{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:50:11Z","timestamp":1777485011215,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of implementing an adapted, evidence-based 12-week Family Healthy Weight Program (FHWP), Building Healthy Families, on reducing BMI metrics and clinical health indicators in a real-world community setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Ninety child participants with a BMI percentile greater or equal to the 95th percentile for gender and age and their parents\/guardians (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009137) enrolled in the program. Families attended 12 weekly group-based sessions of nutrition education, family lifestyle physical activity, and behavior modification. A pre\u2013post study design with a 6-month follow-up was used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nine cohorts of families between 2009 and 2016 completed the program with 82.1% retention at 12 weeks and 53.6% at 6 months. Participants had statistically significant improvements at 12 weeks in BMI z-score, %BMIp95, body mass, body fat, fat mass, fat-free mass, and systolic blood pressure with greater improvement at 6 months in body mass, BMI metrics, body fat, fat mass, fat-free mass, and systolic blood pressure. Parents\/guardians of the participants had similar statistically significant body composition and blood pressure improvements (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In addition, children had significant improvements in high-density lipoprotein (HDL) cholesterol and aspartate aminotransferase (AST) liver enzymes at 6 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Overall, this study demonstrated that an evidence-based FHWP can result in statistically meaningful declines in BMI z-score and accompanied clinically meaningful changes in health risk. Participants lost \u223c4% of their body mass in 12 weeks, while their parents\/guardians lost closer to 7% of their body mass, which supports previous literature suggesting body mass changes influence health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2023.0142","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T16:41:40Z","timestamp":1712162500000},"page":"468-475","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Building Healthy Families: Outcomes of an Adapted Family Healthy Weight Program Among Children in a Rural Mid-Western Community"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5659-6462","authenticated-orcid":false,"given":"Bryce M.","family":"Abbey","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Sport Sciences and University of Nebraska at Kearney, Kearney, NE, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate A.","family":"Heelan","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Sport Sciences and University of Nebraska at Kearney, Kearney, NE, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Todd","family":"Bartee","sequence":"additional","affiliation":[{"name":"Department of Biology, University of Nebraska at Kearney, Kearney, NE, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiti","family":"George","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Sport Sciences and University of Nebraska at Kearney, Kearney, NE, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy L.","family":"Foster","sequence":"additional","affiliation":[{"name":"Psychology Department, Munroe-Meyer Institute for Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A.","family":"Estabrooks","sequence":"additional","affiliation":[{"name":"Department of Health and Kinesiology, College of Health and School of Medicine; University of Utah, Salt Lake City, UT, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie L.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, School of Medicine; University of Utah, Salt Lake City, UT, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"CDC. CDC-Recognized Family Healthy Weight Programs: U.S. Department of Health & Human Services; 2023 [updated April 14 2023]. Available from: https:\/\/www.cdc.gov\/obesity\/strategies\/family-healthy-weight-programs.html [Last accessed: September1 2023]."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12000"},{"issue":"2","key":"e_1_3_5_4_2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.amepre.2011.10.014","article-title":"External validity reporting in behavioral treatment of childhood obesity: A systematic review","volume":"42","author":"Klesges LM","year":"2012","unstructured":"Klesges LM, , Williams NA, , Davis KS, et al. External validity reporting in behavioral treatment of childhood obesity: A systematic review. Am J Prev Med, 2012; 42(2):185\u2013192.","journal-title":"Am J Prev Med"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12386"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12420"},{"key":"e_1_3_5_7_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1096\/fasebj.30.1_supplement.1155.6","article-title":"Systematic review of child obesity prevention and treatment trials addressing parenting","volume":"30","author":"Hubbs-Tait L","year":"2016","unstructured":"Hubbs-Tait L, , Kimble A, , Hingle M, et al. Systematic review of child obesity prevention and treatment trials addressing parenting. FASEB J, 2016; 30(1 Suppl):1.","journal-title":"FASEB J"},{"issue":"7","key":"e_1_3_5_8_2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.2196\/jmir.5893","article-title":"Parent-focused childhood and adolescent overweight and obesity ehealth interventions: A systematic review and meta-analysis","volume":"18","author":"Hammersley ML","year":"2016","unstructured":"Hammersley ML, , Jones RA, , Okely AD. Parent-focused childhood and adolescent overweight and obesity ehealth interventions: A systematic review and meta-analysis. J Med Internet Res, 2016; 18(7):e203.","journal-title":"J Med Internet Res"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2014.0092"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12066"},{"issue":"1","key":"e_1_3_5_11_2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1002\/oby.23627","article-title":"Real-world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity","volume":"31","author":"Samuels SL","year":"2023","unstructured":"Samuels SL, , Hu P, , Maciejewski KR, et al. Real-world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity. Obesity (Silver Spring), 2023; 31(1):203\u2013213.","journal-title":"Obesity (Silver Spring)"},{"issue":"2","key":"e_1_3_5_12_2","doi-asserted-by":"crossref","first-page":"2022060640","DOI":"10.1542\/peds.2022-060640","article-title":"Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity","volume":"151","author":"Hampl SE","year":"2023","unstructured":"Hampl SE, , Hassink SG, , Skinner AC, et al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics, 2023; 151(2):e2022060640.","journal-title":"Pediatrics"},{"issue":"2","key":"e_1_3_5_13_2","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1353\/hpu.2015.0051","article-title":"Outcomes for children with chronic conditions associated with parent-and provider-reported measures of the medical home","volume":"26","author":"Raphael JL","year":"2015","unstructured":"Raphael JL, , Cooley WC, , Vega A, et al. Outcomes for children with chronic conditions associated with parent-and provider-reported measures of the medical home. J Health Care Poor Underserved, 2015; 26(2):358.","journal-title":"J Health Care Poor Underserved"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-018-0158-2"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21712"},{"issue":"1","key":"e_1_3_5_16_2","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1748-0361.2008.00136.x","article-title":"Rural-urban differences in physical activity, physical fitness, and overweight prevalence of children","volume":"24","author":"Joens-Matre RR","year":"2008","unstructured":"Joens-Matre RR, , Welk GJ, , Calabro MA, et al. Rural-urban differences in physical activity, physical fitness, and overweight prevalence of children. J Rural Health, 2008; 24(1):49\u201354.","journal-title":"J Rural Health"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2014.0085"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303212"},{"issue":"1","key":"e_1_3_5_19_2","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1186\/s13643-016-0299-0","article-title":"What change in body mass index is needed to improve metabolic health status in childhood obesity: Protocol for a systematic review","volume":"5","author":"Birch L","year":"2016","unstructured":"Birch L, , Perry R, , Penfold C, et al. What change in body mass index is needed to improve metabolic health status in childhood obesity: Protocol for a systematic review. Syst Rev, 2016; 5(1):120.","journal-title":"Syst Rev"},{"key":"e_1_3_5_20_2","first-page":"47","article-title":"Reduction in BMI z-score and improvement in cardiometabolic risk factors in obese children and adolescents","volume":"11","author":"Kolsgaard ML","year":"2011","unstructured":"Kolsgaard ML, , Joner G, , Brunborg C, et al. Reduction in BMI z-score and improvement in cardiometabolic risk factors in obese children and adolescents. The Oslo Adiposity Intervention Study\u2014A hospital\/public health nurse combined treatment. BMC Pediatr, 2011; 11:47.","journal-title":"The Oslo Adiposity Intervention Study\u2014A hospital\/public health nurse combined treatment. BMC Pediatr"},{"issue":"1","key":"e_1_3_5_21_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1093\/jpepsy\/5.1.25","article-title":"Comparison of family-based behavior modification and nutrition education for childhood obesity","volume":"5","author":"Epstein LH","year":"1980","unstructured":"Epstein LH, , Wing RR, , Steranchak L, et al. Comparison of family-based behavior modification and nutrition education for childhood obesity. J Pediatr Psychol, 1980; 5(1):25\u201336.","journal-title":"J Pediatr Psychol"},{"issue":"4","key":"e_1_3_5_22_2","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0002-8223(21)03961-4","article-title":"Family-based behavioral weight control in obese young children","volume":"86","author":"Epstein LH","year":"1986","unstructured":"Epstein LH, , Valoski A, , Koeske R, et al. Family-based behavioral weight control in obese young children. J Am Diet Assoc, 1986; 86(4):481\u2013484.","journal-title":"J Am Diet Assoc"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.13.5.373"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.26.4.381"},{"issue":"4","key":"e_1_3_5_25_2","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1136\/adc.2009.165340","article-title":"What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health?","volume":"95","author":"Ford AL","year":"2010","unstructured":"Ford AL, , Hunt LP, , Cooper A, et al. What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health?. Arch Dis Child, 2010; 95(4):256\u2013261.","journal-title":"Arch Dis Child"},{"key":"e_1_3_5_26_2","first-page":"1","article-title":"Adaptations of an effective evidence-based pediatric weight management intervention","author":"Bartee RT","year":"2023","unstructured":"Bartee RT, , Heelan KA, , Golden CA, et al. Adaptations of an effective evidence-based pediatric weight management intervention. Prev Sci, 2023; 1\u201313.","journal-title":"Prev Sci"},{"key":"e_1_3_5_27_2","volume-title":"Kearney Public Schools BMI Report Card Evaluation","author":"Heelan KA","year":"2011","unstructured":"Heelan KA, , Abbey BM, , Bartee RT. Kearney Public Schools BMI Report Card Evaluation. University of Nebraska at Kearney: Kearney NE; 2011."},{"issue":"4","key":"e_1_3_5_28_2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.70252\/MSCP1314","article-title":"Outcomes of a family based pediatric obesity program\u2014Preliminary results","volume":"4","author":"Ruebel ML","year":"2011","unstructured":"Ruebel ML, , Heelan KA, , Bartee RT, et al. Outcomes of a family based pediatric obesity program\u2014Preliminary results. Int J Exerc Sci, 2011; 4(4):217\u2013228.","journal-title":"Int J Exerc Sci"},{"key":"e_1_3_5_29_2","unstructured":"CDC. Defining Child BMI Categories; 2023. Available from: https:\/\/www.cdc.gov\/obesity\/basics\/childhood-defining.html [Last accessed: September1 2023]."},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0596"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21782"},{"issue":"2","key":"e_1_3_5_32_2","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1542\/peds.114.2.S2.555","article-title":"National high blood pressure education program working group on high blood pressure in children and adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents","volume":"114","author":"Falkner B","year":"2004","unstructured":"Falkner B, , Daniels SR, , Flynn JT, et al. National high blood pressure education program working group on high blood pressure in children and adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics, 2004; 114(2):555\u2013576.","journal-title":"Pediatrics"},{"key":"e_1_3_5_33_2","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1249\/01.mss.0000536391.96402.c2","article-title":"Attenuation of excessive weight gain one year post pediatric obesity treatment initiation: 1695 May 31 4: 15 PM-4: 30 PM","volume":"50","author":"Heelan KA","year":"2018","unstructured":"Heelan KA, , Bower H, , Abbey BM, et al. Attenuation of excessive weight gain one year post pediatric obesity treatment initiation: 1695 May 31 4: 15 PM-4: 30 PM. Med Sci Sports Exerc, 2018; 50(5 Suppl):396.","journal-title":"Med Sci Sports Exerc"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.162.12.1119"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6450-9"},{"issue":"23","key":"e_1_3_5_36_2","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.1001\/jama.2017.0332","article-title":"Screening for obesity and intervention for weight management in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force","volume":"317","author":"O'Connor EA","year":"2017","unstructured":"O'Connor EA, , Evans CV, , Burda BU, et al. Screening for obesity and intervention for weight management in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force. JAMA, 2017; 317(23):2427\u20132444.","journal-title":"JAMA"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2017.08.009"},{"issue":"5","key":"e_1_3_5_38_2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1136\/adc.2003.028803","article-title":"Changes in the atherogenic risk factor profile according to degree of weight loss","volume":"89","author":"Reinehr T","year":"2004","unstructured":"Reinehr T, , Andler W. Changes in the atherogenic risk factor profile according to degree of weight loss. Arch Dis Childhood, 2004; 89(5):419\u2013422.","journal-title":"Arch Dis Childhood"},{"issue":"3","key":"e_1_3_5_39_2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1038\/sj.ejcn.1602090","article-title":"What is the best measure of adiposity change in growing children: BMI, BMI%, BMI z-score or BMI centile?","volume":"59","author":"Cole TJ","year":"2005","unstructured":"Cole TJ, , Faith MS, , Pietrobelli A, et al. What is the best measure of adiposity change in growing children: BMI, BMI%, BMI z-score or BMI centile?. Eur J Clin Nutr, 2005; 59(3):419\u2013425.","journal-title":"Eur J Clin Nutr"},{"issue":"1","key":"e_1_3_5_40_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12966-017-0462-6","article-title":"A pragmatic examination of active and passive recruitment methods to improve the reach of community lifestyle programs: The Talking Health Trial","volume":"14","author":"Estabrooks P","year":"2017","unstructured":"Estabrooks P, , You W, , Hedrick V, et al. A pragmatic examination of active and passive recruitment methods to improve the reach of community lifestyle programs: The Talking Health Trial. Int J Behav Nutr Phys Act, 2017; 14(1):1\u201310.","journal-title":"Int J Behav Nutr Phys Act"}],"container-title":["Childhood Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/chi.2023.0142","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/chi.2023.0142","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/chi.2023.0142","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:25:00Z","timestamp":1777386300000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/chi.2023.0142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":39,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,10,1]]}},"alternative-id":["10.1089\/chi.2023.0142"],"URL":"https:\/\/doi.org\/10.1089\/chi.2023.0142","relation":{},"ISSN":["2153-2168","2153-2176"],"issn-type":[{"value":"2153-2168","type":"print"},{"value":"2153-2176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,1]]}}}