Family-based obesity treatment in children with disabilities

Academic Pediatrics
Callie L BrownJoseph A Skelton

Abstract

To assess the relative effectiveness of an interdisciplinary, family-centered, tertiary-care pediatric weight management program for the treatment of patients with and without cognitive disabilities (CD). Retrospective analysis of the clinical database of a tertiary-care pediatric weight management clinic (n = 453), extracting data from electronic health records including longitudinal change in weight status (body mass index [BMI] z-score) and frequency of attrition from treatment. Upon review of medical records, children enrolled in the treatment program were classified as having no CD (n = 342) or CD (n = 111). At baseline, there were no between-group differences in BMI or BMI z-score. After 4 months of treatment, 66% (299) of patients remained enrolled, and complete case data were available for 219 children in final analyses. There were no statistically significant differences in attrition between the 2 groups (no CD vs CD). Mean change in BMI z-score across all groups was -0.03 ± 0.13 (P < .001). Change in BMI z-score was significantly greater among patients with CD (-0.07 ± 0.15) compared to those without CD (-0.03 ± 0.12) (difference 0.04, 95% confidence interval 0.005-0.08, P = .029). These change estimates were observed...Continue Reading

References

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Citations

Mar 24, 2016·Clinical Obesity·J A SkeltonM B Irby
Oct 22, 2016·Childhood Obesity·Courtney M GianniniSabina B Gesell
Oct 10, 2018·Disability and Rehabilitation·Meaghan Walker, Amy C McPherson
Nov 28, 2020·Journal of Clinical and Translational Science·Joseph A SkeltonScott D Rhodes
Sep 28, 2020·Disability and Health Journal·Melissa B RubinHelen J Binns
May 1, 2021·Translational Journal of the American College of Sports Medicine·Joshua R DilleyJustin B Moore
Aug 10, 2021·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Natassja BillichZoe E Davidson

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