Long‐Term Effectiveness of a School‐ and Community‐Based Intervention for the Prevention of Childhood Obesity in High‐Risk Families Across Europe: The Feel4Diabetes Study
Authors' conclusion
These findings underscore the importance of equity-oriented, long-term interventions addressing both behavioural and structural determinants of obesity.
Study context
- Population
- Children from families recruited in school and community settings across Europe, categorised as high-risk or all families
- Comparison
- Feel4Diabetes intervention vs control
- Primary endpoint
- Weight improvement: reduction of ≥ 0.2 BMI z-score units among children with overweight/obesity
- Follow-up
- 2 years
Methodological detailspragmatic, school- and community-based, two-stage screening
- Pragmatic
- School- and community-based
- Two-stage screening
Primary result
As reported in the abstract
BMI z-score reduction, children from high-risk families
- Intervention vs Control: P = 0.002
- 2710 high-risk and 7625 all-families children analysed
Further findings
BMI z-score, children from non-high-risk families · 2 years
- Only a marginal improvement
Predictors of BMI z-score improvement (multivariate)
- Randomisation to intervention, OR
- 1.46 (1.14-1.87) (95% CI)
- Baseline obesity, OR
- 1.55 (1.16-2.08) (95% CI)
- Residence in LMICs, OR
- 2.33 (1.65-3.30) (95% CI)
- Residence in HICs facing economic crisis, OR
- 2.12 (1.54-2.91) (95% CI)
- Reported financial difficulties, OR
- 1.36 (1.06-1.74) (95% CI)
- Maternal obesity, OR
- 1.31 (1.03-1.68) (95% CI)
- Higher maternal education, OR
- 0.64 (0.41-0.99) (95% CI)
Original publication
Long‐Term Effectiveness of a School‐ and Community‐Based Intervention for the Prevention of Childhood Obesity in High‐Risk Families Across Europe: The Feel4Diabetes Study. Pediatr Obes. Published 27 May 2026. doi:10.
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