There is a growing body of evidence indicating that lifestyle interventions are effective in the treatment of pediatric obesity. However, a significant number of children do not respond to these interventions, and the reasons for this are not fully understood.

There are some parent and child characteristics that have been associated with treatment non-response to a short-term lifestyle intervention. These include higher body mass index (BMI), lower levels of physical activity, and higher levels of screen time. In addition, children who are from minority groups or who have certain medical conditions (such as sleep apnea) are more likely to be non-responders.

It is not clear why these factors are associated with treatment non-response, but it is possible that they represent a more difficult-to-treat population. It is also possible that they indicate a need for a different or more intensive intervention.

Further research is needed to better understand the factors associated with treatment non-response in pediatric obesity. This knowledge could help to improve the effectiveness of lifestyle interventions and make them more accessible to all children.