Impact of the motivational interviewing for childhood obesity treatment: The Obemat2.0 randomized clinical trial.

Background And Objective: The aim was assessing a short training for healthcare providers on patient-focused counselling to treat childhood obesity in primary care, along with dietitian-led workshops and educational materials.

Methods: Randomized clustered trial conducted with paediatrician-nurse pairs (Basic Care Units [BCU]) in primary care centres from Tarragona (Spain). BCUs were randomized to intervention (MI) (motivational interview, dietitian-led education, and educational materials) or control group (SC, standard care).

The EMPOWER Occupational e-Mental Health Intervention Implementation Checklist to Foster e-Mental Health Interventions in the Workplace: Development Study.

Background: Occupational e-mental health (OeMH) interventions significantly reduce the burden of mental health conditions. The successful implementation of OeMH interventions is influenced by many implementation strategies, barriers, and facilitators across contexts, which, however, are not systematically tracked. One of the reasons is that international consensus on documenting and reporting the implementation of OeMH interventions is lacking.

Diagnosis accuracy of waist-to-height ratio to predict cardiometabolic risk in children with obesity.

Background: Waist-to-height ratio (WHtR) predicts abdominal fat and cardiometabolic risk. In children with obesity, the most adequate cut-off to predict cardiometabolic risk as well as its ability to predict risk changes over time has not been tested. Our aim was to define an appropriate WHtR cut-off to predict cardiometabolic risk in children with obesity, and to analyze its ability to predict changes in cardiometabolic risk over time.

Validation of bioelectrical impedance analysis for body composition assessment in children with obesity aged 8-14y.

Background & Aims: The aim was to generate a predictive equation to assess body composition (BC) in children with obesity using bioimpedance (BIA), and avoid bias produced by different density levels of fat free mass (FFM) in this population.

Methods: This was a cross-sectional validation study using baseline data from a randomized intervention trial to treat childhood obesity. Participants were 8 to 14y (n = 315), underwent assessments on anthropometry and BC through Air Displacement Plethysmography (ADP), Dual X-Ray Absorptiometry and BIA.

A novel approach to assess body composition in children with obesity from density of the fat-free mass.

Background & Aims: Assessment of Fat Mass (FM) and fat-free mass (FFM) using Air-displacement plethysmography (ADP) technique assumes constant density of FFM (D) by age and sex. It has been recently shown that D further varies according to body mass index (BMI), meaning that ADP body composition assessments of children with obesity could be biased if D is assumed to be constant. The aim of this study was to validate the use of the calculations of D (rather than constant density of the FFM) to improve accuracy of body composition assessment in children with obesity.

Associations of age and body mass index with hydration and density of fat-free mass from 4 to 22 years.

Background: Most body composition techniques assume constant properties of fat free mass (FFM) (hydration and density) regardless of nutritional status, which may lead to biased values.

Aim: To evaluate the interactive associations of age and body mass index (BMI) with hydration and density of FFM.

Methods: Data from subjects aged between 4 and 22 years old from several studies conducted in London, UK were assessed.

The Obemat2.0 Study: A Clinical Trial of a Motivational Intervention for Childhood Obesity Treatment.

The primary aim of the Obemat2.0 trial was to evaluate the efficacy of a multicomponent motivational program for the treatment of childhood obesity, coordinated between primary care and hospital specialized services, compared to the usual intervention performed in primary care. This was a cluster randomized clinical trial conducted in Spain, with two intervention arms: motivational intervention group vs.