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Health behaviour outcomes of a family based intervention for paediatric obesity in primary care: A randomized type II

Justin D Smith1,2, Cady Berkel3, Allison J Carroll4

  • 1Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, Utah, USA.

Pediatric Obesity
|March 30, 2021
PubMed

Insights

Family-based interventions improved child health behaviors for pediatric obesity prevention. While body mass index (BMI) did not change, family routines and health behaviors showed significant positive impacts.

Area of Science:

  • Public Health
  • Pediatrics
  • Behavioral Science

Background:

  • Pediatric obesity is a significant public health challenge.
  • Family-based behavioral interventions are recommended but lack real-world testing.
  • Few interventions are evaluated in diverse, low-income populations.

Purpose of the Study:

  • To assess a family-based intervention's effectiveness in pediatric primary care.
  • To evaluate impacts on child and family health outcomes.
  • To determine if the intervention reduces excess weight gain in children.

Main Methods:

  • 240 families with children (6-12 years) and BMI ≥85th percentile were randomized.
  • Intervention group received Family Check-Up 4 Health (FCU4Health) for 6 months.
  • Outcomes included child BMI, body fat, and caregiver-reported health behaviors.

Main Results:

  • No significant differences in child BMI or body fat between groups.
  • Significant improvements in child health behaviors at 12 months in the intervention group.
  • Improved family health routines at 6 months mediated behavior changes.

Conclusions:

  • The FCU4Health intervention positively impacted child and family health behaviors related to pediatric obesity.
  • The intervention shows promise for managing factors contributing to childhood obesity.
  • BMI did not significantly differ, suggesting a need for longer-term studies or combined approaches.
Abstract

Keywords:
coordinated carefamily check-up 4 healthhybrid effectiveness-implementation designpaediatric obesityprimary care

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