Predictors of retention and BMI loss or stabilization in obese youth enrolled in a weight loss intervention

Obesity Research & Clinical Practice
Shetarra E WalkerMatthew J Gurka

Abstract

To evaluate predictors for intervention dropout and successful reduction of metabolic syndrome risk factors among obese children enrolled in a short-term, clinic-based weight-loss intervention. Retrospective database review of 1080 children 8 months to 17 years. seen a pediatric obesity clinic. Behavior modification counseling to induce change in dietary and exercise choices. (1) Pre-/post-intervention change in body mass index (BMI), waist circumference, blood pressure, glucose, insulin, and cholesterol (LDL, HDL, & total). (2) Predictors of successful decrease in BMI and clinic drop-out. Paired t-tests for pre-/post-intervention comparisons. Linear regression to assess predictors of success and predictors of drop-out, with adjustment for age, gender, race, insurance status, and service area. Among children evaluated, adolescent females were most likely to achieve successful decrease in BMI, insulin level, and LDL cholesterol post-intervention. Nearly 40% of children dropped out early in the intervention. Predictors of drop out included age <6 years, public insurance status, follow-up scheduled during summer months, and residence in a tertiary service area. Clinic-based weight loss interventions can lead to successful improvem...Continue Reading

Citations

Jul 24, 2020·Journal of Doctoral Nursing Practice·Uyen Le-JenkinsTina Guston
Sep 23, 2020·Pediatric Obesity·Geoff D C BallJoseph A Skelton
Feb 5, 2015·Public Health Nutrition·Tasileta TeevaleTeuila Percival
Dec 17, 2014·Childhood Obesity·Jasmine DhaliwalGeoff D C Ball
Jul 18, 2018·International Journal of Environmental Research and Public Health·Sara M St GeorgeGuillermo Prado
Nov 12, 2016·International Journal of Environmental Research and Public Health·Sabine HergetSusann Blüher
Jan 20, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Tim LobsteinUNKNOWN STOP project consortium

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