Weight management interventions for children have been
implemented widely across England,8 but there is little information
about their performance in service settings. Adoption and
implementation of these interventions at scale might be
associated with loss of effectiveness.9 In addition, obesogenic
environments implicated in the aetiology and maintenance of
overweight10 may moderate the effects of interventions,11 but this
has been little studied. We address these gaps using observational
data from the MEND (Mind, Exercise, Nutrition..Do it!) 7-13
programme, a family-based community intervention implemented
at scale under service conditions. We assess whether the
biological and psychosocial outcomes associated with participation
in the intervention differ by participant, family, programme
and neighbourhood characteristics. We also compare changes in
BMI observed under service conditions with those observed under
research conditions.
Weight management interventions for children have been
implemented widely across England,8 but there is little information
about their performance in service settings. Adoption and
implementation of these interventions at scale might be
associated with loss of effectiveness.9 In addition, obesogenic
environments implicated in the aetiology and maintenance of
overweight10 may moderate the effects of interventions,11 but this
has been little studied. We address these gaps using observational
data from the MEND (Mind, Exercise, Nutrition..Do it!) 7-13
programme, a family-based community intervention implemented
at scale under service conditions. We assess whether the
biological and psychosocial outcomes associated with participation
in the intervention differ by participant, family, programme
and neighbourhood characteristics. We also compare changes in
BMI observed under service conditions with those observed under
research conditions.
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