Childhood Obesity Clinical Trial
Official title:
Design and Feasibility of a Clinical-based Intervention to Prevent Obesity in Preschool Children
The purpose of this study is to develop, implement and evaluate an intervention focused to change feeding practices and patterns of physical activity of preschool children through providing motivational counseling to the mother. The aim is to prevent obesity in children aged 2 to 4 years 11 months with risk of overweight or with overweight.
Obesity has a multi-causal origin in which participate, in a similar way, the individual
behavior and family and community contexts and the social environment.
Participation of primary care services is key to solve the problem. These services have the
possibility to detect timely children with high body mass index, and to promote behavior to
improve feeding practices and physical activity in both, the child and his family.
The study is divided in two stages:
1. Design of the intervention. The researchers will use qualitative methods to evaluate
feeding practices, physical activity and the environment in which such behaviors are
generated. In a similar way the care provided by health professionals to overweight and
obese children it will be evaluated; this includes the perception that health providers
have about this problem. The information will allow identifying risk behavior and
healthy behavior, facilitators and obstacles to receive care. The results will serve to
define the contents of the intervention.
2. Intervention: The study will take place in four family medicine clinics belonging to
the Mexican Institute of Social Security. Two clinics will receive the intervention and
two will serve as control. In each clinic, fifty children and their mothers will be
recruited. At the intervention clinics, the group of mothers will participate in seven
weekly sessions and in two individual sessions at 3 and 6 months after the group
sessions finish. During the sessions, the researchers will motivate the mothers to
change feeding practices and encourage physical exercise of the children and family,
this will improve the chance for their children for healthy growing. The control group
will receive the usual care that consists only in the recommendations that the family
doctor provides.
The evaluation of the study comprise feasibility and acceptability of the intervention and
its effect in the behavior of the mothers in terms of changing feeding practices and
practicing physical exercise.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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