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Five‐year follow‐up of a family‐based multidisciplinary program for children with obesity
Author(s) -
Wild Cervantée E. K.,
Wynter Lisa E.,
Triggs Christopher M.,
Derraik José G. B.,
Hofman Paul L.,
Anderson Yvonne C.
Publication year - 2021
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.23225
Subject(s) - medicine , attendance , obesity , randomized controlled trial , quality of life (healthcare) , weight loss , physical therapy , intervention (counseling) , pediatrics , nursing , psychiatry , economics , economic growth
Objective This study aimed to determine 5‐year outcomes from a 12‐month, family‐based, multidisciplinary lifestyle intervention program for children. Methods This study was the 5‐year follow‐up of a randomized clinical trial comparing a low‐intensity control group (home‐based assessments) with a high‐intensity intervention group (assessments plus weekly sessions) in New Zealand. Participants were aged 5 to 16 years with BMI ≥ 98th centile or > 91st centile with weight‐related comorbidities. The primary outcome was BMI standard deviation score (BMISDS). Secondary outcomes included various health markers. Results Of the 199 children included in the study at baseline (47% who identified as Māori, 53% who identified as female, 28% in the most deprived quintile, mean age = 10.7 years, mean BMISDS = 3.12), 86 completed a 5‐year assessment (43%). BMISDS reduction at 12 months was not retained (control = 0.00 [95% CI: −0.22 to 0.21] and intervention = 0.17 [95% CI: −0.01 to 0.34]; p = 0.221) but was greater in participants aged <10 years versus >10 years at baseline (−0.15 [95% CI: −0.33 to 0.03] vs. 0.21 [95% CI: 0.03 to 0.40]; p = 0.008). BMISDS trajectory favored participants with high attendance ( p = 0.013). There were persistent improvements in water intake and health‐related quality of life in both groups as well as reduced sweet drink intake in the intervention group. Conclusions This intervention, with high engagement from those most affected by obesity, did not achieve long‐term efficacy of the primary outcome. Attendance and age remain important considerations for future interventions to achieve long‐term BMISDS reduction.