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Significant effects of childhood obesity treatment with a web-based component in a randomised controlled study (Web-COP)
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics. Department of Paediatrics, Sollefteå hospital, Sollefteå, Sweden.ORCID iD: 0000-0003-4193-3141
Department of Paediatrics, Örnsköldsvik hospital, Örnsköldsvik, Sweden.
Department of Research and Development, Västernorrland County Council, Sundsvall, Sweden.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
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2024 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 113, no 2, p. 276-285Article in journal (Refereed) Published
Abstract [en]

Aim: We evaluated the effect on body mass index standard deviation score (BMI-SDS) of a combined treatment (Web-COP) for children with obesity, including a web-based component targeting their parents.

Methods: This randomised controlled trial recruited children 5–12 years of age with obesity (International Obesity Task Force BMI [IOTF-BMI] ≥30 kg/m2) from school health care and outpatient paediatric clinics in in Northern Sweden from 1 June 2019 to 21 June 2020. The children were randomised to Web-COP, an intervention with group sessions and a 12-week web-based component, or standard care. The primary outcome was the change in IOTF BMI-SDS after 6 months.

Results: In total, 75 children (33 girls), mean age 9.5 years, were randomised, and 65/75 (87%) children and their parents completed the study, 35/39 (90%) in the Web-COP intervention and 30/36 (83%) in the standard care group. BMI-SDS at 6 months was changed from 3.08 to 2.81 in the intervention group compared to an increase from 3.07 to 3.16 in the standard care group, representing a significant difference between groups (p < 0.001). In the intervention group, 14/30 (47%) reduced their BMI-SDS ≥0.25, compared to none in the standard care group.

Conclusion: The parent-focused intervention significantly improved BMI-SDS in children with obesity as compared to children in standard care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 113, no 2, p. 276-285
Keywords [en]
childhood obesity, intervention, parents, randomised controlled trial, web-based treatment
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-215757DOI: 10.1111/apa.17000ISI: 001084859500001PubMedID: 37837210Scopus ID: 2-s2.0-85174200026OAI: oai:DiVA.org:umu-215757DiVA, id: diva2:1808916
Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-05-08Bibliographically approved

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Thorén, AnnelieSandström, OlofSilfverdal, Sven-Arne

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