2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management
Objective. To examine body mass index (BMI) changes among pediatric multidisciplinary weight management participants and nonparticipants. Design. In this retrospective database analysis, we used multivariable mixed effect models to compare 2-year BMI z-score trajectories among 583 eligible overweigh...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2014/152586 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850216527750496256 |
|---|---|
| author | Jennifer K. Cheng Xiaozhong Wen Kristen D. Coletti Joanne E. Cox Elsie M. Taveras |
| author_facet | Jennifer K. Cheng Xiaozhong Wen Kristen D. Coletti Joanne E. Cox Elsie M. Taveras |
| author_sort | Jennifer K. Cheng |
| collection | DOAJ |
| description | Objective. To examine body mass index (BMI) changes among pediatric multidisciplinary weight management participants and nonparticipants. Design. In this retrospective database analysis, we used multivariable mixed effect models to compare 2-year BMI z-score trajectories among 583 eligible overweight or obese children referred to the One Step Ahead program at the Boston Children’s Primary Care Center between 2003 and 2009. Results. Of the referred children, 338 (58%) attended the program; 245 (42%) did not participate and were instead followed by their primary care providers within the group practice. The mean BMI z-score of program participants decreased modestly over a 2-year period and was lower than that of nonparticipants. The group-level difference in the rate of change in BMI z-score between participants and nonparticipants was statistically significant for 0–6 months (P=0.001) and 19–24 months (P=0.008); it was marginally significant for 13–18 months (P=0.051) after referral. Younger participants (<5 years) had better outcomes across all time periods examined. Conclusion. Children attending a multidisciplinary program experienced greater BMI z-score reductions compared with usual primary care in a real world practice; younger participants had significantly better outcomes. Future research should consider early intervention and cost-effectiveness analyses. |
| format | Article |
| id | doaj-art-3bdb9a0b9a0f475187d5ff82babead71 |
| institution | OA Journals |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-3bdb9a0b9a0f475187d5ff82babead712025-08-20T02:08:16ZengWileyInternational Journal of Pediatrics1687-97401687-97592014-01-01201410.1155/2014/1525861525862-Year BMI Changes of Children Referred for Multidisciplinary Weight ManagementJennifer K. Cheng0Xiaozhong Wen1Kristen D. Coletti2Joanne E. Cox3Elsie M. Taveras4Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA 02115, USADivision of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY 14214, USADivision of General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA 02115, USADivision of General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA 02115, USAObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, USAObjective. To examine body mass index (BMI) changes among pediatric multidisciplinary weight management participants and nonparticipants. Design. In this retrospective database analysis, we used multivariable mixed effect models to compare 2-year BMI z-score trajectories among 583 eligible overweight or obese children referred to the One Step Ahead program at the Boston Children’s Primary Care Center between 2003 and 2009. Results. Of the referred children, 338 (58%) attended the program; 245 (42%) did not participate and were instead followed by their primary care providers within the group practice. The mean BMI z-score of program participants decreased modestly over a 2-year period and was lower than that of nonparticipants. The group-level difference in the rate of change in BMI z-score between participants and nonparticipants was statistically significant for 0–6 months (P=0.001) and 19–24 months (P=0.008); it was marginally significant for 13–18 months (P=0.051) after referral. Younger participants (<5 years) had better outcomes across all time periods examined. Conclusion. Children attending a multidisciplinary program experienced greater BMI z-score reductions compared with usual primary care in a real world practice; younger participants had significantly better outcomes. Future research should consider early intervention and cost-effectiveness analyses.http://dx.doi.org/10.1155/2014/152586 |
| spellingShingle | Jennifer K. Cheng Xiaozhong Wen Kristen D. Coletti Joanne E. Cox Elsie M. Taveras 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management International Journal of Pediatrics |
| title | 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management |
| title_full | 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management |
| title_fullStr | 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management |
| title_full_unstemmed | 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management |
| title_short | 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management |
| title_sort | 2 year bmi changes of children referred for multidisciplinary weight management |
| url | http://dx.doi.org/10.1155/2014/152586 |
| work_keys_str_mv | AT jenniferkcheng 2yearbmichangesofchildrenreferredformultidisciplinaryweightmanagement AT xiaozhongwen 2yearbmichangesofchildrenreferredformultidisciplinaryweightmanagement AT kristendcoletti 2yearbmichangesofchildrenreferredformultidisciplinaryweightmanagement AT joanneecox 2yearbmichangesofchildrenreferredformultidisciplinaryweightmanagement AT elsiemtaveras 2yearbmichangesofchildrenreferredformultidisciplinaryweightmanagement |