a decreasing trendp = 0.139
The difference in change in BMI z-score over-time between INT and COMP was not statistically significant (− 0.08, 95%CI -0.24 – 0.08, p = 0.31). Change in HRQoL A decreasing trend on CHU9D utilities was observed for both INT (0.804 baseline, 0.792 final; adjusted difference = − 0.012, p = 0.139) and COMP (0.820 baseline, 0.766 final; adjusted difference = − 0.054, p < 0.001).