Early, cross-sector, outreach, and family-centered obesity prevention

Conditions

Overweight/obesity (BMI: >P90) or precipitous weight gain with BMI-SDS increase of 0.2 within 12 months E66

Hagemeier A, Oberste M, Rosenberger KD, Roth R, Hellmich M, Fluegel V, Ruettger K, Dadaczynski K, Joisten C, Mause L, Scholten N, Glaubach J, Hehn M, Bernhard I, Aydemir I, Redaelli M, Simic D, Alayli A, Lemmen C, Stock S, fruehstArt Study Group.

2026-01-23

10.1136/bmjopen-2025-111373

Evaluation of an innovative family-centred care and prevention intervention for children with overweight and obesity: a mixed-methods study protocol of the randomised controlled fruehstArt study in Germany

Anna Hagemeier, Max Oberste, Kerstin Daniela Rosenberger, Rebecca Roth, Martin Hellmich et al. (20 authors)

PubData2026-01-23

10.48548/pubdata-2901

Interventions

Group 1: Intensive Counseling Group (Intervention Group (IG)) - After enrollment, all parents of enrolled children are counseled by their pediatrician and adolescent physician on healthy lifestyle usi

Eligibility

Sex/Gender

All

Age

3 Years to 6 Years

Inclusion criteria

Inclusion criteria: -Children ages 3 to 6 AND -Child is overweight/obese (BMI: >P90) OR -BMI at least corresponding to P75 and increased weight with BMI-SDS increase of 0.2/year AND -Parents have sufficient language skills in German or Turkish AND -Submission of a signed informed consent for study participation. AND - insured by statutory health insurance (SHI) companies

Exclusion criteria

Exclusion criteria: -Parents speak insufficient German or Turkish OR -Too much psychosocial stress in the family at the discretion of the enrolling physician OR -Medical causes of the child's obesity OR - not insured by statutory health insurance (SHI) companies

Design outcomes

Primary

Measure	Time frame
The primary endpoint is the Body Mass Index (BMI) Standard Deviation Score (SDS). The BMI SDS indicates how many standard deviations an individual's BMI is above or below the BMI median for a given age and gender.	—

Secondary

Measure	Time frame
Secondary endpoints are - the child's motor skills - the child's physical activity, dietary and sleep habits, and media consumption - Parental health resources and quality of life (nutritional health literacy, quality of life) - Parenting style - average health care costs from the SHI perspective The formative evaluation will also scientifically examine the process of implementation at the intervention level as well as facilitating and inhibiting factors for subsequent implementation at the system level.	—

Measure

Time frame

Secondary endpoints are - the child's motor skills - the child's physical activity, dietary and sleep habits, and media consumption - Parental health resources and quality of life (nutritional health literacy, quality of life) - Parenting style - average health care costs from the SHI perspective The formative evaluation will also scientifically examine the process of implementation at the intervention level as well as facilitating and inhibiting factors for subsequent implementation at the system level.

—

Countries

Germany

Contacts

Public ContactStephanie Stock

Institut für Gesundheitsökonomie und Klinische Epidemiologie (IGKE), Medizinische Fakultät zu Köln

stephanie.stock@uk-koeln.de+49 (0) 221- 478-30901

Outcome results

None listed