FamCe-HLP- Family-centered Obesity Management Program in Primary Care Settings

Oman Ministry of Health40 enrolled

Overview

This clinical trial aims to compare the adiposity and weight status among mother-child dyads with overweight or obesity who receive the Fam-Ce-HLP intervention with the mother-child dyads with overweight or obesity who did not receive the intervention. The main question\[s\] it aims to answer are: * Is there a significant difference in the adiposity and weight status of mother-child dyads with overweight or obesity who received the Fam-Ce-HLP intervention compared with the mother-child dyads with overweight or obesity who did not receive the intervention? * Is there a significant difference in the health behaviors, obesity stage level, and ripple effect of mother-child dyads with overweight or obesity who received the Fam-Ce-HLP intervention compared with the mother-child dyads with overweight or obesity who did not receive the intervention? Participants will be asked to attend a seven-month program comprising two primary therapies: a three-month intensive behavioral therapy (IBT) and a four-month maintenance behavioral therapy (MBT). Researchers will compare the intervention group with the treatment-as-usual group (control group) to see if there is a difference in adiposity, weight status, health behaviors, obesity stage level, and ripple effect.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Childhood Obesity Family

Interventions

Family-Centered Healthy Lifestyle Program (FamCe-HLP)BEHAVIORAL

A multidisciplinary-led healthy lifestyle program will provide a seven-month program comprising two primary therapies: a three-month intensive behavioral therapy (IBT) and a four-month maintenance behavioral therapy (MBT). The program will run on scheduled days using one of the center's offices for the IBT and the center's seminar room for the MBT.

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Mother and child dyads with the presence of overweight or obesity (stages 0 to 2) * Being Omani * Mother age 18 years or more * Child age 6 to 12 years * Mother understand, write, and read in Arabic * Eligible to receive the health center's services based on their area of residence * Has medical clearance to participate in individual exercise sessions * Ability to understand study procedures and to comply with them for the entire length of the study. Exclusion Criteria: * Mother or child currently receiving an obesity-related program * Mother or child currently on obesity-related procedures * Mother or child with a history of obesity-related surgeries in the last 5 years * Mother or child is in obesity stage 3 or 4 based on the Edmonton obesity staging system * Mother who is pregnant during the study time

Locations (4)

Mabela Health Center

Muscat, Muḩāfaz̧at Masqaţ, Oman

Mabela South Health Center

Muscat, Muḩāfaz̧at Masqaţ, Oman

Mawaleh Health Center

Muscat, Muḩāfaz̧at Masqaţ, Oman

Mawaleh North Health Center

Muscat, Muḩāfaz̧at Masqaţ, Oman

Outcomes

Primary Outcomes

Child's Adiposity

Child's body fat percentage will be determined through a bioelectrical impedance analysis scale

Time frame: Four time points in one year duration

Mother's Adiposity (Body fat percentage)

Mother's body fat percentage will be determined through a bioelectrical impedance analysis scale

Time frame: Four time points in one year duration

Child's weight status (BMI z score)

Child's weight and height will be combined to report BMI in kg/m\^2 and then BMI z-scores will be determined according to the 2007 World Health Organization growth charts

Time frame: Four time points in one year duration

Mother's weight status (BMI)

Mother's weight and height will be combined to report BMI in kg/m\^2

Time frame: Four time points in one year duration

Secondary Outcomes

Child's daily caloric intake in kilocalories (24 dietary recall)

Child's 24 dietary recall for three non-consecutive days will be collected using myfood24 nutritional analysis software

Time frame: Four time points in one year duration

Child's food frequency intake of main food groups in grams (grains, fruits, vegetables, dairy, protein)

Child's food frequency of main food groups will be assessed through a semiquantitative food frequency questionnaire (FFQ)

Time frame: Two time points in one year

Mother's food frequency intake of main food groups in grams (grains, fruits, vegetables, dairy, protein)

Mother's food frequency of main food groups will be assessed through a semiquantitative food frequency questionnaire (FFQ)

Time frame: Two time points in one year

Child's moderate to vigorous physical activity in minutes per day

Child's physical activity level will be determined through calculating the moderate to vigorous physical activity in minutes per day by wearing accelerometers (Actigraph devices) for seven days

Time frame: Four time points in one year duration

Mother's moderate to vigorous physical activity in minutes per day

Mother's physical activity level will be determined through calculating the moderate to vigorous physical activity in minutes per day by wearing accelerometers (Actigraph devices) for seven days

Time frame: Four time points in one year duration

Child's obesity stage level

Child's obesity stage level will be assessed following the Edmonton obesity staging system evaluation by a family physician

Time frame: Four time points in one year duration

Mother's obesity stage level

Mother's obesity stage level will be assessed following the Edmonton obesity staging system evaluation by a family physician

Time frame: Four time points in one year duration

Father's weight status (ripple effect

Father's weight and height will be combined to report BMI in kg/m\^2

Time frame: Four time points in one year duration

Child's 18 and above years old sibling weight status (ripple effect)

Child's over 18 years old sibling weight and height will be combined to report BMI in kg/m\^2

Time frame: Four time points in one year duration

Child's under 18 years old sibling weight status (ripple effect)

Child's under 18 years old sibling weight and height will be combined to report BMI in kg/m\^2 and then BMI z-scores will be determined according to the 2007 World Health Organization growth charts

Time frame: Four time points in one year duration