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This pragmatic pilot study assessed the effectiveness of a whole-family obesity prevention and treatment program\u2014the Healthy Living Program (HeLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>HeLP is delivered at recreation centers by teams of health educators and fitness professionals. HeLP involves 12 group sessions, including parenting, child feeding, nutrition, cooking, meal planning\/shopping, and fitness. Primary care providers referred families of children 2 years and older with obesity. This pragmatic longitudinal study collected data at the intervention and from electronic health records to compare child BMI trajectories from 12 months pre- to 12 months postintervention, in terms of the percentage of the 95th percentile BMI (BMI%95) using hierarchical mixed-effects models to account for clustering and to adjust for age, sex, weight status, and language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median attendance was 8 of 12 sessions. Of 317 children who had BMI measured clinically 1 year prior to HeLP, 265 (84%) had BMI measured 1 year post-HeLP, including 210 with overweight or obesity and 55 healthy weight siblings. About 71% of parents spoke Spanish only. Changes in modeled BMI%95 trajectory for children with overweight or obesity were: \u22126.7% [95% CI \u221213.0%, \u22120.4%] (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.04) for 2\u20136 years, \u22125.8% [\u22128.6%, \u22123.0%] (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) for 7\u201311 years, and \u22124.1% [\u22126.8%, \u22121.4%] (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003) for 12\u201318 years. Children with overweight decreased \u22124.6% [\u22128.4%, \u22120.9%] (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These data suggest that HeLP, a whole-family intervention delivered by clinic\u2013community partnership, may be effective at preventing and treating obesity in children from Hispanic families with low income and support an ongoing randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21532176251410314","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T05:37:16Z","timestamp":1769146636000},"page":"69-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pragmatic Pilot Study of the Healthy Living Program: An Obesity Prevention and Treatment Program for Low-Income Hispanic Families Delivered Through Clinic\u2013Community Partnership"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1288-6083","authenticated-orcid":false,"given":"Matthew A.","family":"Haemer","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Section of Nutrition, University of Colorado, Denver, CO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhong","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Biostatistics, University of Colorado, Aurora, CO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily J.","family":"Steen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Nutrition, University of Colorado, Denver, CO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Osborn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Nutrition, University of Colorado, Denver, CO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Bradley","sequence":"additional","affiliation":[{"name":"Share Our Strength, Washington, DC, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Boles","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Nutrition, University of Colorado, Denver, CO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers of Disease Control and Prevention. 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