The Healthy Homes/Healthy Kids 5-10 Obesity Prevention Trial: 12 and 24-month outcomes.

Abstract

Pediatric primary care is an important setting for addressing obesity prevention. The Healthy Homes/Healthy Kids 5-10 randomized controlled trial evaluated the efficacy of an obesity prevention intervention integrating pediatric primary care provider counseling and parent-targeted phone coaching. Children aged 5 to 10years with a BMI between the 70th and 95th percentile and their parents were recruited from pediatric primary care clinics. Participants received well-child visit provider counseling about obesity and safety/injury prevention and were then randomized to a 14-session phone-based obesity prevention (OP; n=212) or safety and injury prevention contact control (CC; n=209) intervention. The primary outcome was 12 and 24-month child BMI percentile. There was no overall significant treatment effect on child BMI percentile. Caloric intake was significantly lower among OP compared with CC participants at 12months (P<.005). In planned subgroup analyses, OP condition girls had significantly lower BMI percentile (P<.05) and BMI z-score (P<.02) at 12 and 24months relative to CC girls and were less likely to be overweight (38.0% vs 53.0%, P<.01) or (obese 3.4% vs 8.8%, P<.10) at follow-up. An obesity prevention intervention integrating brief provider counseling and parent-targeted phone counseling did not impact 12 and 24-month BMI status overall but did have a significant impact on BMI in girls.