Changes in weight status of caregivers of children and adolescents enrolled in a community-based healthy lifestyle programme: Five-year follow-up

Thomas S Hadley; Cervantée E K Wild; Sarah E Maessen; Paul L Hofman; José G B Derraik; Yvonne C Anderson

doi:10.1016/j.orcp.2024.03.006

Changes in weight status of caregivers of children and adolescents enrolled in a community-based healthy lifestyle programme: Five-year follow-up

Obes Res Clin Pract. 2024 Mar-Apr;18(2):154-158. doi: 10.1016/j.orcp.2024.03.006. Epub 2024 Apr 17.

Authors

Thomas S Hadley¹, Cervantée E K Wild², Sarah E Maessen³, Paul L Hofman⁴, José G B Derraik², Yvonne C Anderson⁵

Affiliations

¹ Department of Paediatrics, Health New Zealand | Te Whatu Ora Taranaki, New Plymouth, New Zealand.
² Department of Paediatrics: Child and Youth Health, Faculty of Medicine and Health Sciences, University of Auckland, New Zealand; Liggins Institute, University of Auckland, Auckland, New Zealand.
³ Department of Paediatrics: Child and Youth Health, Faculty of Medicine and Health Sciences, University of Auckland, New Zealand.
⁴ Liggins Institute, University of Auckland, Auckland, New Zealand.
⁵ Department of Paediatrics: Child and Youth Health, Faculty of Medicine and Health Sciences, University of Auckland, New Zealand; Curtin Medical School, Faculty of Health Sciences, Curtin University, WA, Australia; Telethon Kids Institute, Perth Children's Hospital, Nedlands, WA, Australia; Child and Adolescent Community Health, Child and Adolescent Health Service, Perth, WA, Australia. Electronic address: yvonne.anderson@curtin.edu.au.

PMID: 38631969
DOI: 10.1016/j.orcp.2024.03.006

Abstract

Whānau Pakari is a family-centred healthy lifestyle programme for children/adolescents with overweight/obesity in New Zealand. This secondary analysis from our randomised trial within the clinical service assessed 5-year BMI changes in accompanying caregivers (n = 23), mostly mothers. Overall, baseline and 5-year caregivers' BMI were similar (32.50 vs 31.42 kg/m², respectively; p = 0.31) but two-thirds (65%) experienced BMI reductions. Five-year BMI change was similar in High-intensity and Low-intensity randomisation groups [-1.37 kg/m² (-4.95, 2.21); p = 0.44]. Caregiver's BMI change was not associated with child's BMI change. Despite no overall BMI reduction, our findings contrast with upward BMI trajectories predicted for NZ adults with overweight/obesity.

Keywords: Body mass index; Lifestyle intervention; New Zealand; Paediatric obesity.

Publication types

Research Support, Non-U.S. Gov't
Randomized Controlled Trial

MeSH terms

Adolescent
Adult
Body Mass Index*
Body Weight
Caregivers*
Child
Female
Follow-Up Studies
Healthy Lifestyle*
Humans
Male
Middle Aged
New Zealand
Overweight / therapy
Pediatric Obesity* / prevention & control
Pediatric Obesity* / therapy