School schedules, lack of transportation, and the challenge of arranging affordable childcare represent additional barriers.
These interventions have traditionally been delivered in healthcare settings, such as academic medical centers, which may present obstacles to participation among low-income families who often have difficulty accessing the healthcare system 10, 11. Several meta-analyses support the efficacy of family-based interventions 7– 9. The current standard of care treatment for pediatric overweight/obesity consists of family-based interventions that target children’s eating patterns, physical and sedentary activity, and sleep 5, 6.
As pediatric obesity is highly predictive of future chronic disease risk 2– 4, disseminating effective pediatric obesity treatments in disadvantaged populations is essential for reducing health disparities.
Children from low-income households are roughly twice as likely to have obesity as those from higher-income households 1.
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