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Updated: May 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parent predictors of child weight change in family based behavioral obesity treatment
Kerri N Boutelle1, Guy Cafri, Scott J Crow
1Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA. kboutelle@ucsd.edu
Insights
Parental weight loss is key for childhood obesity treatment. A study found that for every 1 BMI unit parents lost, children lost 0.255 BMI units, highlighting the importance of parent weight change in family-based behavioral interventions.
Area of Science:
- Pediatrics
- Behavioral Science
- Public Health
Background:
- Childhood obesity is a significant public health concern.
- Family-based behavioral treatments are a primary approach for managing pediatric obesity.
- Parental involvement and modeling are crucial components of these interventions.
Purpose of the Study:
- To investigate the predictive role of parenting skills and parent weight change on child weight change.
- To analyze predictors within a family-based behavioral weight loss program for childhood obesity.
Main Methods:
- Study included 80 parent/child dyads enrolled in a family-based behavioral weight loss program.
- Data collected on parent Body Mass Index (BMI) change, home food environment, parenting behaviors, and demographics.
- Parent and child reports were utilized for parenting variables.
Main Results:
- Parent BMI change significantly predicted child weight change.
- A reduction of 1 BMI unit in parents was associated with a 0.255 reduction in child BMI.
- Other variables, including parenting skills and home food environment, were not significant predictors in the final model.
Conclusions:
- Parent weight change is a critical factor in the success of behavioral treatments for childhood obesity.
- Clinicians and researchers should prioritize encouraging parental weight loss to support children's weight management efforts.
- Focusing on parent weight reduction can enhance the effectiveness of family-based obesity interventions.
Abstract:
Family based behavioral treatment for overweight and obese children includes parenting skills targeting the modification of child eating and activity change. The purpose of this study was to examine parenting skills and parent weight change as predictors of child weight change in a sample of 80 parent/child dyads who were enrolled in a family based behavioral weight loss program for childhood obesity. Eighty overweight and obese children and their parents who enrolled in treatment in two sites were included in the study. Variables included those related to parent modeling (parent BMI), home food environment, parenting (parent and child report), and demographics. Results suggested that parent BMI change was a significant predictor of child weight, in that a reduction of 1 BMI unit in the parent was associated with a 0.255 reduction in child BMI. None of the other variables were significant in the final model. This study is consistent with other research showing that parent weight change is a key contributor to child weight change in behavioral treatment for childhood obesity. Researchers and clinicians should focus on encouraging parents to lose weight to assist their overweight and obese child in weight management.
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