Does deciding not to participate in a lifestyle intervention for children with obesity affect the long‐term weight change?
Main finding · Annual change in BMI z scoreResult — go to the resultDifference 0.00 per year 95% CI −0.03 to 0.03Authors' conclusion
Children deciding not to participate in an intervention did not increase their weight compared with children who were never invited, indicating that treatment could be briefly postponed until families are able to participate. Additionally, socioeconomic status or immigration background did not modify the weight change.
Study context
- Population
- Children aged 5–8 years with obesity living in Aarhus, Denmark
- Participants
- 713 children
- Exposure
- Decided not to participate in lifestyle intervention vs never invited
- Decided-not-to-participaten = 157
- No-interventionn = 556reference
- Outcome
- Annual change in BMI z score
Methodological detailsmixed-effects model with splines, register-linked, Height and weight measurements combined with socioeconomic information from national registers
- Mixed-effects model with splines
- Register-linked
- Height and weight measurements combined with socioeconomic information from national registers
Main finding
As reported in the abstract
median follow-up 3.6 years (Q1;Q3: 0.4;5.1) for decided-not-to-participate
Difference
0.00 per year
95% CI −0.03 to 0.03
P = 0.90
Decided-not-to-participatevs No-intervention
difference 0.00 per year (95% CI −0.03 to 0.03); P = 0.90
Observational data: associations, not effects.
Further findings
Effect modification by socioeconomic factors and immigration status
- No effect modification by highest completed household education
- P = 0.59
- No effect modification by household income
- P = 0.72
- No effect modification by immigration status
- P = 0.17
Original publication
Does deciding not to participate in a lifestyle intervention for children with obesity affect the long‐term weight change? Obesity (Silver Spring). Published 20 February 2025. doi:10. 1002/ oby. 24231
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