Long-term effects of 12-month integrated weight-loss programme for children with excess body weight- who benefits most?

Front Endocrinol (Lausanne). 2023 Nov 3:14:1221343. doi: 10.3389/fendo.2023.1221343. eCollection 2023.

Abstract

The aim of the study was to assess long-term effects of the 12-month integrated weight-loss programme in children with excess body weight. We also attempted to identify the determinants of intervention effectiveness. Two groups were included in the analysis: 241 children with excess body weight who participated in the full 12-month intervention (full participation group) and 891 children with excess body weight who did not participate in the intervention (no participation group). Changes in BMI SDS, SBP SDS, DBP SDS and post-exercise HR with a follow-up period of 4 years between this groups were compared. In the full participation group, the reduction in mean BMI SDS was greater, we also observed significantly higher decrease in DBP SDS. Subgroup analysis by age category and sex showed a significant difference in the change in mean BMI SDS (from baseline to follow-up) in the subgroup of younger children and in the subgroup of younger girls. In the subgroup of younger girls significantly higher decrease in DBP SDS and SBP was also observed. Younger children, who participated in the intervention at age 6, particularly girls, benefited the most.

Keywords: BMI reduction; excess body weight; lifestyle; lifestyle intervention weight loss programme; long-term effects; pediatric obesity; weight loss.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Mass Index
  • Child
  • Exercise
  • Female
  • Humans
  • Weight Gain
  • Weight Reduction Programs*

Grants and funding

Programme “6-10-14 for health” is fully funded by the City of Gdansk authorities. The City of Gdansk had no financial input to the presented manuscript nor had they an impact on design of the study and collection, analysis, and interpretation of data and in writing the manuscript.