Treating Children and Adolescents With Obesity: Characteristics of Success.

Document Type

Article

Publication Date

9-2024

Identifier

DOI: 10.1089/chi.2023.0083

Abstract

Background: Factors related to clinically meaningful outcomes for pediatric patients seeking care for severe obesity are not well known. Examining patient-level and program-level characteristics related to success may inform future care. Objectives: To determine factors associated with a clinically significant reduction in weight status measured by %BMIp95 after 6 months of treatment. Study Design: This is a retrospective study of youth 5-17 years of age seeking multicomponent weight management care to determine if patient characteristics, treatment recommendations, reported adherence, and additional program-affiliated class participation are associated with 6-month change in %BMIp95. Results: Among 170 children with obesity, higher reductions in %BMIp95 were seen in those with medium-high dietary adherence compared to low-none (-10.8 vs. -4.0, p = 0.002). Post hoc analysis showed higher dietary adherence among those with private insurance than public insurance (59% vs. 41%, respectively, p = 0.04). Conclusion: Children receiving multidisciplinary multicomponent weight management, who achieve clinically meaningful outcomes, are more likely to be adherent to dietary recommendations regardless of the type. Further study is needed of how best to address social determinants of health to improve dietary adherence. Clinical Trial Registration Number: NCT02121132.

Journal Title

Child Obes

Volume

20

Issue

6

First Page

416

Last Page

424

MeSH Keywords

Humans; Adolescent; Pediatric Obesity; Male; Child; Female; Retrospective Studies; Patient Compliance; Child, Preschool; Weight Reduction Programs; Weight Loss; Treatment Outcome; Body Mass Index

Keywords

clinical success; pediatric obesity; pediatric weight management program; registry; weight management

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