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A multidisciplinary intervention programme for overweight and obese children in deprived areas

Marienke van Middelkoop1, Kelly A M Ligthart1, Winifred D Paulis1

  • 1Department of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.

Family Practice
|October 7, 2017
PubMed

Insights

This study found that the Kids4Fit multidisciplinary program effectively reduced waist circumference in obese children from deprived areas. However, it did not significantly impact BMI-z, lifestyle, or quality of life.

Area of Science:

  • Pediatric Obesity Research
  • Public Health Interventions
  • Behavioral Medicine

Background:

  • General Practitioners (GPs) can refer obese children in deprived areas to multidisciplinary weight loss programs.
  • The effectiveness of these targeted local initiatives for this specific demographic remains largely unknown.

Purpose of the Study:

  • To evaluate the effectiveness of the Kids4Fit intervention in deprived areas on children's weight status.
  • Assessing the impact on body mass index (BMI-z) and waist circumference.

Main Methods:

  • A cohort study with a waiting list control period was conducted.
  • 154 children aged 6-12 years participated in the Kids4Fit program, led by a dietitian, physiotherapist, and child psychologist.
  • Standardized BMI-z and waist circumference were measured at baseline, during the intervention, and at 52 weeks, analyzed using mixed-effects models.

Main Results:

  • A non-significant trend towards lower BMI-z was observed up to 52 weeks post-intervention compared to the waiting list group.
  • A significant reduction in waist circumference was found over time compared to the waiting list expectancy.
  • No significant differences were observed in lifestyle factors or health-related quality of life.

Conclusions:

  • The local multidisciplinary Kids4Fit intervention effectively reduced waist circumference in obese children from deprived areas.
  • The intervention did not yield significant improvements in BMI-z, lifestyle, or quality of life compared to a waiting list control.
  • Further research may be needed to enhance the program's impact on overall weight status and lifestyle behaviors.
Abstract

Keywords:
Childhood obesitynutrition/dietobesityphysical activity/exerciseprimary care

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