Significant effects of childhood obesity treatment with a web-based component in a randomised controlled study (Web-COP)

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 (Inte...

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Bibliographic Details
Published in:Acta Paediatrica
Main Authors: Thorén, Annelie, Filipsson, Tobias, Englund, Erling, Sandström, Olof, Janson, Annika, Silfverdal, Sven-Arne
Format: Article in Journal/Newspaper
Language:English
Published: Umeå universitet, Pediatrik 2024
Subjects:
childhood obesity
intervention
parents
randomised controlled trial
web-based treatment
Pediatrics
Pediatrik
Northern Sweden
Online Access:http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215757
https://doi.org/10.1111/apa.17000
Description
Summary: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.

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