2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management
Joint Authors
Coletti, Kristen D.
Taveras, Elsie M.
Cox, Joanne E.
Wen, Xiaozhong
Cheng, Jennifer K.
Source
International Journal of Pediatrics
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Cheng, Jennifer K.& Wen, Xiaozhong& Coletti, Kristen D.& Cox, Joanne E.& Taveras, Elsie M.. 2014. 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management. International Journal of Pediatrics،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-449971
Modern Language Association (MLA)
Cheng, Jennifer K.…[et al.]. 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management. International Journal of Pediatrics No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-449971
American Medical Association (AMA)
Cheng, Jennifer K.& Wen, Xiaozhong& Coletti, Kristen D.& Cox, Joanne E.& Taveras, Elsie M.. 2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management. International Journal of Pediatrics. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-449971
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449971