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Camp-Based Immersion Treatment for Obese, Low Socioeconomic Status, Multi-Ethnic Adolescents

Background: Immersion treatment (IT) provided in a camp setting has been shown to promote short-term improvements in weight and health status in obese adolescents. However, evidence of IT's long-term efficacy and efficacy for multi-ethnic and lower socioeconomic status (SES) adolescents is limited.... Full description

Journal Title: Childhood obesity 2014-04-01, Vol.10 (2), p.122-131
Main Author: Carraway, Marissa E.
Other Authors: Lutes, Lesley D. , Crawford, Yancey , Pratt, Keeley J. , McMillan, Amy Gross , Scripture, Lee G. , Henes, Sarah , Cox, James , Vos, Paul , Collier, David N.
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: United States: Mary Ann Liebert, Inc
ID: ISSN: 2153-2168
Link: https://www.ncbi.nlm.nih.gov/pubmed/24628415
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recordid: cdi_proquest_journals_1513938569
title: Camp-Based Immersion Treatment for Obese, Low Socioeconomic Status, Multi-Ethnic Adolescents
format: Article
creator:
  • Carraway, Marissa E.
  • Lutes, Lesley D.
  • Crawford, Yancey
  • Pratt, Keeley J.
  • McMillan, Amy Gross
  • Scripture, Lee G.
  • Henes, Sarah
  • Cox, James
  • Vos, Paul
  • Collier, David N.
subjects:
  • Adolescent
  • Adolescent Behavior
  • Body Mass Index
  • Camping
  • Child
  • Child Behavior
  • Cognitive Therapy - methods
  • Cohort Studies
  • Diet
  • Exercise
  • Feeding Behavior - psychology
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Education - methods
  • Health Promotion
  • Humans
  • Longitudinal Studies
  • Male
  • Nutritional Sciences
  • Original Articles
  • Pediatric Obesity - prevention & control
  • Pediatric Obesity - psychology
  • Peer Group
  • Self Efficacy
  • Social Class
  • Time Factors
  • United States
  • Weight Loss
  • Young Adult
ispartof: Childhood obesity, 2014-04-01, Vol.10 (2), p.122-131
description: Background: Immersion treatment (IT) provided in a camp setting has been shown to promote short-term improvements in weight and health status in obese adolescents. However, evidence of IT's long-term efficacy and efficacy for multi-ethnic and lower socioeconomic status (SES) adolescents is limited. Methods: This was a cohort study with a pre/post design and longitudinal follow-up. The intervention was a 19-day camp-based IT program comprising (1) a nutrition curriculum and ad-lib access to a nutritious diet, (2) several hours of physical activity daily, (3) group therapy, and (4) cognitive-behavioral therapy (CBT). This analysis included 52 low-SES adolescents that participated in 2009 and 2010. A subgroup of 33 campers and their families was offered follow-up monthly for 10 months. Primary outcome measures were change in weight-related parameters immediately postcamp and after 10 months of follow-up. Results: Campers had significant short-term improvements in mean waist circumference (mean [M], 2.6; standard deviation [SD], 3.2 cm), weight (M, 2.6; SD, 1.9 kg), BMI (M, 1.1; SD, 0.9 kg/m 2 ), BMI z -score (M, 0.06; SD, 0.07), and percent overweight (M, 6.1; SD, 4.7). Campers offered follow-up had a modest increase in mean percent overweight (M, 2.0; SD, 8.4) during 10 months of follow-up. However, 33% experienced continuing decline in percent overweight during follow-up, and long-term follow-up was associated with significant overall (precamp vs. end of follow-up) improvements in percent overweight (M, 4.9; SD, 7.2). Conclusions: Camp-based IT with CBT is a promising intervention for improving short- and long-term weight status of low-SES adolescents. Additional research is needed to increase long-term efficacy.
language: eng
source:
identifier: ISSN: 2153-2168
fulltext: no_fulltext
issn:
  • 2153-2168
  • 2153-2176
  • 1557-8569
url: Link


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titleCamp-Based Immersion Treatment for Obese, Low Socioeconomic Status, Multi-Ethnic Adolescents
creatorCarraway, Marissa E. ; Lutes, Lesley D. ; Crawford, Yancey ; Pratt, Keeley J. ; McMillan, Amy Gross ; Scripture, Lee G. ; Henes, Sarah ; Cox, James ; Vos, Paul ; Collier, David N.
creatorcontribCarraway, Marissa E. ; Lutes, Lesley D. ; Crawford, Yancey ; Pratt, Keeley J. ; McMillan, Amy Gross ; Scripture, Lee G. ; Henes, Sarah ; Cox, James ; Vos, Paul ; Collier, David N.
descriptionBackground: Immersion treatment (IT) provided in a camp setting has been shown to promote short-term improvements in weight and health status in obese adolescents. However, evidence of IT's long-term efficacy and efficacy for multi-ethnic and lower socioeconomic status (SES) adolescents is limited. Methods: This was a cohort study with a pre/post design and longitudinal follow-up. The intervention was a 19-day camp-based IT program comprising (1) a nutrition curriculum and ad-lib access to a nutritious diet, (2) several hours of physical activity daily, (3) group therapy, and (4) cognitive-behavioral therapy (CBT). This analysis included 52 low-SES adolescents that participated in 2009 and 2010. A subgroup of 33 campers and their families was offered follow-up monthly for 10 months. Primary outcome measures were change in weight-related parameters immediately postcamp and after 10 months of follow-up. Results: Campers had significant short-term improvements in mean waist circumference (mean [M], 2.6; standard deviation [SD], 3.2 cm), weight (M, 2.6; SD, 1.9 kg), BMI (M, 1.1; SD, 0.9 kg/m 2 ), BMI z -score (M, 0.06; SD, 0.07), and percent overweight (M, 6.1; SD, 4.7). Campers offered follow-up had a modest increase in mean percent overweight (M, 2.0; SD, 8.4) during 10 months of follow-up. However, 33% experienced continuing decline in percent overweight during follow-up, and long-term follow-up was associated with significant overall (precamp vs. end of follow-up) improvements in percent overweight (M, 4.9; SD, 7.2). Conclusions: Camp-based IT with CBT is a promising intervention for improving short- and long-term weight status of low-SES adolescents. Additional research is needed to increase long-term efficacy.
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subjectAdolescent ; Adolescent Behavior ; Body Mass Index ; Camping ; Child ; Child Behavior ; Cognitive Therapy - methods ; Cohort Studies ; Diet ; Exercise ; Feeding Behavior - psychology ; Female ; Follow-Up Studies ; Health Behavior ; Health Education - methods ; Health Promotion ; Humans ; Longitudinal Studies ; Male ; Nutritional Sciences ; Original Articles ; Pediatric Obesity - prevention & control ; Pediatric Obesity - psychology ; Peer Group ; Self Efficacy ; Social Class ; Time Factors ; United States ; Weight Loss ; Young Adult
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1Lutes, Lesley D.
2Crawford, Yancey
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4McMillan, Amy Gross
5Scripture, Lee G.
6Henes, Sarah
7Cox, James
8Vos, Paul
9Collier, David N.
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descriptionBackground: Immersion treatment (IT) provided in a camp setting has been shown to promote short-term improvements in weight and health status in obese adolescents. However, evidence of IT's long-term efficacy and efficacy for multi-ethnic and lower socioeconomic status (SES) adolescents is limited. Methods: This was a cohort study with a pre/post design and longitudinal follow-up. The intervention was a 19-day camp-based IT program comprising (1) a nutrition curriculum and ad-lib access to a nutritious diet, (2) several hours of physical activity daily, (3) group therapy, and (4) cognitive-behavioral therapy (CBT). This analysis included 52 low-SES adolescents that participated in 2009 and 2010. A subgroup of 33 campers and their families was offered follow-up monthly for 10 months. Primary outcome measures were change in weight-related parameters immediately postcamp and after 10 months of follow-up. Results: Campers had significant short-term improvements in mean waist circumference (mean [M], 2.6; standard deviation [SD], 3.2 cm), weight (M, 2.6; SD, 1.9 kg), BMI (M, 1.1; SD, 0.9 kg/m 2 ), BMI z -score (M, 0.06; SD, 0.07), and percent overweight (M, 6.1; SD, 4.7). Campers offered follow-up had a modest increase in mean percent overweight (M, 2.0; SD, 8.4) during 10 months of follow-up. However, 33% experienced continuing decline in percent overweight during follow-up, and long-term follow-up was associated with significant overall (precamp vs. end of follow-up) improvements in percent overweight (M, 4.9; SD, 7.2). Conclusions: Camp-based IT with CBT is a promising intervention for improving short- and long-term weight status of low-SES adolescents. Additional research is needed to increase long-term efficacy.
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4Child
5Child Behavior
6Cognitive Therapy - methods
7Cohort Studies
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21Pediatric Obesity - prevention & control
22Pediatric Obesity - psychology
23Peer Group
24Self Efficacy
25Social Class
26Time Factors
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authorCarraway, Marissa E. ; Lutes, Lesley D. ; Crawford, Yancey ; Pratt, Keeley J. ; McMillan, Amy Gross ; Scripture, Lee G. ; Henes, Sarah ; Cox, James ; Vos, Paul ; Collier, David N.
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4Child
5Child Behavior
6Cognitive Therapy - methods
7Cohort Studies
8Diet
9Exercise
10Feeding Behavior - psychology
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12Follow-Up Studies
13Health Behavior
14Health Education - methods
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22Pediatric Obesity - psychology
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25Social Class
26Time Factors
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28Weight Loss
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1Lutes, Lesley D.
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3Pratt, Keeley J.
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7Cox, James
8Vos, Paul
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abstractBackground: Immersion treatment (IT) provided in a camp setting has been shown to promote short-term improvements in weight and health status in obese adolescents. However, evidence of IT's long-term efficacy and efficacy for multi-ethnic and lower socioeconomic status (SES) adolescents is limited. Methods: This was a cohort study with a pre/post design and longitudinal follow-up. The intervention was a 19-day camp-based IT program comprising (1) a nutrition curriculum and ad-lib access to a nutritious diet, (2) several hours of physical activity daily, (3) group therapy, and (4) cognitive-behavioral therapy (CBT). This analysis included 52 low-SES adolescents that participated in 2009 and 2010. A subgroup of 33 campers and their families was offered follow-up monthly for 10 months. Primary outcome measures were change in weight-related parameters immediately postcamp and after 10 months of follow-up. Results: Campers had significant short-term improvements in mean waist circumference (mean [M], 2.6; standard deviation [SD], 3.2 cm), weight (M, 2.6; SD, 1.9 kg), BMI (M, 1.1; SD, 0.9 kg/m 2 ), BMI z -score (M, 0.06; SD, 0.07), and percent overweight (M, 6.1; SD, 4.7). Campers offered follow-up had a modest increase in mean percent overweight (M, 2.0; SD, 8.4) during 10 months of follow-up. However, 33% experienced continuing decline in percent overweight during follow-up, and long-term follow-up was associated with significant overall (precamp vs. end of follow-up) improvements in percent overweight (M, 4.9; SD, 7.2). Conclusions: Camp-based IT with CBT is a promising intervention for improving short- and long-term weight status of low-SES adolescents. Additional research is needed to increase long-term efficacy.
copUnited States
pubMary Ann Liebert, Inc
pmid24628415
doi10.1089/chi.2013.0111