Long-Term Outcomes of a Multidisciplinary Weight Management Intervention for Youth with Disabilities

Autor: Janelle K. Gerling, Cathleen Odar Stough, Ashleigh A Pona, Meredith L. Dreyer Gillette, Brooke Sweeney
Rok vydání: 2017
Předmět:
Male
Gerontology
Pediatric Obesity
medicine.medical_specialty
Adolescent
Autism Spectrum Disorder
Endocrinology
Diabetes and Metabolism
Body Mass Index
03 medical and health sciences
Typically developing
0302 clinical medicine
Occupational Therapists
Multidisciplinary approach
Intellectual Disability
Physicians
030225 pediatrics
Intervention (counseling)
Weight management
Long term outcomes
medicine
Humans
0501 psychology and cognitive sciences
Nutritionists
Child
Psychiatry
Nutrition and Dietetics
business.industry
Pediatric Nurse Practitioners
05 social sciences
medicine.disease
Health Surveys
Obesity
Disabled Children
Weight Reduction Programs
Treatment Outcome
Increased risk
Child
Preschool
Pediatrics
Perinatology and Child Health
Female
Interdisciplinary Communication
Down Syndrome
business
Follow-Up Studies
050104 developmental & child psychology
Zdroj: Childhood Obesity. 13:455-461
ISSN: 2153-2176
2153-2168
DOI: 10.1089/chi.2016.0334
Popis: Youth with disabilities are at increased risk for obesity compared with their typically developing peers and face unique barriers to healthy lifestyles. A limited number of weight management programs have been specifically tailored to accommodate youth with disabilities, and outcomes research in this population is scarce. We investigated the effectiveness of a specialized multidisciplinary weight management program for children with disabilities.Youth (N = 115) ages 2-18 years (mean age = 10.46) and their families receiving care in the Special Needs Weight Management Clinic (SNWMC) were followed over a period of 12 months. Child height and weight were measured by trained clinicians and used to calculate Body Mass Index z-scores (BMIz). A two-level multilevel model was estimated with repeated measurements of BMIz nested within patients.Significant BMIz reductions of 0.02 per month were observed over the course of treatment when controlling for child age and baseline BMIz. A significant interaction between child age and time revealed that younger (vs. older) children exhibited greater decreases in BMIz over the course of treatment. Sex, ethnicity, disability diagnosis, and insurance moderated change in BMIz over the course of treatment.Outcomes of the SNWMC revealed significant decreases in BMIz with5 sessions on average over 12 months and indicated the increased efficacy of early intervention in youth with disabilities. Future research should continue to modify interventions for families with adolescent children with disabilities as well as investigate additional variables that may impact success in treatment.
Databáze: OpenAIRE
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