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Journal of Pediatric Psychology 2005 30(2):155-165; doi:10.1093/jpepsy/jsi003
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Journal of Pediatric Psychology vol. 30 no. 2 © Society of Pediatric Psychology 2005; all rights reserved.

A Randomized Controlled Trial for the Primary Prevention of Osteoporosis Among Preadolescent Girl Scouts: 1-Year Outcomes of a Behavioral Program

Carolyn E. Ievers-Landis, PhD1, Christopher Burant, MA, MACTM2, Dennis Drotar, PhD1, Larissa Morgan, BA3, Erika S. Trapl, MS3, Natalie Colabianchi, PhD4 and C. Kent Kwoh, MD5

1 Division of Behavioral Pediatrics and Psychology, Department of Pediatrics, Rainbow Babies and Children’s Hospital; 2 Department of Bioethics, 3 Division of Rheumatology, and 4 Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, Ohio; 5 Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania

All correspondence should be sent to Carolyn E. Ievers-Landis, PhD, Division of Behavioral Pediatrics and Psychology, Rainbow Babies and Children’s Hospital, 11100 Euclid Avenue, Cleveland, OH 44106-6038.

Objective To provide 1-year outcomes for a randomized controlled trial of a behavioral–educational intervention for the primary prevention of osteoporosis among 247 preadolescent girls. Methods Girl Scout troops were randomly assigned to one of two intervention groups—a group comprising girls only (n = 73) and girls with their mothers (n = 94)—and a healthy-lifestyles control group (n = 80). Multilevel (hierarchical) models were employed to account for clustering of girls within troops. Results Among girls who met the recommended levels of Ca at baseline, those in the intervention were significantly more likely to maintain or improve their intake at follow-up compared to controls. No significant group differences were found for changes in WBPA. Conclusions A behavioral intervention for the primary prevention of osteoporosis holds promise for maintaining adequate Ca intake among preadolescent females.

Key words: RCT; osteoporosis; primary prevention; behavioral intervention; dietary calcium intake; weight-bearing physical activity; multilevel modeling.


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