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BMJ 2007;335:841 (27 October), doi:10.1136/bmj.39374.433356.BE
| The first 150 words of the full text of this article appear below. |
We believe that James et al's conclusion that an intervention to reduce children's consumption of carbonated drinks and prevalence of overweight was not effective two years after completion1 is not warranted for two reasons.
Firstly, they base their conclusions on the proportion of overweight children, which was significantly different between the two groups at 12 months, but not at three years. However, average values of body mass index (BMI), Z score, and waist circumference would be better outcome measures.2 3
Changes in BMI, Z score, and waist circumference moved towards significance. Thus, the intervention did not have a significant effect on overweight after 12 months, but it was moving in the right direction.
If the children continued to consume fewer carbonated drinks as a result of the intervention, they would put on less weight each year. James et al should measure the children's BMIs in a few years—they may find the
J Lennert Veerman, research fellow, Jan J Barendregt, associate professor epidemiological modelling
UQ School of Population Health, Herston, QLD 4030, Australia
l.veerman@uq.edu.au
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