The increasing prevalence of childhood obesity poses an ever-increasing problem for our health systems. Obese children tend to become obese adults. Childhood obesity is associated with cardiovascular risk factors (CRFs) and premature death in adulthood. The appropriate approach to reduce the obesity-related health risks is to reduce weight by lifestyle interventions based on physical activity, behaviour treatment and dietary counselling as recently recommended by a Cochrane review.1 However, the studies in this meta-analysis varied greatly in intervention design, outcome measurements and methodological quality, and therefore there is limited quality data to recommend one treatment programme to be favoured …