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Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Childhood obesity is a significant public health concern requiring effective interventions.
  • The Scottish Childhood Overweight Treatment Trial (SCOTT) provides a basis for pediatric weight management.
  • Primary care settings offer a potential venue for delivering obesity interventions to children and families.

Purpose of the Study:

  • To assess the effectiveness of an adapted SCOTT intervention for childhood overweight and obesity in Irish primary care.
  • To evaluate the feasibility of implementing a dietitian-led program targeting lifestyle factors.
  • To identify challenges related to program recruitment, retention, and outcomes.

Main Methods:

  • An adapted SCOTT intervention was delivered through monthly dietitian-led sessions over six months.
  • The program focused on improving dietary habits, family meals, screen time, and physical activity.
  • Participants included children referred for overweight or obesity, with data collected on body mass index (BMI) and BMI z-score.

Main Results:

  • A statistically significant reduction in mean body mass index (BMI) was observed from session one to session six (p<0.01).
  • The mean BMI z-score showed a modest decrease of 0.2 (p=0.01).
  • High attrition rates (64.7%) were noted, with only 53.7% of referred families opting into the program.

Conclusions:

  • The adapted intervention demonstrated statistically significant, albeit modest, reductions in BMI among participating children.
  • Significant challenges exist in program referral, family engagement, and participant retention.
  • Further research is needed to develop sustainable and effective strategies for pediatric weight management in primary care settings.