title: Assessing the short-term outcomes of a community-based intervention for overweight and obese children: The MEND 5-7 programme.
abstract: OBJECTIVE
  The aim of this study was to report outcomes of the UK service level delivery of MEND (Mind,Exercise,Nutrition...Do it!) 5-7, a multicomponent, community-based, healthy lifestyle intervention designed for overweight and obese children aged 5-7 years and their families.
  
  
  METHODS
  Repeated measures.
  
  
  METHODS
  Community venues at 37 locations across the UK.
  
  
  METHODS
  440 overweight or obese children (42% boys; mean age 6.1 years; body mass index (BMI) z-score 2.86) and their parents/carers participated in the intervention.
  
  
  METHODS
  MEND 5-7 is a 10-week, family-based, child weight-management intervention consisting of weekly group sessions. It includes positive parenting, active play, nutrition education and behaviour change strategies. The intervention is designed to be scalable and delivered by a range of health and social care professionals.
  
  
  METHODS
  The primary outcome was BMI z-score. Secondary outcome measures included BMI, waist circumference, waist circumference z-score, children's psychological symptoms, parenting self-efficacy, physical activity and sedentary behaviours and the proportion of parents and children eating five or more portions of fruit and vegetables.
  
  
  RESULTS
  274 (62%) children were measured preintervention and post-intervention (baseline; 10-weeks). Post-intervention, mean BMI and waist circumference decreased by 0.5 kg/m(2) and 0.9 cm, while z-scores decreased by 0.20 and 0.20, respectively (p<0.0001). Improvements were found in children's psychological symptoms (-1.6 units, p<0.0001), parent self-efficacy (p<0.0001), physical activity (+2.9 h/week, p<0.01), sedentary activities (-4.1 h/week, p<0.0001) and the proportion of parents and children eating five or more portions of fruit and vegetables per day (both p<0.0001). Attendance at the 10 sessions was 73% with a 70% retention rate.
  
  
  CONCLUSIONS
  Participation in the MEND 5-7 programme was associated with beneficial changes in physical, behavioural and psychological outcomes for children with complete sets of measurement data, when implemented in UK community settings under service level conditions. Further investigation is warranted to establish if these findings are replicable under controlled conditions.
authors: Childhood Nutrition Research Centre, University College London, Institute of Child Health, London, UK.
authors: L R
authors: LR
authors: Smith
authors: P
authors: P
authors: Chadwick
authors: D
authors: D
authors: Radley
authors: M
authors: M
authors: Kolotourou
authors: C S
authors: CS
authors: Gammon
authors: J
authors: J
authors: Rosborough
authors: P M
authors: PM
authors: Sacher
keywords: Paediatrics; Public Health
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