title: Treatment of childhood obesity in obese families.
abstract: Parental obesity reduces the likelihood of a multidisciplinary childhood obesity program to succeed, suggesting that special family-based interventions should be constructed for obese children from obese families.
  
  
  
  To examine the effects of an intense combined 3-month familial dietary-behavioral-physical activity intervention for a subgroup of obese children (BMI >95th percentile) from obese families (parental BMI >27 kg/m2) compared to a control group of obese children and obese parents who did not participate in the combined intervention.
  
  
  
  Twenty-two obese children were randomly assigned to the intervention (n = 11) or control (n = 11) group. Anthropometric measurements, body composition, dietary and activity habits and fitness levels were measured before and at the end of a 3-month intervention.
  
  
  
  The intervention led to a significant difference in change in body weight (-0.2 +/- 0.3 vs 1.7 +/- 0.6 kg; p <0.05), BMI percentiles (-1.4 +/- 0.5 vs -0.1 +/- 0.2%; p <0.05), and to a decrease in screen (television and computer) time (-2.2 +/- 0.6 vs 0.1 +/- 0.3 h/day; p <0.05) in the intervention group compared to the controls. In addition, the intervention led to a significant improvement in fitness level determined by endurance time (181 +/- 30 vs 26 +/- 63 seconds in the intervention vs control group, respectively; p <0.05).
  
  
  
  Obese children from obese families pose a therapeutic challenge to health care providers. Intense family-oriented multidisciplinary weight management intervention should be designed for treatment in this unique population.
authors.affiliation: Child Health & Sports Center, Department of Pediatrics, Meir General Hospital, Kfar Saba, Israel. dnemet@gmail.com
authors.forename: Dan
authors.initials: D
authors.lastname: Nemet
authors.forename: Neomi
authors.initials: N
authors.lastname: Barzilay-Teeni
authors.forename: Alon
authors.initials: A
authors.lastname: Eliakim
mesh_terms: D001521:Behavior Therapy; D001823:Body Composition / Q000502:physiology; D001827:Body Height / Q000502:physiology; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology; D031204:Caloric Restriction; D002648:Child; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005192:Family Health; D005196:Family Therapy; D005247:Feeding Behavior / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000503:physiopathology / Q000628:therapy*; D010809:Physical Fitness / Q000502:physiology; D011446:Prospective Studies