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Updated: Jun 22, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Parent involvement is associated with early success in obesity treatment
Leslie J Heinberg1, Eve M Kutchman, Nathan A Berger
1Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA. heinbel@ccf.org
Insights
Parental involvement significantly impacts weight loss in pediatric obesity treatment. Low parent engagement correlates with less successful weight reduction, suggesting its importance for program outcomes.
Area of Science:
- Pediatric obesity treatment
- Behavioral health interventions
- Family dynamics in health
Background:
- Childhood obesity is a significant public health concern.
- Effective interventions require understanding contributing factors.
- Parental and family roles are crucial in pediatric weight management.
Purpose of the Study:
- To investigate the impact of parent involvement and family factors on body mass index (BMI) changes.
- To identify predictors of successful weight loss in a pediatric obesity program.
- To explore the relationship between family environment and treatment outcomes.
Main Methods:
- A 12-week pediatric obesity intervention involving 104 children and caregivers.
- Assessment of family environment and depression pre-intervention.
- Weekly monitoring of children's BMI and parental involvement during the program.
- Logistic regression analysis to determine predictors of weight change.
Main Results:
- Lower levels of parent involvement were associated with reduced likelihood of any weight loss or clinically significant weight loss (≥2 kg).
- Sociodemographic factors and family characteristics did not predict BMI change.
- Parent involvement showed correlations with ethnicity, participant absences, and physical activity levels.
Conclusions:
- Parental involvement is a key factor in the success of pediatric weight loss programs.
- High parent engagement may predict better outcomes for children in obesity treatment.
- Identifying levels of parent involvement can help tailor interventions and predict success.
Objective:
The study examined the influence of parent involvement and family factors on body mass index (BMI) change in a pediatric obesity treatment program.
Methods:
A total of 104 children and their caregivers were examined during a 12-week obesity intervention. Participants (mean age = 11.42 years; SD = 2.83) and their caregivers completed measures of family environment and depression prior to enrollment. Children's BMI and parental involvement were rated weekly during the intervention. Logistic regressions were conducted to examine the role of sociodemographic factors, family characteristics, and parent involvement on weight.
Results:
Children with the lowest parent involvement were less likely to lose any weight or have clinically significant (>or=2 kg) weight loss. Demographics and family factors did not predict BMI change. Parent involvement related to ethnicity, absences and physical activity.
Conclusions:
Parental involvement may be helpful in identifying who is likely to do well in a weight loss program.
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