Obesity

Effectiveness of a telephone-based randomised clinical trial targeting obesity risk of preschool-aged children: An extension study during the COVID-19 pandemic

Int J Obes (Lond)Published Extension study of a randomised controlled trial

Primary result · Mean BMIResult — go to the resultDifference −0.30 95% CI −0.59 to −0.01

Authors' conclusion

The two-year telephone-based intervention was associated with decreased mean BMI of preschool-aged children. Telephone-based support for mothers could reduce obesity risk in preschool-aged children, particularly among low-income families.

Study context

Population
Mother-child dyads, children aged 2–3 years at enrolment in 2019–20, Greater Sydney, New South Wales (NSW), Australia
Participants
662 mother-child dyads
Comparison
Telephone-based intervention vs control
Primary endpoint
Children's body mass index (BMI), weight and height measured
Follow-up
Ages 3, 4, and 5 years
Methodological detailstelephone-based intervention, intention-to-treat analysis with multiple imputation, mixed linear models, subgroup analysis by household income, Extended 2020-22: one-year intervention (3-4 years) and one-year follow-up (4-5 years); same group allocation as original trial
  • Telephone-based intervention
  • Intention-to-treat analysis with multiple imputation
  • Mixed linear models
  • Subgroup analysis by household income
  • Extended 2020-22: one-year intervention (3-4 years) and one-year follow-up (4-5 years); same group allocation as original trial

Primary result

Mean BMI

Difference

−0.30

95% CI −0.59 to −0.01

P = 0.039

By group

Intervention

15.90

mean · SE 0.08

Control

16.20

mean · SE 0.08

Interventionvs Control
difference −0.30 (95% CI −0.59 to −0.01); P = 0.039

As reported in the abstract

Further findings

OutcomeDifference (95% CI)P value
Mean BMI, low-income families−0.57 (−1.05 to −0.10)P = 0.018

Completed assessments · child ages 3, 4, and 5 years

Completed at age 3 years
537 (81%)
Completed at age 4 years
491 (74%)
Completed at age 5 years
405 (61%)

Original publication

Effectiveness of a telephone-based randomised clinical trial targeting obesity risk of preschool-aged children: An extension study during the COVID-19 pandemic. Int J Obes (Lond). Published 14 August 2025. doi:10.1038/s41366-025-01869-4

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