{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:59:52Z","timestamp":1785373192081,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006544","name":"Ministry of Health, State of Israel","doi-asserted-by":"publisher","award":["3\u201018092"],"award-info":[{"award-number":["3\u201018092"]}],"id":[{"id":"10.13039\/501100006544","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telemedicine (TELE) may improve accessibility to paediatric obesity treatment, yet its effectiveness relative to face\u2010to\u2010face (FTF) care remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the effects of a high\u2010intensity, multidisciplinary TELE intervention with standard FTF care in children and adolescents with obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants aged 10\u201318\u2009years with obesity [body mass index (BMI) \u2265\u20092 standard deviations] were randomized to a 6\u2010month TELE or FTF program in a tertiary\u2010care centre paediatric obesity clinic. The TELE group received 30 weekly remote multidisciplinary consultations and a gamified step\u2010monitoring application, along with three in\u2010person visits. The FTF group attended six monthly in\u2010clinic visits. The primary outcome was BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score changes. Secondary outcomes included body composition, weight\u2010related\u2010quality\u2010of\u2010life (QOL), adherence, and satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred participants were randomized 1:1 to TELE or FTF, of whom 65 completed the intervention (TELE\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932; FTF\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933). Baseline BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores were similar between groups (2.11\u2009\u00b1\u20090.32 vs. 2.11\u2009\u00b1\u20090.29). The reduction in BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score was significantly greater in FTF than TELE (\u22120.16\u2009\u00b1\u20090.14 vs. \u22120.05\u2009\u00b1\u20090.15;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), and any reduction was observed among 85% of FTF participants compared with 56% in TELE (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Body composition and QOL improved similarly in both groups, whereas satisfaction was higher in FTF.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      TELE\u2010based care was less effective than FTF in reducing BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score in children with obesity. Hybrid models integrating TELE with FTF visits warrant further investigation.\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier: NCT05700409\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70136","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:26:44Z","timestamp":1784014004000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Telehealth Vs. Face\u2010to\u2010Face Treatment for Children and Adolescents With Obesity: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1261-1750","authenticated-orcid":false,"given":"Lior","family":"Friedman","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, School of Public Health, Gray Faculty of Medicine and Health Science, and Sylvan Adams Sport Science Institute Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzach Itzhak","family":"Gil","sequence":"additional","affiliation":[{"name":"Pediatric Exercise and Lifestyle Clinic, Edmond and Lily Safra Children's Hospital Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Yaniv","sequence":"additional","affiliation":[{"name":"Pediatric Exercise and Lifestyle Clinic, Edmond and Lily Safra Children's Hospital Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eylam","family":"Ziv\u2010Av","sequence":"additional","affiliation":[{"name":"Pediatric Exercise and Lifestyle Clinic, Edmond and Lily Safra Children's Hospital Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alon","family":"Manhart","sequence":"additional","affiliation":[{"name":"Pediatric Exercise and Lifestyle Clinic, Edmond and Lily Safra Children's Hospital Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yftach","family":"Gepner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, School of Public Health, Gray Faculty of Medicine and Health Science, and Sylvan Adams Sport Science Institute Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gal","family":"Dubnov\u2010Raz","sequence":"additional","affiliation":[{"name":"Pediatric Exercise and Lifestyle Clinic, Edmond and Lily Safra Children's Hospital Sheba Medical Center  Ramat Gan Israel"},{"name":"Gray Faculty of Medicine and Health Sciences Tel Aviv University  Tel Aviv 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