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The influence of preschoolers' emotional and behavioural problems on obesity treatment outcomes : secondary findings from a randomized controlled trial

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Eiffener, Elodie, Eli, Karin, Ek, Anna, Sandvik, Pernilla, Somaraki, Maria, Kremers, Stef, Sleddens, Ester and Nowicka, Paulina (2019) The influence of preschoolers' emotional and behavioural problems on obesity treatment outcomes : secondary findings from a randomized controlled trial. Pediatric Obesity . e12556. doi:10.1111/ijpo.12556 ISSN 2047-6310.

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Official URL: https://doi.org/10.1111/ijpo.12556

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Abstract

Background
Few studies have explored the influence of preschoolers' behavioural problems on obesity treatment.

Objectives
To assess emotional and behavioural problems before and after an obesity intervention and examine relationships between changes in child behaviour and changes in weight status.

Method
The study included 77 children (4‐6 years old, 53% girls, mean body mass index [BMI] z‐score of 3.0 [SD 0.6]) who participated in the More and Less Study, a randomized controlled trial. Families were randomized to a parenting program or to standard treatment. The children's heights and weights (BMI z‐score, primary outcome) were measured at baseline and 12 months post baseline. Parents rated their children's behaviours (secondary outcome) on the Child Behavior Checklist (CBCL) for ages 1.5 to 5 years, a questionnaire that measures psychosocial health and functioning, encompassing emotional and behavioural problems. Changes in child behaviour during treatment were examined through paired samples t tests; the influence of child behaviour on treatment effects was examined through linear regressions.

Results
Child emotional and behavioural problems significantly improved after obesity treatment. Lower scores were found for Emotional Reactivity, Sleep Problems, Affective Problems, Aggressive Behaviour, Externalizing Behaviours, Oppositional Defiant Problems, and Total Problems. Child behaviour significantly affected obesity treatment results: Attention Problems and attention deficit hyperactivity disorder (ADHD) at baseline contributed to increasing BMI z‐scores, whereas Oppositional Defiant Problems, Externalizing Behaviours, and a higher number of behavioural problems predicted decreasing BMI z‐scores.

Conclusions
Child behaviours at baseline influenced treatment results. Child emotional and behavioural problems improved post treatment. The results suggest that obesity treatment may help in reducing emotional distress among preschoolers.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Journal or Publication Title: Pediatric Obesity
Publisher: Wiley
ISSN: 2047-6310
Official Date: 9 July 2019
Dates:
DateEvent
9 July 2019Published
13 May 2019Accepted
Article Number: e12556
DOI: 10.1111/ijpo.12556
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): ** From Crossref via Jisc Publications Router ** History: epub 09-07-2019; issued 09-07-2019.
Access rights to Published version: Restricted or Subscription Access

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