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Characteristics of achieving clinically important weight loss in two paediatric weight management interventions
Author(s) -
Fiechtner Lauren,
Castro Ines,
Cheng Erika R.,
Sharifi Mona,
Gerber Monica W.,
Luo Man,
Goldmann Don,
Sandel Megan,
Block Jason,
Orav E. John,
Taveras Elsie M.
Publication year - 2021
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12784
Subject(s) - medicine , psychological intervention , obesity , weight loss , weight management , intervention (counseling) , pediatrics , childhood obesity , demography , overweight , psychiatry , sociology
Summary Objective To examine characteristics and lifestyle behaviours associated with achieving clinically important weight loss (CIWL) in two paediatric weight management interventions (PWMIs). Methods We examined 1010 children enrolled in the STAR and Connect for Health trials. We defined achieving CIWL as any participant who had decreased their BMI z ‐score by ≥0.2 units over 1 year. Using log‐binomial regression we examined associations of child and household characteristics and lifestyle behaviours with achieving CIWL. Results In multivariable analyses, children with severe obesity had a lower likelihood of achieving CIWL compared to children without severe obesity (RR: 0.68 [95% CI: 0.49, 0.95]). Children who were ≥10 years were less likely to achieve CIWL (RR: 0.56 [95% CI: 0.42, 0.74]) vs those 2‐6 years of age. Children who consumed <1 sugary beverage per day at the end of the intervention were more likely to achieve CIWL vs those who did not meet the goal (RR: 1.36 [95% CI 1.09–1.70]). Conclusion In this analysis of children enrolled in PWMIs, achieving CIWL was associated with younger age, not having severe obesity and consuming fewer sugary beverages at the end of the intervention. Focusing on intervening earlier in life, when a child is at a lower BMI, and reducing sugary beverages could allow for more effective PWMI's.