{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:53:12Z","timestamp":1787014392858,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Health Research Council of NZ"},{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001518","name":"Maurice and Phyllis Paykel Trust","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001518","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Taranaki Medical Foundation"},{"DOI":"10.13039\/501100001515","name":"Cure Kids","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001515","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Lotteries Health Research"},{"name":"Starship Foundation"},{"name":"A Better Start National Science Challenge"},{"name":"United States National Institutes of Health"},{"name":"Glaxo Smith Kline"},{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether 12\u2010month BMI SDS reductions persisted at 24\u2009months in a multi\u2010disciplinary assessment and intervention program for children and adolescents with obesity, and whether secondary outcomes improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a community\u2010based 12\u2010month RCT in Aotearoa\/New Zealand. Eligible participants were aged 5 to 16\u2009years with BMI \u226598th centile or BMI\u2009&gt;91st centile with weight\u2010related comorbidities. The low\u2010intensity control received comprehensive home\u2010based baseline assessments and advice, and 6\u2010monthly follow\u2010up. The high\u2010intensity intervention received the same assessments and advice, but also weekly multidisciplinary sessions. Primary outcome was BMI SDS at 12\u2009months. Secondary outcomes included cardiovascular and metabolic markers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      121 participants (60% of participants at baseline) were assessed at 24\u2009months. BMI SDS reduction at 12\u2009months was lost at 24\u2009months in the modified intention\u2010to\u2010treat analysis [Control \u22120.03 (95%CI \u22120.14, 0.09) and Intervention \u22120.02 (\u22120.12, 0.08);\n                      <jats:italic>P<\/jats:italic>\n                      = .93]. However, sweet drink intake was reduced, water intake increased, and there were improvements in cardiovascular fitness in the high\u2010intensity intervention. \u226570% attendance in the high\u2010intensity intervention resulted in a persistent BMI SDS reduction of \u22120.22 after 24\u2009months (95%CI \u22120.38, \u22120.06).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This trial was negative in terms of primary outcome at 24\u2009months. However, high engagement led to sustained treatment effect, and there were multiple improvements in health measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.12693","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T22:50:50Z","timestamp":1595285450000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Two\u2010year outcomes of Wh\u0101nau Pakari, a multi\u2010disciplinary assessment and intervention for children and adolescents with weight issues: A randomized clinical trial"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2054-338X","authenticated-orcid":false,"given":"Yvonne C.","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"},{"name":"Liggins Institute, University of Auckland  Auckland New Zealand"},{"name":"Department of Paediatrics, Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa E.","family":"Wynter","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh A.","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5377-6222","authenticated-orcid":false,"given":"Cervant\u00e9e E. K.","family":"Wild","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4032-7230","authenticated-orcid":false,"given":"Cameron C.","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7532-6441","authenticated-orcid":false,"given":"Tami L.","family":"Cave","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1226-1956","authenticated-orcid":false,"given":"Jos\u00e9 G. 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