Family-Based Behavioral Treatment for Childhood Obesity Implemented in Pediatric Primary Care: A Randomized Clinical Trial
An erratum to this article was published (JAMA, 15 Aug 2023 ↗)
Primary result · Child change in percentage above median BMIResult — go to the resultDifference in change −6.21 % 95% CI −10.14% to −2.29%Authors' conclusion
Family-based treatment for childhood overweight and obesity was successfully implemented in pediatric primary care settings and led to improved weight outcomes over 24 months for children and parents. Siblings who were not directly treated also had improved weight outcomes, suggesting that this treatment may offer a novel approach for families with multiple children.
Study context
- Population
- Children aged 6 to 12 years with overweight or obesity, their parents and siblings, pediatric primary care, 4 US settings
- Participants
- 452 child-parent dyads
- Comparison
- Family-based treatment vs usual care in pediatric primary care
- Family-based treatmentn = 226
- Usual caren = 226reference
- Primary endpoint
- Child's change in percentage above median body mass index (BMI) (normalized for age and sex)
- Follow-up
- Baseline to 24 months
Methodological detailsmulticentre (4 US settings), Conducted November 2017 through August 2021
- Multicentre (4 US settings)
- Conducted November 2017 through August 2021
Primary result
Child change in percentage above median BMI · 24 months
Difference in change
−6.21 %
95% CI −10.14% to −2.29%
As reported in the abstract
Secondary outcomes
%
| Outcome | Family-based treatment | Usual care |
|---|---|---|
| Children: 0- to 24-month change in percentage above median BMI (longitudinal growth models) · 0 to 24 months | 0.00 (95% CI −2.20%–2.20%) | 6.48 (95% CI 4.35%–8.61%) |
| Parents: 0- to 24-month change in percentage above median BMI · 0 to 24 months | −1.05 (95% CI −3.79%–1.69%) | 2.92 (95% CI 0.58%–5.26%) |
| Siblings: 0- to 24-month change in percentage above median BMI · 0 to 24 months | 0.03 (95% CI −3.03%–3.10%) | 5.35 (95% CI 2.70%–8.00%) |
Children, parents and siblings: outcomes vs usual care over time · 6 to 24 months
- Outcomes superior to usual care, evident at 6 months and maintained through 24 months
Original publication
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