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Individual Physical Activity Behaviour and Group Composition as Determinants of the Effectiveness of a Childhood
Liesa Marie Lier1, Christoph Breuer2, Nina Ferrari3
1Department of Sports Economics and Sport Management, German Sport University Cologne, Cologne, Germany, liesa.lier@web.de.
Insights
This study found that childhood obesity interventions are effective. Key factors for success include physical activity, mixed-gender groups, and narrow age ranges for improved health outcomes.
Area of Science:
- Pediatrics
- Public Health
- Sports Science
Background:
- Childhood obesity interventions often lack clear effectiveness predictors.
- Understanding these factors is crucial for sustainable health improvements.
Purpose of the Study:
- To identify individual and program-level predictors of Body Mass Index-Standard Deviation Score (BMI-SDS) and physical fitness.
- To evaluate the effectiveness of a multidisciplinary outpatient program for children with obesity.
Main Methods:
- Analysis of data from 249 children in an obesity intervention program and 54 waitlist controls.
- Linear regression models were used to assess associations between variables and BMI-SDS/fitness outcomes.
Main Results:
- Intervention group showed a 0.19 unit decrease in BMI-SDS and 11.5% increase in fitness.
- Pre-program physical activity, gender-heterogeneous groups, and narrow age ranges predicted greater improvements.
Conclusions:
- The multidisciplinary program effectively combats juvenile obesity.
- Optimizing group composition (mixed-gender, narrow age range) and supporting inactive children can enhance intervention outcomes.
Introduction:
Up to now, there is limited clarity on factors that determine the effectiveness of childhood obesity interventions.
Objective:
This study intends to uncover individual- and program-level predictors of BMI-SDS and fitness to achieve significant, sustainable health improvements.
Methods:
Data of 249 children with obesity or overweight who participated in an outpatient multidisciplinary program were analysed and compared to 54 waitlist controls. Linear regression models were used to examine associations between individual- and group-level variables and BMI-SDS and fitness.
Results:
Among intervention children, BMI-SDS decreased by 0.19 units and physical fitness increased by 11.5%, versus a BMI-SDS decrease of 0.07 and a 1.8% decrease in fitness in the control group. Participants who reported being physically active before the program start achieved greater improvements in BMI-SDS (β = -0.177, p < 0.05) and physical fitness (β = 0.174, p < 0.05) than inactive peers. BMI-SDS decreased significantly more for members of gender-heterogeneous groups (β = 0.194, p < 0.05) with a narrow age range (β = 0.152, p < 0.05).
Conclusions:
The program under review is effective in counteracting juvenile obesity. The results give reason to believe that forming mixed-gender groups with a small age range and providing increased support for reportedly inactive children may improve program effectiveness.
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