Determinants of Weight Loss in an Interdisciplinary Long-Term Care Program for Childhood Obesity

Table 4

Influence of psychosocial factors assessed at the first visit on the weight change observed at 9 months of intervention.

Factors studied	No/low	Intermediate	Yes/high	𝑃 value
Significative
Only child	−0.19 ± 0.03		−0.36 ± 0.07	𝑃=0.026
Familial encouragement to the project^a	−0.12 ± 0.04	−0.26 ± 0.04	−0.39 ± 0.08	𝑃=0.0035
Child's motivation^a	−0.05 ± 0.03	−0.30 ± 0.04	−0.55 ± 0.07	𝑃=0.000000014
Adherence to the treatment^b	−0.04 ± 0.03	−0.29 ± 0.03	−0.54 ± 0.07	𝑃=0.000000021
Compliance to adjuvant therapies^c	−0.10 ± 0.04	−0.23 ± 0.03	−0.35 ± 0.06	𝑃=0.0014
Non-significative
Recent weight gain^d	−0.17 ± 0.11		−0.22 ± 0.03	𝑃=0.64 NS
Parents at home after school	−0.22 ± 0.05	−0.22 ± 0.04	−0.21 ± 0.09	𝑃=0.91 NS
Dual parents households	−0.24 ± 0.05		−0.20 ± 0.04	𝑃=0.5 NS
Social integration^e	−0.21 ± 0.04	−0.23 ± 0.04	−0.24 ± 0.08	𝑃=0.74 NS
Familial encouragement to leisure activities^f	−0.19 ± 0.04	−0.26 ± 0.05	−0.33 ± 0.09	𝑃=0.17 NS

Data are expressed as change in mean BMI-z-score ± SEM at 9 months of intervention. 𝑃<0.05, significant. NS: not significant.
^aFamilial encouragement to the project and child's motivation were assessed by the team using the involvement of the family and of the child in the project (Section 2).
^bAdherence to treatment was assessed by the implementation of the decisions taken together (team and family).
^cCompliance to adjuvant therapies means that the child and his family took part in psychotherapy or in physiotherapy as suggested by the team.
^dRecent weight gain means a weight gain for less than 1 year.
^eSocial integration was assessed by the team using the participation of the child in extrascholar activities.
^fFamilial encouragement to leisure activities was assessed by the team according to activities realised by all the family out of home.