{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:53:07Z","timestamp":1790999587298,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["Pediatric Obesity"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family\u2010based interventions offer a promising solution to the pressing global health concern of childhood obesity by addressing the interconnected behaviours of parents and children. Nevertheless, limited evidence identifies which families benefit most when outcomes are evaluated at the parent\u2013child dyad level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify which parent\u2013child dyads experienced clinically meaningful improvements in weight status over 1\u2010 and 2\u2010year periods within the Feel4Diabetes study, a school\u2010 and community\u2010based intervention targeting European families at risk for Type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were drawn from 2402 high\u2010risk families across six European countries. For participants with overweight\/obesity, improvement meant \u2265\u20095% parental weight loss and a \u2265\u20090.15\u2010unit child BMI\u2010\n                      <jats:italic>z<\/jats:italic>\n                      reduction. Multiple logistic regression models identified socio\u2010demographic and contextual predictors of dyadic improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After 2\u2009years, 5.3% of families achieved improvements in both parent and child. Significant predictors of dyadic success included intervention group participation [OR\u2009=\u20092.56 (95% CI: 1.31\u20135.03)] and residing in high\u2010income countries under austerity measures [OR\u2009=\u20092.44 (1.00\u20136.02)]. Girls were more likely to improve than boys, while full\u2010time maternal employment was associated with lower odds of dyadic improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sustained benefits were observed in a subset of families, highlighting the need for tailored, context\u2010sensitive family\u2010centred obesity prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70159","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:02:19Z","timestamp":1790996539000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Who Benefited Most? Identifying Parent\u2013Child Dyads With Improved Weight Outcomes in the Feel4Diabetes Study"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4658-8722","authenticated-orcid":false,"given":"Dimitra\u2010Irinna","family":"Vitoratou","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics School of Health Sciences and Education, Harokopio University of Athens  Athens Greece"},{"name":"European Centre for Obesity, Harokopio University  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5395-7023","authenticated-orcid":false,"given":"Eva","family":"Karaglani","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics School of Health Sciences and Education, Harokopio University of Athens  Athens Greece"},{"name":"European Centre for Obesity, Harokopio University  Athens Greece"},{"name":"First Department of Propaedeutic Internal Medicine, Medical School National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3673-3065","authenticated-orcid":false,"given":"Matzourana","family":"Argyropoulou","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics School of Health Sciences and Education, Harokopio University of Athens  Athens Greece"},{"name":"European Centre for Obesity, Harokopio University  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0956-0448","authenticated-orcid":false,"given":"Konstantina","family":"Dimakopoulou","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics School of Health Sciences and Education, Harokopio University of Athens  Athens Greece"},{"name":"Department of Basic and Clinical Sciences Medical School, University of Nicosia UNIC Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4160-1200","authenticated-orcid":false,"given":"Violeta","family":"Iotova","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical University of Varna  Varna Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuliya","family":"Bazdarska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical University of Varna  Varna Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7572-1131","authenticated-orcid":false,"given":"Tsvetalina","family":"Tankova","sequence":"additional","affiliation":[{"name":"Department of Diabetology, Clinical Center of Endocrinology Medical University of Sofia  Sofia 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