![]() A systematic review found that parental involvement through goal setting, counseling, role modeling, and restructuring the environment produced changes in nutritional behavior and physical activity in children aged 7–13 years. ![]() The position paper “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity” by the American Academy of Pediatrics, published in February 2023, reinforces the role of a coordinated, family- and child-centered approach to treat childhood obesity, with a focus on lifestyle behavior change. Interventions to treat obesity with a primary focus on weight change show modest results. The study is registered in the Brazilian Registry of Clinical Trials (RBR-10 mm62vs). The results of the present study will allow the refinement of interventions aimed at the treatment of childhood obesity and may help develop guidelines for the treatment of obesity in Brazilian children. The project will test the effectiveness of the use of the recommendations of the PHD, physical activity and a salt-reduced sodium. BMI and the variation in the blood pressure of the pair (child/mother or father) as well as waist circumference (WC) and waist-to-height ratio (WHtR) will also be measured. The primary outcomes will be the variation in the Body Mass Index (BMI) of the children. It includes a 1-month intervention, 1-month washout, and 1-month intervention with monthly clinic visits and teleservice by health professionals. The approach aims to reduce body weight expectations and evaluate salt's impact on blood pressure. Both the control and intervention groups will be randomly assigned to the sequence of both salts. MethodsĪ factorial crossover design will also allocate families to receive reduced sodium salt plus anti-inflammatory herbs and a placebo salt. ![]() The control group will receive a print of the Brazilian dietary guideline. The responsible family member will be evaluated during follow-up. It encourages family lifestyle changes and physical activities, with randomized allocation to experimental and control groups. The protocol promotes the intake of in natura products and water and reduces ultra-processed foods, sugar, and sodium. This study will test whether a family intervention with a Brazilian-adapted Planetary Healthy Diet (PHD) and reduced portion sizes, along with increased physical activity and reduced sedentary behavior, can reduce excessive weight gain. Children with obesity often live in families with habits that contribute to unhealthy weight gain. This web site is completely unofficial and in no way endorsed by Games Workshop Limited.Clinical trials to treat childhood obesity show modest results, weight regain and high dropout rates.
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