Evidence map›Paper›PMID 42770536›Full record

Trial reportPediatric obesity2026

Patterns of Children's Weight Change During Family-Based Weight Management Intervention and Associations With Outcome Through Follow-Up.

Brian E Saelens, Maya G Rowland, Muna A Ibrahim, Waylon Howard, Hareen Seerha, Susan J Melhorn, Ellen A Schur, Christian L Roth

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatric obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brian E SaelensSeattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-6998-6339
Maya G RowlandSeattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0009-0002-8352-1444
Muna A IbrahimSeattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0000-0003-3719-9562
Waylon HowardSeattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-0355-2244
Hareen SeerhaUniversity of Washington School of Medicine, Seattle, Washington, USA.ORCID https://orcid.org/0009-0005-6222-9542
Susan J MelhornDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-7969-8496
Ellen A SchurDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-1013-0795
Christian L RothSeattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0000-0003-3037-4057

Funding

Brain systems and behaviors underlying response to obesity treatment in childrenR01DK098466 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI ROTH, CHRISTIAN LUDWIG · 2014 to 2023
$5.6M
Parents as peer interventionists in treatment for pediatric weight managementR01DK104863 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI SAELENS, BRIAN E · 2015 to 2019
$2.8M
Behavioral Skill Adherence in Pediatric Obesity TreatmentR21HD054871 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI SAELENS, BRIAN E · 2008 to 2009
$388k
NICHD NIH HHS R21 HD054871NIDDK NIH HHS R01 DK098466NIDDK NIH HHS R01 DK104863NIH HHS R01DK098466NIH HHS R01DK104863NIH HHS R21HD054871
6 · The paper itself

Abstract

introductionUnderstanding within-treatment weight change patterns may inform strategies to improve long-term outcomes for children with overweight/obesity.

methodsLatent class modelling was applied to weekly weight change among 294 7-11-year-old children with overweight/obesity in behavioural weight management trials. Class differences in BMI z-score change through 1 year after treatment were examined using strict class assignment among completers (ANCOVA) or accounting for uncertainty in class assignment and missingness (Bolck, Croon and Hagenaars or BCH method).

resultsThree classes emerged-larger loss to stable weight (6% of children), consistent modest weight loss (43%) and moderate to decreasing weight loss (51%). During follow-up, the consistent modest weight loss class showed minimal change in BMI z-score whereas the other two classes increased (difference with moderate to decreasing weight loss class in ANCOVA = -0.096, p = 0.05; difference with large loss to stable class in BCH = -0.144, p = 0.017). The consistent modest weight loss class had the most favourable change from baseline through follow-up, better than the larger loss to stable weight class (ANCOVA difference = -0.189, p = 0.080; BCH difference = -0.186, p = 0.015).

conclusionThree patterns of within-treatment child weight change emerged, with modest consistent weight loss associated with more favourable distal child outcomes.

Indexed as

Behavior TherapyPediatric ObesityWeight LossWeight Reduction ProgramsBody Mass IndexChildFemaleFollow-Up StudiesHumansMaleTreatment Outcomelatent classweight maintenanceweight trajectory

Identifiers

PMID42770536
PMCPMC13671480

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.