCHOOLERS
Bibliographic record
Abstract
BACKGROUND: Over 30% of Canadian children and youth, and over 30% of U.S. preschool children are overweight or obese. Overweight 5-year-olds are 4-times more likely to become obese youth. Despite this, evidence to guide management of overweight and obese preschoolers is lacking. OBJECTIVES: To assess the feasibility (Phase 1) and effectiveness (Phase 2) of a 1-year multidisciplinary, community-based intervention for overweight and obese preschoolers to reduce BMI z-score (primary outcome), and to improve health-related quality of life (QoL). Other secondary objectives are to improve dietary choices, physical activity, and to decrease screen time. DESIGN/METHODS: Following physician referral and motivational pre-screening, children 2 to 6 years of age with a BMI ≥ 85th percentile for age and sex are being enrolled to receive intensive multidisciplinary group- and individual counseling, based on Social Cognitive Theory, on strategies to implement healthy dietary and physical activity habits, and on behavioural and parenting aspects. The program, based at a local YMCA, consists of a 4-month intensive phase with ten 90-minute group- and two individual sessions, two subsequent monthly sessions and follow-up at 9 and 12 months. Group sessions consist of parent education, during which children are engaged in guided, active playtime. RESULTS: 12 participants (7 girls; mean age 5.1 years, SD1.03) have so far been enrolled in Phase 1 of the program, 10 completed the intervention (attrition rate 16.7%). Session attendance (86%, SD10.6) and family satisfaction with the program (satisfaction score 55.7 of 60 (93%), SD3.98) have been high. Running the program in the community is feasible, but the referral-based recruitment process has been challenging, with the number of referrals, despite broad advertisement, significantly lagging behind expectations. Interim results are encouraging: for the 10 children who completed the program, mean BMI z-score at 12-months decreased by -0.25 (95%CI -0.08 to -0.42, p=0.013). Screen time decreased by 0.7 hours (95%CI -0.2 to -1.2, p=0.007), Readiness to Change (score 1-5, based on Prochaskas Transtheoretical Model) increased from 4.2 to 4.7 (95%CI 0.12 to 0.92, p=0.025). There was a strong trend towards improved QoL (PedsQL 4.0, scale 0-100) at the end of the core program (6-month mean total score from 65.6 to 76.1% (95%CI -5.0 to +25.9, p=0.08)), but this wasnt maintained during follow-up (12-month score 70.13, 95%CI -10.7 to +19.8,p=0.52). CONCLUSION: The novel 1-year FOR HEALTH intervention is feasible, can be implemented in the community, and has been well received by participating families with low attrition. Interim Phase 1 results show improved BMI z-score, readiness to change and screen time. Recruitment has been challenging.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".