Effectiveness of a Behavioral Intervention vs. Standard Care for Pediatric Obesity: A Randomized Controlled Trial
DOI:
https://doi.org/10.70749/ijbr.v3i4.1029Keywords:
Pediatric Obesity, Behavioral Intervention, Weight Management, Lifestyle Modification, Randomized Controlled TrialAbstract
Background: Pediatric obesity is a growing public health issue, leading to long-term health risks such as diabetes, cardiovascular disease, and psychological distress. Standard care approaches, which primarily focus on general lifestyle advice, often show limited success. This study examines whether a structured behavioral intervention is more effective than standard care in managing childhood obesity. Methods: This randomized controlled trial was conducted at Jinnah Teaching Hospital from September 1, 2024, to February 28, 2025. A total of 110 children aged 6 to 14 years with obesity were randomly assigned to either a behavioral intervention group (n=55) or a standard care group (n=55). The intervention group participated in a structured program involving dietary education, physical activity sessions, and behavioral counseling, while the standard care group received general weight management advice. Primary outcomes included changes in BMI, body fat percentage, and waist circumference. Secondary outcomes assessed metabolic markers, dietary habits, physical activity levels, and psychological well-being. Data were analyzed using SPSS, with a p-value of <0.05 considered statistically significant. Results: Children in the behavioral intervention group showed a significant reduction in BMI (–1.7 kg/m², p<0.01), body fat percentage (–3.6%, p<0.01), and waist circumference (–4.6 cm, p<0.01) compared to the standard care group. Metabolic improvements were also observed, including lower fasting glucose and insulin resistance scores. Additionally, participants in the intervention group reported increased physical activity, improved dietary habits, and higher psychological well-being scores. Conclusion: A structured behavioral intervention was more effective than standard care in reducing obesity-related health risks in children. The findings support the integration of multidisciplinary behavioral programs into routine clinical practice to improve pediatric weight management outcomes.
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Marsigliante, S., Gómez-López, M., & Muscella, A. (2023). Effects on children’s physical and mental well-being of a physical-activity-Based school intervention program: A randomized study. International Journal of Environmental Research and Public Health, 20(3), 1927. https://doi.org/10.3390/ijerph20031927
Hannon, T. S., & Arslanian, S. A. (2023). Obesity in adolescents. New England Journal of Medicine, 389(3), 251-261. https://doi.org/10.1056/nejmcp2102062
Nally, S., Carlin, A., Blackburn, N. E., Baird, J. S., Salmon, J., Murphy, M. H., & Gallagher, A. M. (2024). Correction: Nally et al. The effectiveness of school-based interventions on obesity-related behaviours in primary school children: A systematic review and meta-analysis of randomised controlled trials. Children 2021, 8, 489. Children, 11(9), 1092. https://doi.org/10.3390/children11091092
Podnar, H., Jurić, P., Karuc, J., Saez, M., Barceló, M. A., Radman, I., Starc, G., Jurak, G., Đurić, S., Potočnik, Ž. L., & Sorić, M. (2021). Comparative effectiveness of school‐based interventions targeting physical activity, physical fitness or sedentary behaviour on obesity prevention in 6‐ to 12‐year‐old children: A systematic review and meta‐analysis. Obesity Reviews, 22(2). https://doi.org/10.1111/obr.13160
Vajravelu, M. E., Tas, E., & Arslanian, S. (2023). Pediatric obesity: Complications and current day management. Life, 13(7), 1591. https://doi.org/10.3390/life13071591
Epstein, L. H., Wilfley, D. E., Kilanowski, C., Quattrin, T., Cook, S. R., Eneli, I. U., Geller, N., Lew, D., Wallendorf, M., Dore, P., Paluch, R. A., & Schechtman, K. B. (2023). Family-based behavioral treatment for childhood obesity implemented in pediatric primary care. JAMA, 329(22), 1947. https://doi.org/10.1001/jama.2023.8061
Palmer, J. C., Davies, A. L., Spiga, F., Heitmann, B. L., Jago, R., Summerbell, C. D., & Higgins, J. P. (2024). Do the effects of interventions aimed at the prevention of childhood obesity reduce inequities? A re-analysis of randomized trial data from two Cochrane reviews. https://doi.org/10.1101/2024.06.10.24308372
Gans, K. M., Tovar, A., Kang, A., Ward, D. S., Stowers, K. C., Von Ash, T., Dionne, L., Papandonatos, G. D., Mena, N., Jiang, Q., & Risica, P. M. (2022). A multi-component tailored intervention in family childcare homes improves diet quality and sedentary behavior of preschool children compared to an attention control: Results from the healthy start-comienzos Sanos cluster randomized trial. International Journal of Behavioral Nutrition and Physical Activity, 19(1). https://doi.org/10.1186/s12966-022-01272-6
Fowler, L. A., Grammer, A. C., Staiano, A. E., Fitzsimmons-Craft, E. E., Chen, L., Yaeger, L. H., & Wilfley, D. E. (2021). Harnessing technological solutions for childhood obesity prevention and treatment: A systematic review and meta-analysis of current applications. International Journal of Obesity, 45(5), 957-981. https://doi.org/10.1038/s41366-021-00765-x
Tomayko, E. J., Tovar, A., Fitzgerald, N., Howe, C. L., Hingle, M. D., Murphy, M. P., Muzaffar, H., Going, S. B., & Hubbs-Tait, L. (2021). Parent involvement in diet or physical activity interventions to treat or prevent childhood obesity: An umbrella review. Nutrients, 13(9), 3227. https://doi.org/10.3390/nu13093227
Flynn, A. C., Suleiman, F., Windsor‐Aubrey, H., Wolfe, I., O'Keeffe, M., Poston, L., & Dalrymple, K. V. (2022). Preventing and treating childhood overweight and obesity in children up to 5 years old: A systematic review by intervention setting. Maternal & Child Nutrition, 18(3). https://doi.org/10.1111/mcn.13354
Ball, G. D., Sebastianski, M., Wijesundera, J., Keto‐Lambert, D., Ho, J., Zenlea, I., Perez, A., Nobles, J., & Skelton, J. A. (2020). Strategies to reduce attrition in managing paediatric obesity: A systematic review. Pediatric Obesity, 16(4). https://doi.org/10.1111/ijpo.12733
Azevedo, L. B., Stephenson, J., Ells, L., Adu‐Ntiamoah, S., DeSmet, A., Giles, E. L., Haste, A., O'Malley, C., Jones, D., Chai, L. K., Burrows, T., Collins, C. E., Van Grieken, A., & Hudson, M. (2021). The effectiveness of E‐hEalth interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta‐analysis. Obesity Reviews, 23(2). https://doi.org/10.1111/obr.13373
Likhitweerawong, N., Boonchooduang, N., Kittisakmontri, K., Chonchaiya, W., & Louthrenoo, O. (2021). Effectiveness of mobile application on changing weight, healthy eating habits, and quality of life in children and adolescents with obesity: A randomized controlled trial. BMC Pediatrics, 21(1). https://doi.org/10.1186/s12887-021-02980-x
Apperley, L. J., Blackburn, J., Erlandson‐Parry, K., Gait, L., Laing, P., & Senniappan, S. (2021). Childhood obesity: A review of current and future management options. Clinical Endocrinology, 96(3), 288-301. https://doi.org/10.1111/cen.14625
Mazur, A., Zachurzok, A., Baran, J., Dereń, K., Łuszczki, E., Weres, A., Wyszyńska, J., Dylczyk, J., Szczudlik, E., Drożdż, D., Metelska, P., Brzeziński, M., Kozioł-Kozakowska, A., Matusik, P., Socha, P., Olszanecka-Glinianowicz, M., Jackowska, T., Walczak, M., Peregud-Pogorzelski, J., … Wójcik, M. (2022). Childhood obesity: Position statement of Polish society of pediatrics, Polish society for pediatric obesity, Polish society of pediatric endocrinology and diabetes, the college of family physicians in Poland and Polish association for study on obesity. Nutrients, 14(18), 3806. https://doi.org/10.3390/nu14183806
Sanders, L. M., Perrin, E. M., Yin, H. S., Delamater, A. M., Flower, K. B., Bian, A., Schildcrout, J. S., & Rothman, R. L. (2021). A health-literacy intervention for early childhood obesity prevention: A cluster-randomized controlled trial. Pediatrics, 147(5). https://doi.org/10.1542/peds.2020-049866
Skinner, A. C., Staiano, A. E., Armstrong, S. C., Barkin, S. L., Hassink, S. G., Moore, J. E., Savage, J. S., Vilme, H., Weedn, A. E., Liebhart, J., Lindros, J., & Reilly, E. M. (2023). Appraisal of clinical care practices for child obesity treatment. Part I: Interventions. Pediatrics, 151(2). https://doi.org/10.1542/peds.2022-060642
Coppola, S., Nocerino, R., Paparo, L., Bedogni, G., Calignano, A., Di Scala, C., De Giovanni di Santa Severina, A. F., De Filippis, F., Ercolini, D., & Berni Canani, R. (2022). Therapeutic effects of butyrate on pediatric obesity. JAMA Network Open, 5(12), e2244912. https://doi.org/10.1001/jamanetworkopen.2022.44912
Verduci, E., Di Profio, E., Fiore, G., & Zuccotti, G. (2022). Integrated approaches to combatting childhood obesity. Annals of Nutrition and Metabolism, 78(Suppl. 2), 8-19. https://doi.org/10.1159/000524962
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