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Tracking BMI changes in parent–child dyads : insights from the Feel4Diabetes study

Eva Karaglani, Dimitra‐Irinna Vitoratou, Matzourana Argyropoulou, Costas A. Anastasiou, Greet Cardon (UGent) , Julie Latomme (UGent) , Yuliya Bazdarska, Tsvetalina Tankova, Luis A. Moreno, Imre Rurik, et al.
(2026) PEDIATRIC OBESITY. 21(2).
Author
Organization
Project
  • Feel4Diabetes (Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe)
Abstract
Background: Parental weight status is a key predictor of childhood obesity. However, limited evidence exists on how longitudinal changes in parental BMI influence children's weight trajectories, particularly in families at elevated risk for type 2 diabetes. Objectives: To investigate children's body mass index-for-age z-score (BMIz) changes over a 2-year period, associated with independent and cumulative changes in parents' BMI. Methods: In the Feel4Diabetes study, data from 12 280 children (age: 8.2 ± 1.0 years) and their parents were analysed to assess changes in child BMI-for-age z-scores over 2 years in relation to parental BMI changes. Analyses were adjusted for study design and baseline socio-demographic factors and were conducted in both the total sample (all-families) and high-risk for type 2 diabetes families (HR-families). Results: In the all-families dataset, a 1 kg/m2 independent decrease in maternal and paternal BMI was associated with a −0.037 (−0.041, −0.033) and −0.027 (−0.031, −0.023) change in child's BMIz [mean (95% CI)]. The joint parental effect was stronger [−0.32 (−0.36, −0.28)], particularly in HR-families [−0.34 (−0.42, −0.26)]. Conclusions: Parental BMI reductions, especially when both parents are involved, contribute to favourable BMI changes in children. The changes were more pronounced in HR-families, underscoring the need for interventions targeting the whole family in populations at elevated risk for type 2 diabetes.
Keywords
body mass index, childhood obesity, intervention study, longitudinal study, parent-child dyads, WEIGHT CHANGE, OBESITY, INTERVENTIONS, ASSOCIATION, FATHERS

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Citation

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MLA
Karaglani, Eva, et al. “Tracking BMI Changes in Parent–Child Dyads : Insights from the Feel4Diabetes Study.” PEDIATRIC OBESITY, vol. 21, no. 2, 2026, doi:10.1111/ijpo.70094.
APA
Karaglani, E., Vitoratou, D., Argyropoulou, M., Anastasiou, C. A., Cardon, G., Latomme, J., … Manios, Y. (2026). Tracking BMI changes in parent–child dyads : insights from the Feel4Diabetes study. PEDIATRIC OBESITY, 21(2). https://doi.org/10.1111/ijpo.70094
Chicago author-date
Karaglani, Eva, Dimitra‐Irinna Vitoratou, Matzourana Argyropoulou, Costas A. Anastasiou, Greet Cardon, Julie Latomme, Yuliya Bazdarska, et al. 2026. “Tracking BMI Changes in Parent–Child Dyads : Insights from the Feel4Diabetes Study.” PEDIATRIC OBESITY 21 (2). https://doi.org/10.1111/ijpo.70094.
Chicago author-date (all authors)
Karaglani, Eva, Dimitra‐Irinna Vitoratou, Matzourana Argyropoulou, Costas A. Anastasiou, Greet Cardon, Julie Latomme, Yuliya Bazdarska, Tsvetalina Tankova, Luis A. Moreno, Imre Rurik, Jaana Lindström, Konstantinos Makrilakis, Violeta Iotova, and Yannis Manios. 2026. “Tracking BMI Changes in Parent–Child Dyads : Insights from the Feel4Diabetes Study.” PEDIATRIC OBESITY 21 (2). doi:10.1111/ijpo.70094.
Vancouver
1.
Karaglani E, Vitoratou D, Argyropoulou M, Anastasiou CA, Cardon G, Latomme J, et al. Tracking BMI changes in parent–child dyads : insights from the Feel4Diabetes study. PEDIATRIC OBESITY. 2026;21(2).
IEEE
[1]
E. Karaglani et al., “Tracking BMI changes in parent–child dyads : insights from the Feel4Diabetes study,” PEDIATRIC OBESITY, vol. 21, no. 2, 2026.
@article{01KH8W89G12NG351KYHWJDX7F6,
  abstract     = {{Background: Parental weight status is a key predictor of childhood obesity. However, limited evidence exists on how longitudinal changes in parental BMI influence children's weight trajectories, particularly in families at elevated risk for type 2 diabetes.

Objectives: To investigate children's body mass index-for-age z-score (BMIz) changes over a 2-year period, associated with independent and cumulative changes in parents' BMI.

Methods: In the Feel4Diabetes study, data from 12 280 children (age: 8.2 ± 1.0 years) and their parents were analysed to assess changes in child BMI-for-age z-scores over 2 years in relation to parental BMI changes. Analyses were adjusted for study design and baseline socio-demographic factors and were conducted in both the total sample (all-families) and high-risk for type 2 diabetes families (HR-families).

Results: In the all-families dataset, a 1 kg/m2 independent decrease in maternal and paternal BMI was associated with a −0.037 (−0.041, −0.033) and −0.027 (−0.031, −0.023) change in child's BMIz [mean (95% CI)]. The joint parental effect was stronger [−0.32 (−0.36, −0.28)], particularly in HR-families [−0.34 (−0.42, −0.26)].

Conclusions: Parental BMI reductions, especially when both parents are involved, contribute to favourable BMI changes in children. The changes were more pronounced in HR-families, underscoring the need for interventions targeting the whole family in populations at elevated risk for type 2 diabetes.}},
  articleno    = {{e70094}},
  author       = {{Karaglani, Eva and Vitoratou, Dimitra‐Irinna and Argyropoulou, Matzourana and Anastasiou, Costas A. and Cardon, Greet and Latomme, Julie and Bazdarska, Yuliya and Tankova, Tsvetalina and Moreno, Luis A. and Rurik, Imre and Lindström, Jaana and Makrilakis, Konstantinos and Iotova, Violeta and Manios, Yannis}},
  issn         = {{2047-6302}},
  journal      = {{PEDIATRIC OBESITY}},
  keywords     = {{body mass index,childhood obesity,intervention study,longitudinal study,parent-child dyads,WEIGHT CHANGE,OBESITY,INTERVENTIONS,ASSOCIATION,FATHERS}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{9}},
  title        = {{Tracking BMI changes in parent–child dyads : insights from the Feel4Diabetes study}},
  url          = {{http://doi.org/10.1111/ijpo.70094}},
  volume       = {{21}},
  year         = {{2026}},
}
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