Real‐world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity

Objective This study aimed to examine the extent to which Bright Bodies, a high‐intensity, family‐based pediatric weight management intervention, improved BMI for participants since publication of the randomized controlled trial establishing efficacy in 2007 and to describe adaptations to the progra...

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Published in:Obesity (Silver Spring, Md.) Md.), 2023-01, Vol.31 (1), p.203-213
Main Authors: Samuels, Stephanie L., Hu, Pamela, Maciejewski, Kaitlin R., Li, Fangyong, Dziura, James, Savoye, Mary, Sharifi, Mona
Format: Article
Language:English
Subjects:
Adolescent
Age
Behavior modification
Black People
Body fat
Body Mass Index
Child
Childhood
Children & youth
Clinical trials
Electronic health records
Enrollments
Ethnicity
Families & family life
Female
Hispanic Americans
Humans
Intervention
Male
Nutrition education
Nutrition research
Obesity
Obesity, Morbid - complications
Overweight
Pediatric Obesity - complications
Pediatric Obesity - prevention & control
Pediatrics
Seasons
Treatment Outcome
Weight control
Winter
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Summary:Objective This study aimed to examine the extent to which Bright Bodies, a high‐intensity, family‐based pediatric weight management intervention, improved BMI for participants since publication of the randomized controlled trial establishing efficacy in 2007 and to describe adaptations to the program. Methods For participants enrolled from 2008 to 2018, linear mixed‐effects models were used to estimate monthly change in BMI expressed as percentage of the 95th percentile (%BMIp95) during participants' first beginner‐level program. Results The sample included 396 youth individuals (mean age: 11.7  [SD 2.8] years, 61.6% female, 37.1% non‐Hispanic Black, 26.3% Hispanic or Latino, 53.8% with public insurance, 80.1% with severe obesity). Across the 11 years, participants' %BMIp95 reduced on average by 1.63% (95% CI: 1.44%‐1.82%) per month during their first program (mean duration: 10 weeks) after adjusting for age, sex, season and year, starting %BMIp95, race and ethnicity, and insurance category. Greater reduction in %BMIp95 was associated with male versus female sex, spring/fall versus winter seasons, enrollment in 2008 to 2018 versus 2015 to 2018, and higher starting %BMIp95 (p value for all
ISSN:1930-7381
1930-739X
DOI:10.1002/oby.23627