Obesity

Tracking BMI Changes in Parent–Child Dyads: Insights From the Feel4Diabetes Study

Pediatr ObesPublished Secondary analysis of the Feel4Diabetes study

Authors' conclusion

Parental BMI reductions, especially when both parents are involved, contribute to favourable BMI changes in children. The changes were more pronounced in HR-families, underscoring the need for interventions targeting the whole family in populations at elevated risk for type 2 diabetes.

Study context

Population
Children (age 8.2 ± 1.0 years) and their parents in the Feel4Diabetes study; all families and families at high risk for T2D (HR-families)children and their parents
Participants
12,280 children
Comparison
Changes in parental BMI vs change in child BMIz
Primary endpoint
Change in child BMI-for-age z-score (BMIz) in relation to parental BMI changes
Follow-up
2 years
Methodological detailslongitudinal cohort analysis, 2-year follow-up, adjusted for study design and baseline socio-demographic factors
  • Longitudinal cohort analysis
  • 2-year follow-up
  • Adjusted for study design and baseline socio-demographic factors

Primary result

As reported in the abstract

Change in child BMIz per 1 kg/m² decrease in parental BMI (all families)

Independent decrease in maternal BMI: change in child BMIz, mean

−0.037 (−0.041, −0.033) (95% CI)

Independent decrease in paternal BMI: change in child BMIz, mean

−0.027 (−0.031, −0.023) (95% CI)

Joint parental effect (stronger)

−0.32

−0.36, −0.28

Further findings

Joint parental effect on child BMIz in HR-families · 2 years

Joint parental effect, HR-families (particularly stronger)
−0.34 (−0.42, −0.26)

Original publication

Tracking BMI Changes in Parent–Child Dyads: Insights From the Feel4Diabetes Study. Pediatr Obes. Published 12 February 2026. doi:10.1111/ijpo.70094

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