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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Treatment of childhood obesity in obese families
Dan Nemet1, Neomi Barzilay-Teeni, Alon Eliakim
1Child Health & Sports Center, Department of Pediatrics, Meir General Hospital, Kfar Saba, Israel. dnemet@gmail.com
Insights
Intensive family-based interventions can help obese children from obese families lose weight and improve fitness. This approach is crucial for managing childhood obesity in families with shared weight challenges.
Area of Science:
- Pediatrics
- Public Health
- Genetics
Background:
- Parental obesity negatively impacts the success of standard childhood obesity programs.
- Family-based interventions are essential for obese children from obese families.
Purpose of the Study:
- To assess an intense 3-month family-based intervention for obese children from obese families.
- Compared intervention group with a control group receiving no intervention.
Main Methods:
- Randomized controlled trial with 22 obese children (BMI >95th percentile) from obese families (parental BMI >27 kg/m2).
- Intervention included dietary, behavioral, and physical activity components.
- Measurements included anthropometrics, body composition, habits, and fitness before and after 3 months.
Main Results:
- Intervention group showed significant weight loss (-0.2 kg vs 1.7 kg) and BMI percentile reduction (-1.4% vs -0.1%).
- Reduced screen time significantly in the intervention group (-2.2 h/day vs 0.1 h/day).
- Improved fitness levels, indicated by increased endurance time (181s vs 26s), in the intervention group.
Conclusions:
- Obese children from obese families present unique treatment challenges.
- Family-oriented, multidisciplinary weight management interventions are recommended for this population.
Background:
Parental obesity reduces the likelihood of a multidisciplinary childhood obesity program to succeed, suggesting that special family-based interventions should be constructed for obese children from obese families.
Aim:
To examine the effects of an intense combined 3-month familial dietary-behavioral-physical activity intervention for a subgroup of obese children (BMI >95th percentile) from obese families (parental BMI >27 kg/m2) compared to a control group of obese children and obese parents who did not participate in the combined intervention.
Children:
Twenty-two obese children were randomly assigned to the intervention (n = 11) or control (n = 11) group. Anthropometric measurements, body composition, dietary and activity habits and fitness levels were measured before and at the end of a 3-month intervention.
Results:
The intervention led to a significant difference in change in body weight (-0.2 +/- 0.3 vs 1.7 +/- 0.6 kg; p <0.05), BMI percentiles (-1.4 +/- 0.5 vs -0.1 +/- 0.2%; p <0.05), and to a decrease in screen (television and computer) time (-2.2 +/- 0.6 vs 0.1 +/- 0.3 h/day; p <0.05) in the intervention group compared to the controls. In addition, the intervention led to a significant improvement in fitness level determined by endurance time (181 +/- 30 vs 26 +/- 63 seconds in the intervention vs control group, respectively; p <0.05).
Conclusion:
Obese children from obese families pose a therapeutic challenge to health care providers. Intense family-oriented multidisciplinary weight management intervention should be designed for treatment in this unique population.
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