Body Mass Index and Blood Pressure Improvements With a Pediatric Weight Management Intervention at Federally Qualified Health Centers.

Autor: Imoisili OE; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga; Epidemic Intelligence Service (OE Imoisili and LS Womack), Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Ga; United States Public Health Service (OE Imoisili, LS Womack, HM Blanck, and AB Goodman), Rockville, Md. Electronic address: omoye.imoisili@gmail.com., Lundeen EA; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., Freedman DS; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., Womack LS; Epidemic Intelligence Service (OE Imoisili and LS Womack), Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Ga; United States Public Health Service (OE Imoisili, LS Womack, HM Blanck, and AB Goodman), Rockville, Md., Wallace J; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Hambidge SJ; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Federico S; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Everhart R; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Harr D; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Vance J; Denver Health Ambulatory Care Services (J Wallace, SJ Hambidge, S Federico, R Everhart, D Harr, and J Vance), Denver, Co., Kompaniyets L; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., Dooyema C; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., Park S; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., Blanck HM; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga; United States Public Health Service (OE Imoisili, LS Womack, HM Blanck, and AB Goodman), Rockville, Md., Goodman AB; Obesity Prevention and Control Branch, Division of Nutrition, Physical Activity, and Obesity (OE Imoisili, EA Lundeen, DS Freedman, L Kompaniyets, C Dooyema, S Park, HM Blanck, and AB Goodman), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga; United States Public Health Service (OE Imoisili, LS Womack, HM Blanck, and AB Goodman), Rockville, Md.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2021 Mar; Vol. 21 (2), pp. 312-320. Date of Electronic Publication: 2020 Dec 03.
DOI: 10.1016/j.acap.2020.11.026
Abstrakt: Objective: The Mind, Exercise, Nutrition, Do It! 7-13 (MEND 7-13) program was adapted in 2016 by 5 Denver Health federally qualified health centers (DH FQHC) into MEND+, integrating clinician medical visits into the curriculum and tracking health measures within an electronic health record (EHR). We examined trajectories of body mass index (BMI, kg/m 2 ) percentile, and systolic and diastolic blood pressures (SBP and DBP) among MEND+ attendees in an expanded age range of 4 to 17 years, and comparable nonattendees.
Methods: Data from April 2015 to May 2018 were extracted from DH FQHC EHR for children eligible for MEND+ referral (BMI ≥85th percentile). The sample included 347 MEND+ attendees and 21,061 nonattendees. Mixed-effects models examined average rate of change for BMI percent of the 95th percentile (%BMIp95), SBP and DBP (mm Hg), after completion of the study period.
Results: Most children were ages 7 to 13 years, half were male, and most were Hispanic. An average of 4.2 MEND+ clinical sessions were attended. Before MEND+, %BMIp95 increased by 0.247 units/month among MEND+ attendees. After attending, %BMIp95 decreased by 0.087 units/month (P < .001). Eligible nonattendees had an increase of 0.084/month in %BMIp95. Before MEND+ attendance, SBP and DBP increased by 0.041 and 0.022/month, respectively. After MEND+ attendance, SBP and DBP decreased by 0.254/month (P < .001) and 0.114/month (P < .01), respectively. SBP and DBP increased by 0.033 and 0.032/month in eligible nonattendees, respectively.
Conclusions: %BMIp95, SBP, and DBP significantly decreased among MEND+ attendees when implemented in community-based clinical practice settings at DH FQHC.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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