{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:59:59Z","timestamp":1790845199590,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp; Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Weight management in children involves family lifestyle changes and relies on caregivers of children to implement these changes at home. Little is known about the effects of family\u2010based lifestyle intervention programs for children on caregivers themselves when not specifically targeted by the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether primary caregivers of children and adolescents with overweight or obesity experience a change in body mass index (BMI), cardiovascular risk profile and\/or health behaviors while participating in a pediatric weight management program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study followed caregivers who participated in a family\u2010based multidisciplinary pediatric weight management clinic with their child for 1\u2010year at Alberta Children's Hospital (Alberta, Canada). Data collection occurred from 2015\u20132019 and included baseline, 6 months and 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010nine caregivers completed baseline evaluations and 48 completed the baseline labs. At 6\u2010months, 45 completed evaluations, and 23 completed labs. At 12\u2010months, 31 completed evaluations and 22 completed labs. At baseline, 18.2% of caregivers were overweight (BMI 25\u201329.9\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) and 65.7% were living with obesity (BMI\u00a0\u2265\u00a030\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). There was no significant change in weight (median change \u22123.25\u00a0\u00d7\u00a010\n                      <jats:sup>\u22125<\/jats:sup>\n                      \u00a0kg;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a01), BMI (median change 0.050\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.80) or waist circumference (median change 0.050\u00a0cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.88) at 6 months. No statistically significant changes in cardiometabolic labs were found between baseline and 6 months when controlled for the addition of antihypertensives or antihyperglycemics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides insight into metabolic outcomes of the caregivers of overweight and obese children enrolled in a family\u2010based lifestyle intervention program, although this study was limited by the small sample size and loss of follow\u2010up. Future studies should continue to evaluate caregivers, to better understand the relationship between caregiver involvement and their outcomes in association with their child. Additional understanding of potential psychosocial benefits to children and families enrolled in these programs would be of further benefit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70183","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:18:26Z","timestamp":1788329906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Impact on Adult Caregivers of Family\u2010Based Treatment for Childhood Obesity"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7212-1029","authenticated-orcid":false,"given":"Paola","family":"Luca","sequence":"first","affiliation":[{"name":"Department of Pediatrics Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4740-9009","authenticated-orcid":false,"given":"Amy","family":"Bobyn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9081-6059","authenticated-orcid":false,"given":"Grace P. S.","family":"Kwong","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Department of Community Health Sciences Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Alberta Children's Hospital Research Institute University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6604-0652","authenticated-orcid":false,"given":"Alberto","family":"Nettel\u2010Aguirre","sequence":"additional","affiliation":[{"name":"School of Mathematics and Applied Statistics Faculty of Engineering and Information Sciences University of Wollongong  Wollongong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Sigal","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Department of Medicine Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma O.","family":"Billington","sequence":"additional","affiliation":[{"name":"Department of Medicine Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5088-7947","authenticated-orcid":false,"given":"Raylene A.","family":"Reimer","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0379-4427","authenticated-orcid":false,"given":"Josephine","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12614"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/5.1.25"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.49.5.674"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006x.52.3.429"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.4.342"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001872.pub3"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12000"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.24355"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12583"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010015\u20102005\u2010x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2012.48"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21036"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12622"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13150"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.6.1487"},{"key":"e_1_2_10_17_1","unstructured":"Cancer Prevention Research Centre \u201cSmoking: Adult Stage of Change (Short Form) \u201d accessed November 2 2022 https:\/\/web.uri.edu\/cprc\/measures\/smoking\/adult\u2010stage\u2010of\u2010change\u2010short\u2010form\/."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572170403000512"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.2.556S"},{"key":"e_1_2_10_20_1","unstructured":"University of Washington Health Promotion Research Center \u201cRapid Assessment of Physical Activity (RAPA) \u201d2006 https:\/\/depts.washington.edu\/hprc\/programs\u2010tools\/tools\u2010guides\/rapa\/."},{"issue":"4","key":"e_1_2_10_21_1","article-title":"The Rapid Assessment of Physical Activity (RAPA) Among Older Adults","volume":"3","author":"Topolski T. 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