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Journal of Obesity
Volume 2013 (2013), Article ID 575016, 10 pages
http://dx.doi.org/10.1155/2013/575016
Clinical Study

School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents

1Department of Pediatrics, University of New Mexico, Albuquerque, NM 87131-0001, USA
2Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USA
3Department of Psychology, University of New Mexico, Albuquerque, NM 87131-0001, USA
4Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USA

Received 11 January 2013; Accepted 20 February 2013

Academic Editor: Roya Kelishadi

Copyright © 2013 Alberta S. Kong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Adolescents Committed to Improvement of Nutrition and Physical Activity (ACTION) was undertaken to determine feasibility of a school-based health center (SBHC) weight management program. Two urban New Mexico SBHCs were randomized to deliver ACTION or standard care. ACTION consisted of eight visits using motivational interviewing to improve eating and physical activity behavior. An educational nutrition and physical activity DVD for students and a clinician toolkit were created for use as menu of options. Standard care consisted of one visit with the SBHC provider who prescribed recommendations for healthy weight. Sixty nondiabetic overweight/obese adolescents were enrolled. Measures included BMI percentile, waist circumference, insulin resistance by homeostasis model assessment (HOMA-IR), blood pressure, triglycerides, and HDL-C levels. Pre- to postchanges for participants were compared between groups. Fifty-one students (mean age 15 years, 62% female, 75% Hispanic) completed pre- and postmeasures. ACTION students ( ) had improvements in BMI percentile ( ) and waist circumference ( ) as compared with students receiving standard care ( ). No differences were found between the two groups in blood pressure, HOMA-IR, triglycerides, and HDL-C. The ACTION SBHC weight management program was feasible and demonstrated improved outcomes in BMI percentile and waist circumference.