A Telephone Intervention to Achieve Differentiation in Dietary Intake: A Randomized Trial in Pediatric Primary Care

Details

• Alternative Title:
  Pediatr Obes
• Personal Author:
  Rhodes, Erinn T. ; Vernacchio, Louis ; Mitchell, Allen A. ; Fischer, Corrine ; Giacalone, Pamela ; Ludwig, David S. ; Ebbeling, Cara B.
• Description:
  Background
  
  Telehealth offers opportunities to extend clinical and research interventions for pediatric obesity.
  
  Objectives
  
  To assess utility of a telephone intervention, implemented through a national primary care pediatric research network, for promoting differentiation in dietary intake, consistent with either a low-glycemic load (Low GL) or Low Fat prescription, among overweight/obese school-age children.
  
  Methods
  
  Five-week telephone dietary counseling intervention for parents of overweight/obese school-age children recruited through the Slone Center Office-based Research Network. Parent-child dyads were randomized to Low GL or Low Fat diet. Primary outcomes were dietary GL and dietary fat, adjusted for energy intake and assessed by 24-hour dietary recall.
  
  Results
  
  Subjects were randomized to Low GL (n=11, 8.1±1.7 years, 45.5% male) or Low Fat (n=11, 8.2±2.0 years, 36.4% male), with no baseline differences. Overall, 86% of subjects attended at least 4 of 5 counseling sessions, and study completion rate was 91% (based on completion of the final dietary recalls). Reported satisfaction was high. In adjusted analyses limited to “recall completers,” reduction in dietary GL (g/1000 Kcal) achieved within the Low GL group was significant (p=0.01) and greater than the change in dietary GL in the Low Fat group (mean ± SE; −12.9 ± 4.4 vs. 5.1 ± 4.9, p=0.03). Similarly, reduction in dietary fat (% of total energy) within the Low Fat group was significant (−5.6 ± 2.5, p=0.046) but with no difference between groups (p=0.25).
  
  Conclusion
  
  A telephone-based dietary intervention for overweight/obese children, implemented through a national pediatric research network, fostered prescribed dietary changes. ClinicalTrials.gov registration: NCT00620152
  
  
• Subjects:
  Article Child Child, Preschool Diet Diet, Carbohydrate-Restricted Diet, Fat-Restricted Female Humans Male Obesity Overweight Pediatric Pediatric Obesity Practice-based Research Primary Health Care Telehealth Telemedicine Telephone Treatment Treatment Outcome

  More +
• Source:
  Pediatr Obes. 12(6):494-501.
• Pubmed ID:
  27492865
• Pubmed Central ID:
  PMC5529253
• Document Type:
  Journal Article
• Funding:
  K01 DP000089/DP/NCCDPHP CDC HHS/United States ; K24 DK082730/DK/NIDDK NIH HHS/United States
• Volume:
  12
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3e835a03be644e67b4a7c99f151bbdb01f80366b214fee34a83bc9980140dd3c
• Download URL:
  https://stacks.cdc.gov/view/cdc/47233/cdc_47233_DS1.pdf
• File Type:
  [PDF - 357.45 KB ]