Obesity

Does deciding not to participate in a lifestyle intervention for children with obesity affect the long‐term weight change?

Obesity (Silver Spring)Published Observational cohort study

Main finding · Annual change in BMI z scoreResult — go to the resultDifference 0.00 per year 95% CI −0.03 to 0.03

Authors' 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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