Parent and child characteristics associated with treatment non-response to a short- versus long-term lifestyle intervention in pediatric obesity

Sarah Woo, Hong Ji Song, Jung Kook Song, Yoon Myung Kim, Hyunjung Lim, Kyung Hee Park

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Objectives: This study aimed to identify the factors associated with short- or long-term non-response to an obesity intervention in children and adolescents. Subjects/Methods: In this observational study, a total of 242 children and adolescents (sex- and age-specific body mass index (BMI) ≥ 85th percentile) were divided into three groups according to the BMI z-score change after 6 (n = 163) and 24 months (n = 110) of participating in an obesity intervention: responders, low responders, and non-responders if the BMI z-score decrease was ≥0.25, 0 to 0.25, and if it increased, respectively. Results: Short-term non-response was associated with higher maternal psychosocial stress (OR = 2.34, 95% CI [1.07–5.11]) and adolescence (>11 years; OR = 2.40, 95% CI [1.10–5.22]). The odds of long-term non-response were reduced by an increased vegetable consumption of more than five dishes per week (OR = 0.21, 95% CI [0.07–0.69]) and an hour of increased sleep duration during weekends (OR = 0.14, 95% CI [0.04–0.53]). Conclusions: Short-term non-response was associated with child and maternal characteristics, whereas long-term non-response was associated with actual lifestyle changes such as sleep duration and vegetable consumption. Children with obesity may benefit from an hour of weekend catch-up sleep in lowering the risk of long-term treatment non-response. An individualized approach should be considered for children of older age and mothers with a higher level of stress, as they may not benefit from a conventional short-term lifestyle intervention.

Original languageEnglish
Pages (from-to)127-134
Number of pages8
JournalEuropean Journal of Clinical Nutrition
Volume77
Issue number1
DOIs
Publication statusPublished - 2023 Jan

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Nature Limited.

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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