Article

The effect of reinforcement or stimulus control to reduce sedentary behavior in the treatment of pediatric obesity

Department of Pediatrics, State University of New York at Buffalo, Buffalo, NY 14214, USA.
Health Psychology (Impact Factor: 3.59). 08/2004; 23(4):371-80. DOI: 10.1037/0278-6133.23.4.371
Source: PubMed

ABSTRACT

Obese children were randomly assigned to a family-based behavioral treatment that included either stimulus control or reinforcement to reduce sedentary behaviors. Significant and equivalent decreases in sedentary behavior and high energy density foods, increases in physical activity and fruits and vegetables, and decreases in standardized body mass index (z-BMI) were observed. Children who substituted active for sedentary behaviors had significantly greater z-BMI changes at 6 (-1.21 vs. -0.76) and 12 (-1.05 vs. -0.51) months, respectively. Substitution of physically active for sedentary behaviors and changes in activity level predicted 6- and 12-month z-BMI changes. Results suggest stimulus control and reinforcing reduced sedentary behaviors are equivalent ways to decrease sedentary behaviors, and behavioral economic relationships in eating and activity may mediate the effects of treatment.

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    • "The prevalence of childhood obesity in China has gradually increased to the point where it is now similar to developed countries [5], [6]. Improvements in the economy and the ‘modernization’ of society have led to a continuous increase in obesity rates in preschool and school children over the past decade [7]–[9]. It has been reported that the changing pace of obesity prevalence in urban Chinese children [10]. "
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    Full-text · Article · Aug 2014 · PLoS ONE
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    • "The third study randomized 72 families to stimulus control or reinforcement to reduce sedentary behaviors. Families were provided 20 sessions of treatment, with a 5 % attrition [21] . Results suggested stimulus control and reinforcing reduced sedentary behaviors are equivalent ways to decrease sedentary behaviors, and behavioral economic relationships in eating and activity may mediate the effects of treatment. "
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