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Int. J. Environ. Res. Public Health 2018, 15(9), 2010; https://doi.org/10.3390/ijerph15092010

“Sacbe”, a Comprehensive Intervention to Decrease Body Mass Index in Children with Adiposity: A Pilot Study

Instituto Nacional de Perinatología, Department of Nutrition and Bioprogramming, 11000 Mexico City, Mexico
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Received: 15 August 2018 / Revised: 6 September 2018 / Accepted: 6 September 2018 / Published: 14 September 2018
(This article belongs to the Special Issue Pediatric Obesity Treatment and Prevention)
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Abstract

Interventions in children with adiposity decrease less than 0.2 the body mass index (BMI) z-score less than 0.2 and only in 21–23% of cases. Experts recommend focusing on the habits of a healthy lifestyle (HLS) but considering the sociocultural context of children and their parents. Our objective was to achieve a higher percentage of success in lowering the BMI z-score in children with adiposity and their parents through a pilot program “Sacbe” based on HLS, sensitive to the sociocultural context previously explored and with the active participation of parents. This is a pilot study in children aged 8 to 18 years with adiposity according to the BMI z-score. The program consisted of two workshops on HLS and nutrition given by the pediatric endocrinologist in group sessions with 3–5 families and reinforcements in each visit by registered dietitians. We recorded lifestyle habits and anthropometric characteristics of children and their parents at the baseline visit and every month for 3–4 months. Forty-nine families, 55 children and 64 parents participated, 60% of the children were female, the average age was 13.95 ± 3.3 years, 72.7% and 86.7% lowered the z score of the BMI due to intention to treat and protocol analysis (p < 0.001), respectively; BMI z-score decreased by 0.22 ± 0.21, from 2.13 ± 0.57 to 1.91 ± 0.58 (p < 0.001). In total, 83% of the parents involved were mothers, the average age was 45.8 ± 9.4 years, 77% lost weight and body fat (p < 0.001), the frequency of unhealthy habits decreased. The results of “Sacbe” exceeded expectations by combining the active participation of parents, sessions in groups, and the education on various components of an HLS inside sociocultural context. The main challenge will be to standardize and reproduce this type of complex interventions, as well as to assure long-term success. View Full-Text
Keywords: adiposity; obesity; overweight; comprehensive interventions; BMI z-score; healthy lifestyle; sociocultural context adiposity; obesity; overweight; comprehensive interventions; BMI z-score; healthy lifestyle; sociocultural context
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Rodriguez-Ventura, A.; Parra-Solano, A.; Illescas-Zárate, D.; Hernández-Flores, M.; Paredes, C.; Flores-Cisneros, C.; Sánchez, B.; Tolentino, M.; Sámano, R.; Chinchilla, D. “Sacbe”, a Comprehensive Intervention to Decrease Body Mass Index in Children with Adiposity: A Pilot Study. Int. J. Environ. Res. Public Health 2018, 15, 2010.

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