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Obesity (Silver Spring). 2008 Jul;16(7):1698-701. doi: 10.1038/oby.2008.243. Epub 2008 Apr 24.

A pediatric weight management program for high-risk populations: a preliminary analysis.

Author information

1
Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. jskelton@wfubmc.edu

Abstract

OBJECTIVE:

To determine whether a multidisciplinary pediatric weight management program effectively improves BMI, BMI z-score, and cardiovascular risk factors (CVRFs) in high-risk populations.

METHODS AND PROCEDURES:

A retrospective chart review was performed on children seen in the NEW Kids Program at the Children's Hospital of Wisconsin, a family-based clinic that treats pediatric obesity using medical management, nutrition education, behavioral intervention, and physical activity. Inclusion criteria were program participation for >or=9 months and >4 visits. Analyses were performed to identify factors associated with pre- to postintervention changes in BMI, BMI z-score, and CVRF laboratory values.

RESULTS:

A total of 66 patients met inclusion criteria; the mean age was 11 years (s.d.+/-3.4), 56% were racial/ethnic minorities, 45% were Medicaid recipients, 48% resided in impoverished communities, and 38% had a BMI >or=40 kg/m(2). Of the 66 patients, 91% had more than one weight-related comorbidity, 88% had CVRFs, and the preintervention mean BMI was 37 kg/m(2). After the intervention, there was an overall increase in absolute BMI, but a small, yet significant decrease in BMI z-score (mean -0.03+/-0.16; P<0.05). There were significant pregroup to postgroup improvements in total cholesterol, low-density lipoprotein, and triglycerides levels (P<0.05). Insurance coverage, race/ethnicity, gender, age, and initial BMI were not significantly associated with changes in BMI or BMI z-score.

DISCUSSION:

A multidisciplinary pediatric weight management program can improve the weight status of high-risk populations, including minorities, Medicaid recipients, patients with multiple comorbidities and CVRFs, and the severely obese.

PMID:
18451781
DOI:
10.1038/oby.2008.243
[Indexed for MEDLINE]
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