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This systematic review and meta\u2010analysis evaluated the effectiveness of behavioral weight management interventions delivered or referred to by health care providers in primary care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Randomized controlled trials (RCTs) of behavioral interventions published up to 05\/01\/2026, involving participants &lt;\u200918\u2009years with overweight or obesity, were identified through Cochrane, MEDLINE, PubMed, and PsychINFO. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Meta\u2010analyses calculated pooled mean differences in zBMI and BMI using random effects models. The primary outcome was zBMI change at 12\u2009months; secondary outcomes included zBMI changes at program end, last follow\u2010up, and BMI at 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010nine RCTs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910,454) were included; 23 trials (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093241) contributed to the primary outcome. At 12\u2009months, the pooled mean difference in zBMI was \u22120.08 (95% CI \u22120.13 to \u22120.03,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), favoring intervention groups. At program end (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930), the mean difference was \u22120.15 (95% CI \u22120.22 to \u22120.08), and at last follow\u2010up (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937), \u22120.08 (95% CI \u22120.15 to \u22120.02). BMI at 12\u2009months showed a mean difference of \u22120.37 (95% CI \u22120.72 to \u22120.01). Interventions referred to community settings achieved greater zBMI reductions (\u22120.14 [95% CI \u22120.2 to \u22120.08]) than those delivered within primary care (0.04 [95% CI \u22120.10 to 0.18]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Behavioral weight management interventions for children delivered or referred to by health care professionals in primary care led to modest reductions in zBMI. Referrals to community\u2010based interventions (e.g., HENRY) may yield greater improvements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/obr.70119","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:36:12Z","timestamp":1773128172000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Systematic Review and Meta\u2010Analysis of Randomized Controlled Trials of Behavioral Interventions for the Management of Overweight and Obesity in Children That Are Delivered or Referred to by Health Providers in Primary Care"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0759-7992","authenticated-orcid":false,"given":"Henrietta\u00a0E.","family":"Graham","sequence":"first","affiliation":[{"name":"Centre for Lifestyle Medicine and Behaviour (CLiMB), The School of Sport, Exercise and Health Sciences Loughborough University  Loughborough 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