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

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.