A school‐based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study
Authors' conclusion
The Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.
Study context
- Population
- Children aged 5–12 years from six European countries in the Feel4Diabetes study
- Participants
- 9,255 children
- Comparison
- 2-year school-based lifestyle intervention vs control
- Primary endpoint
- Change in BMI z-score, by baseline weight status
- Follow-up
- 2-year follow-up
Methodological detailsschool-based, multinational
- School-based
- Multinational
Primary result
As reported in the abstract
BMI z-score reduction by baseline weight status · 2 years
- Children with overweight at baseline: greater reduction in body mass index (BMI) z-score with intervention vs control
- Children with obesity at baseline: no greater reduction in BMI z-score with intervention vs control
Further findings
Predictors of any decrease in BMI z-score in the intervention group (logistic regression)
- Older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score
- Mother's obesity and lower family income associated with decreased probability of a positive weight outcome
Original publication
A school‐based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study. Pediatr Obes. Published 26 May 2025. doi:10.
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