Obesity

Parent–Child Sex Composition Impacts Long‐Term Outcomes in Family‐Based Behavioural Treatment

Pediatr ObesPublished Individual participant data mega-analysis of randomised trials

Authors' conclusion

Parent-child sex composition meaningfully influences children's long-term response to FBT. Opposite-sex dyads, particularly father-daughter pairs, show more sustained benefits.

Study context

Population
Families provided with Family-Based Behavioural Treatment (FBT)9 randomised FBT trials
Comparison
Opposite-sex vs same-sex parent–child dyads
Primary endpoint
Change in child zBMI and clinically meaningful weight outcomes (≥ 0.25 reduction in child zBMI; ≥ 5% parent weight loss)
Follow-up
two-year follow-up
Methodological detailspooled from 9 randomised FBT trials (1981–2013)
  • Pooled from 9 randomised FBT trials (1981–2013)

Primary result

As reported in the abstract

Child zBMI change and clinically meaningful change · 2 years
  • Children, but not parents, in opposite-sex dyads showed larger reductions in zBMI and greater odds of clinically meaningful change across 2 years

Further findings

Clinically meaningful reductions by four dyad combinations

Daughters in mother-daughter dyads had the lowest odds of clinically meaningful reductions; daughters in father-daughter dyads had the highest

Original publication

Parent–Child Sex Composition Impacts Long‐Term Outcomes in Family‐Based Behavioural Treatment. Pediatr Obes. Published 8 July 2026. doi:10.1111/ijpo.70130

Composed by AI from the published abstract and checked against it. How Briefs are made →

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