A pilot evaluation of appetite-awareness training in the treatment of childhood overweight and obesity: a preliminary investigation

Int J Eat Disord. 2013 Jan;46(1):47-51. doi: 10.1002/eat.22041. Epub 2012 Jul 23.

Abstract

Objective: The aim of this study was to conduct a preliminary evaluation of Children's Appetite Awareness Training (CAAT), a treatment for childhood obesity which encourages overweight children to eat in response to internal appetite cues.

Method: Overweight children (ages 6-12 years old) were randomized to either the CAAT treatment group (N = 23), to receive 1-h treatment sessions over 6 weeks, or a wait-list group (N = 24). Weight and height of children and parents in both groups were assessed at pre- and post-treatment (or equivalent time for wait-list control) and at a 6-month follow-up for those in the CAAT group.

Results: The intervention had a significant, short-term effect on the BMI of children who participated. Although at 6-month follow-up, children's BMI has not increased significantly, the difference between pretreatment and follow-up BMI was no longer significant.

Discussion: These results are encouraging for the use of CAAT with overweight children. Long-term effectiveness could be enhanced through increasing the duration of the program, adding booster sessions and increased involvement of parents.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Appetite / physiology*
  • Awareness*
  • Body Mass Index
  • Child
  • Cues
  • Female
  • Humans
  • Male
  • Obesity / psychology
  • Obesity / therapy
  • Overweight / psychology
  • Overweight / therapy*
  • Pilot Projects
  • Treatment Outcome