Effectiveness of a Hospital-Based Multidisciplinary Pediatric Weight Management Program: Two-Year Outcomes of PHIT Kids

Childhood Obesity
Sarah E HamplMeredith L Dreyer Gillette

Abstract

For children with obesity, long-term sustainability of weight loss after treatment is difficult to achieve. This study examined 2-year anthropometric outcomes of a moderately intensive group behaviorally based weight management program. One hundred seventy-three children with obesity ages 8-18 years participated with their parent or adult caregiver in a 24-week multicomponent intervention, which was followed by monthly sessions for a total of 2 years. Children were considered treatment completers if they attended ≥50% of the 24 weekly sessions. A multilevel model (multiple assessment time points nested within participants) was used to test person-level change in BMI z-score (BMIz) for program completers between (1) pre- and post-treatment, (2) pretreatment and 24-month follow-up, (3) post-treatment and 12-month follow-up, and (4) post-treatment and 24-month follow-up. One hundred twenty-four (72%) of the participants completed the 24-week intervention. Significant reductions in BMIz were observed over the course of treatment (β = -0.03; standard error [SE] = 0.004; t = -6.85; p < 0.001). Completers showed a significant reduction in BMIz between initiation of treatment and 2-year follow-up (n = 110 at 24 weeks; n = 38 at 24 mont...Continue Reading

References

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Citations

Sep 15, 2017·Clinical Pediatrics·E Thomaseo BurtonJoan C Han
Jan 25, 2018·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·L B van der HeijdenA J Janse
Aug 3, 2017·Games for Health Journal·Eva E AlblasJonathan P van 't Riet
Oct 31, 2017·Annals of Human Biology·David S FreedmanHeidi M Blanck
Mar 29, 2020·Biomédica : revista del Instituto Nacional de Salud·Nora Alejandra ZuluagaOscar Villada
Aug 24, 2019·The British Journal of Nutrition·David S FreedmanTim J Cole
Sep 17, 2021·Childhood Obesity·Bethany ForsethAmy R Beck
Aug 24, 2017·Pediatrics·David S Freedman, Gerald S Berenson

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