Abstract
Pediatric obesity has become pandemic accompanied by various health risks. Structured, non-uniformed weight (wt) loss programs are being established at pediatric facilities across the country. We have organized a program utilizing a multidisciplinary team of nutritionists, physicians, and PharmD's called our HLC.
Purpose: To assess the outcome data as to the efficacy of HLC involving obese pediatric pts.
Methods: A retrospective chart review of obese pediatric pts enrolled in our university-based HLC. Initial auxologic data were compared with last available data.
Results: Data were reviewed on 218 obese pts (81M/137F). 137 pts were analyzed who had >1 visit to HLC (47M/90F; AA=76.6%, C=19.7%, H=1.5%, O=2.2%; age 11.4±3.2yrs). F/u visits numbered 2–10 (3.4±1.7; median=3) over 0.5–30 mos (6.3±5.6 mos; median=11.7). 64 pts [24M/40F; AA=81.3%, C=14.1%, H=1.5% (n=1), O=3.1% (n=2) received metformin (MTF). Insurance status: Private=30.7%, Medicaid=54.0%, 15.3%=not documented.
Only some pt groups had statistically significant decrease in wt, but of questionable clinical significance: C vs Total Group (p=0.04); C♂ vs AA♂ (p=0.02). For pts w/o Rx w/MTF, C had significant wt loss vs Total Group (p=0.03) and vs AA (p=0.02). C♀ had significant wt loss vs C♂ (p=0.04) and vs All females (p=0.03) and vs AA♂ (p=0.01). Addition of MTF, led to further wt loss for C pts of both genders but p=NS due to wide SD. BMI Δ was not significant for any group.
Conclusion: Our HLC had limited success.
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Yount, S., Taylor, R., Stephenson, K. et al. Analysis of Weight Loss of Pediatric Patients Involved in a Healthy Lifestyles Clinic (HLC).. Pediatr Res 56, 669 (2004). https://doi.org/10.1203/00006450-200410000-00041
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DOI: https://doi.org/10.1203/00006450-200410000-00041