{"doi":"10.1111/ijpo.12693","title":"Two‐year outcomes of Whānau Pakari, a multi‐disciplinary assessment and intervention for children and adolescents with weight issues: A randomized clinical trial","abstract":"OBJECTIVE: To determine whether 12-month BMI SDS reductions persisted at 24 months in a multi-disciplinary assessment and intervention program for children and adolescents with obesity, and whether secondary outcomes improved. METHODS: This was a community-based 12-month RCT in Aotearoa/New Zealand. Eligible participants were aged 5 to 16 years with BMI ≥98th centile or BMI >91st centile with weight-related comorbidities. The low-intensity control received comprehensive home-based baseline assessments and advice, and 6-monthly follow-up. The high-intensity intervention received the same assessments and advice, but also weekly multidisciplinary sessions. Primary outcome was BMI SDS at 12 months. Secondary outcomes included cardiovascular and metabolic markers. RESULTS: 121 participants (60% of participants at baseline) were assessed at 24 months. BMI SDS reduction at 12 months was lost at 24 months in the modified intention-to-treat analysis [Control -0.03 (95%CI -0.14, 0.09) and Intervention -0.02 (-0.12, 0.08); P = .93]. However, sweet drink intake was reduced, water intake increased, and there were improvements in cardiovascular fitness in the high-intensity intervention. ≥70% attendance in the high-intensity intervention resulted in a persistent BMI SDS reduction of -0.22 after 24 months (95%CI -0.38, -0.06). CONCLUSIONS: This trial was negative in terms of primary outcome at 24 months. However, high engagement led to sustained treatment effect, and there were multiple improvements in health measures.","journal":"Pediatric Obesity","year":2020,"id":76449,"datarank":0.6180269510667296,"base_score":3.091042453358316,"endowment":3.091042453358316,"self_citation_contribution":0.4636563680037475,"citation_network_contribution":0.15437058306298207,"self_endowment_contribution":0.4636563680037475,"citer_contribution":0.15437058306298207,"corpus_percentile":null,"corpus_rank":null,"citation_count":21,"citer_count":4,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8561,"is_data_producer":true,"deposit_databanks":{"ANZCTR":["ANZCTR12611000862943"]},"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":399079,"name":"Lisa E. Wynter","orcid":null,"position":1,"is_corresponding":false},{"id":398393,"name":"Niamh O’Sullivan","orcid":"0000-0002-1882-8303","position":2,"is_corresponding":false},{"id":398394,"name":"C. Wild","orcid":"0000-0001-5377-6222","position":3,"is_corresponding":false},{"id":286670,"name":"Cameron Grant","orcid":"0000-0002-4032-7230","position":4,"is_corresponding":false},{"id":398395,"name":"Tami L. Cave","orcid":"0000-0001-7532-6441","position":5,"is_corresponding":false},{"id":398396,"name":"José G. B. Derraik","orcid":"0000-0003-1226-1956","position":6,"is_corresponding":false},{"id":398397,"name":"Paul L. Hofman","orcid":"0000-0002-8995-8711","position":7,"is_corresponding":false},{"id":398392,"name":"Yvonne C. Anderson","orcid":"0000-0003-2054-338X","position":0,"is_corresponding":true}],"reference_count":44,"raw_metadata":null,"created_at":"2026-07-18T21:47:46.469293Z","pmid":"32959996","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}