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Updated: May 23, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Lifestyle Triple P: a parenting intervention for childhood obesity
Sanne M P L Gerards1, Pieter C Dagnelie, Maria W J Jansen
1Department of Health Promotion, and Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, Maastricht, The Netherlands. sanne.gerards@maastrichtuniversity.nl
Insights
Lifestyle Triple P is a parent-focused program to combat childhood obesity. This study assesses its effectiveness in Dutch families, measuring children's body composition and lifestyle habits.
Area of Science:
- Childhood obesity intervention research
- Parenting and family health studies
Background:
- Childhood obesity is a growing epidemic requiring effective interventions.
- Lifestyle Triple P, a parent-focused program, has shown efficacy in preventing excessive weight gain in children.
- The GO4fit study evaluates Lifestyle Triple P for Dutch parents of overweight/obese children aged 4-8.
Purpose of the Study:
- To assess the effectiveness of the Lifestyle Triple P intervention in a Dutch population.
- To evaluate the impact of the intervention on children's body composition and lifestyle behaviors.
- To examine changes in parenting practices and styles related to childhood obesity.
Main Methods:
- Randomized controlled trial (RCT) design comparing intervention and control groups.
- The intervention group received a 14-week Lifestyle Triple P program.
- Measurements of children's body composition (BMI z-score, waist circumference, fat mass) and lifestyle factors were taken at baseline, post-intervention, and 1-year follow-up.
Main Results:
- Primary outcome: children's body composition (BMI z-score, waist circumference, fat mass).
- Secondary outcomes: dietary behavior, physical activity, parenting practices, feeding styles, parenting styles, parental self-efficacy, and family body composition.
- Data collection at baseline, immediately post-intervention, and at one-year follow-up.
Conclusions:
- The intervention focuses on modifying general parenting styles alongside specific practices, differentiating it from typical obesity interventions.
- The study's strengths include its randomized design, long-term follow-up, and comprehensive outcome measures.
- This research contributes to understanding effective strategies for childhood obesity prevention in diverse cultural contexts.
Background:
Reversing the obesity epidemic requires the development and evaluation of childhood obesity intervention programs. Lifestyle Triple P is a parent-focused group program that addresses three topics: nutrition, physical activity, and positive parenting. Australian research has established the efficacy of Lifestyle Triple P, which aims to prevent excessive weight gain in overweight and obese children. The aim of the current randomized controlled trial is to assess the effectiveness of the Lifestyle Triple P intervention when applied to Dutch parents of overweight and obese children aged 4-8 years. This effectiveness study is called GO4fit.
Methods/Design:
Parents of overweight and obese children are being randomized to either the intervention or the control group. Those assigned to the intervention condition receive the 14-week Lifestyle Triple P intervention, in which they learn a range of nutritional, physical activity and positive parenting strategies. Parents in the control group receive two brochures, web-based tailored advice, and suggestions for exercises to increase active playing at home. Measurements are taken at baseline, directly after the intervention, and at one year follow-up. Primary outcome measure is the children's body composition, operationalized as BMI z-score, waist circumference, and fat mass (biceps and triceps skinfolds). Secondary outcome measures are children's dietary behavior and physical activity level, parenting practices, parental feeding style, parenting style, parental self-efficacy, and body composition of family members (parents and siblings).
Discussion:
Our intervention is characterized by a focus on changing general parenting styles, in addition to focusing on changing specific parenting practices, as obesity interventions typically do. Strengths of the current study are the randomized design, the long-term follow-up, and the broad range of both self-reported and objectively measured outcomes.
Trial Registration:
Current Controlled Trials NTR 2555 MEC AZM/UM: NL 31988.068.10 / MEC 10-3-052.
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