Skip to main content

Main menu

  • Home
  • Articles
    • Current Issue
    • COVID-19
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
    • Indexing
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • Home
  • Articles
    • Current Issue
    • COVID-19
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
    • Indexing
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

Ronit Endevelt, Orit Elkayam, Rinat Cohen, Ronit Peled, Limor Tal-Pony, Ruth Michaelis Grunwald, Liora Valinsky, Avi Porath and Anthony David Heymann
The Journal of the American Board of Family Medicine May 2014, 27 (3) 321-328; DOI: https://doi.org/10.3122/jabfm.2014.03.130243
Ronit Endevelt
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Orit Elkayam
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rinat Cohen
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ronit Peled
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Limor Tal-Pony
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ruth Michaelis Grunwald
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Liora Valinsky
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Avi Porath
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anthony David Heymann
Nutritional Services (RE, LT-P, RMG), Pediatric Gastroenterology and Nutrition Services, Maccabi Obesity Clinic (PE), the Pediatric Department (RC), Health Promotion and Preventive Medicine (LV), the Medical Division (AP), and Central Medical Management (ADH), Maccabi Healthcare Services, Tel Aviv, Israel; School of Public Health, University of Haifa, Haifa, Israel (RE); the Department of Health System Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (RP); and Sackler School of Medicine, University of Tel Aviv, Tel Aviv, Israel (ADH).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Flow chart of the study population.

Tables

  • Figures
    • View popup
    Table 1. Participants of Meetings Led by Dieticians and Social Workers
    MeetingSubjectParticipants
    1The meaning of a healthy lifestyle and the changes required in the environment and behavior patterns, including shopping, exposure, choices, cooking, and eating habitsParents
    2Promoting the motivation for a changeParents
    3The meaning of an active lifestyle: changing the family's physical activity patternsParents
    4The parent as a role modelParents and children role playing
    5Parenting style and general parenthood skillsParents
    6Responsibility and boundaries in eating habitsParents
    7Strategies for dealing with conflicts and objectionsParents
    8Family communication and adequate childhood body imageParents and children role playing
    9Self-esteem promotion skillsParents
    Self- and body confidenceChildren
    10Food variety and introduction to nutrients; choosing appropriate high-value foodsParents
    Healthy nutrition habitsChildren
    11How to spend leisure time; introduction to food labelingParents
    12Behavior skills at parties and social eventsParents
    Dealing with tempting environment and developing resilienceParents and children
    • View popup
    Table 2. Descriptive Characteristics of Study Groups
    VariableIntervention Group (n = 100)Comparison Group (n = 943)P Value
    Mean age ± SD at recruitment, years9.03 ± 1.69.0 ± 2.7.912
    Girls (%)63.043.7<.001
    Socioeconomic rank (%)
        1–53.49.3<.001
        6–1012.428.3
        11–1542.738.7
        16–2041.633.7
    • SD, standard deviation.

    • View popup
    Table 3. Z-scores and Weight Categories by Study Groups
    VariableIntervention GroupComparison GroupP Value
    Mean z-score ± SD
        At baseline measurement2.07 ± 0.352.12 ± 0.3.099
        After the intervention1.74 ± 0.81.95 ± 0.4.019
        At last measurement1.75 ± 0.6—<.000*
    Weight categories at baseline (%)
        Overweight25.029.6.337
        Obesity75.070.4
    Weight categories after intervention† (%)
        Normal13.04.8<.001
        Overweight53.032.9
        Obesity34.062.4
    • ↵* Paired t test, baseline measurement vs. last measurement (average of 46.7 months from baseline).

    • ↵† Next measurement after the intervention ended; z-score controls for age and sex.

    • SD, standard deviation.

    • View popup
    Table 4. Linear Regression Analysis Results for the Dependent Variable Δ Z Score (After Intervention − Baseline Measurements)
    ModelB*Standard ErrorP Value
    Model 1: all children
        Intervention−0.1180.049.016
        SER0.0460.016.004
    Model 2: obese children
        Intervention−0.1120.056.047
        SER−0.0590.019.02
    Model 3: overweight children
        Intervention−0.1280.099.195
        SER−0.0140.029.621
    • ↵* Model coefficient.

    • SER, socioeconomic rank.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 27 (3)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 3
May-June 2014
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
An Intensive Family Intervention Clinic for Reducing Childhood Obesity
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
7 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
An Intensive Family Intervention Clinic for Reducing Childhood Obesity
Ronit Endevelt, Orit Elkayam, Rinat Cohen, Ronit Peled, Limor Tal-Pony, Ruth Michaelis Grunwald, Liora Valinsky, Avi Porath, Anthony David Heymann
The Journal of the American Board of Family Medicine May 2014, 27 (3) 321-328; DOI: 10.3122/jabfm.2014.03.130243

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
An Intensive Family Intervention Clinic for Reducing Childhood Obesity
Ronit Endevelt, Orit Elkayam, Rinat Cohen, Ronit Peled, Limor Tal-Pony, Ruth Michaelis Grunwald, Liora Valinsky, Avi Porath, Anthony David Heymann
The Journal of the American Board of Family Medicine May 2014, 27 (3) 321-328; DOI: 10.3122/jabfm.2014.03.130243
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • The Intervention
    • Results
    • Discussion
    • Conclusion
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention
  • Content Usage and the Most Frequently Read Articles of 2014
  • A Panoply of Information for the Practice of Family Medicine
  • Google Scholar

More in this TOC Section

  • Barriers to Follow-Up Colonoscopy After Positive FIT or Multitarget Stool DNA Testing
  • A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine
  • Social Inequities Between Prenatal Patients in Family Medicine and Obstetrics and Gynecology with Similar Outcomes
Show more Original Research

Similar Articles

Keywords

  • Childhood Obesity
  • Early Medical Intervention
  • Health Education

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us

© 2021 American Board of Family Medicine

Powered by HighWire