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A randomized controlled trial using combined dietary-behavioral-physical activity program with or without a pedometer in the management of overweight children and adolescents.


Beverly Jane G. Chua

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Publication Information

Publication Type
Publication Sub Type
Journal Article, Original
Philippine Journal of Pediatrics
Publication Date
October-December 2005


OBJECTIVE. To compare the short-term outcome of an 8-week combined dietary-behavior-physical activity program using physical activity versus step count goals in the management of overweight children and adolescents.

DESIGN. Randomized controlled trial.

SETTING. Pediatric primary care clinic at a private primary care hospital.

PARTICIPANTS. Thirty-seven overweight children/adolescents 9-15 years old, not previously in a weight management program, with parents willing to come for follow-up.

METHODOLOGY. Participants underwent a seminar on healthy living with dietary and physical activity recommendations and randomized to 2 groups. The control group was encouraged 60 minutes/day of moderate intensity activity. The pedometer group was encouraged to take additional 2000 steps/day from baseline. Measurement data, 3-day food recall and activity or step logs were gathered every 2 weeks for 8 weeks.

MAIN OUTCOME MEASURES. Mean daily activity, steps per day, weight, BMI, BMI percent, waist and hips circumference.

RESULTS. Both groups significantly decrease in weight (p<0.001), BMI (p<0.001) and waist circumference (p<0.0001). Physical activity level increased to recommend level for the control group. Pedometer group completes successfully increased steps from 7193 (± 2391) to 12832 (± 1904).

CONCLUSION. This brief preliminary multi-component program that encouraged increasing physical activity or step count to recommend levels both reflected an increase in physical activity, reduced weight, BMI and waist circumference in the study population. (Author)


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