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Family-based behavioural treatment of obesity: acceptability and effectiveness in the UK

C Edwards1, D Nicholls, H Croker

  • 1Cancer Research Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK.

European Journal of Clinical Nutrition
|December 13, 2005
PubMed

Insights

Family-based behavioural treatment (FBBT) for childhood obesity is acceptable and feasible in the UK. This intervention led to significant BMI reduction and improved self-esteem in children without adverse psychological effects.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Medicine
  • Public Health

Background:

  • Childhood obesity is a growing public health concern requiring effective interventions.
  • Family-based behavioral treatment (FBBT) has shown promise in managing pediatric obesity.

Purpose of the Study:

  • To evaluate the acceptability and impact of FBBT for childhood obesity in a UK clinical setting.
  • To assess treatment outcomes including weight, self-esteem, mood, and eating attitudes.

Main Methods:

  • A pre- and post-treatment design was used with four consecutive treatment groups.
  • 33 families with obese children (aged 8-13 years) participated in a 12-session FBBT program.
  • Outcomes measured included BMI, self-esteem, mood, and eating attitudes, with BMI reassessed at 3-month follow-up.

Main Results:

  • The FBBT program was well-received and easily adapted to the UK clinical environment.
  • 82% of families completed the treatment, with children achieving an average 8.4% BMI reduction, maintained at 3-month follow-up.
  • Significant improvements were observed in children's self-esteem and depression levels, with no negative impact on eating attitudes.

Conclusions:

  • FBBT is a feasible and acceptable treatment for childhood obesity in a UK clinical setting.
  • The intervention effectively reduces overweight in children without causing adverse psychological effects.
  • FBBT offers a promising approach for managing pediatric obesity in clinical practice.
Abstract

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