Energy Management for Personalized Weight Reduction (EMPOWER) Program: Three-Year Outcome Data

Autor: A P, Vidmar, C, Fink, B, Torres, B, Manzanarez, S D, Mittelman, C P, Wee, C, Borzutzky
Rok vydání: 2020
Předmět:
Zdroj: Advances in clinical endocrinology and metabolism
ISSN: 2641-6425
Popis: Background The current consensus guidelines for management of pediatric obesity recommend clinic-based, family-centered, multi-disciplinary interventions. It is well reported that these programs often only lead to modest improvements in BMI status. The individual factors that differentiate which patient’s BMI status will improve vs. worsen remains understudied. A retrospective cohort study was conducted to evaluate the outcomes of EMPOWER clinic and identify the participant specific characteristics that predicted BMI status improvement in this population. Methods Youth who completed at least 6 visits in EMPOWER were included. Paired t-test was utilized to evaluate the mean change in zBMI, modified BMIz and %BMIp95 from baseline to 6th visit, and multivariate mixed effect models were utilized to analyze effect of baseline characteristics on change in BMI status. Results 92 participants were included in the analysis, 87% with severe obesity and 66% Hispanic. At the 6th visit, there was a significant reduction in zBMI (−0.09 SD, p
Databáze: OpenAIRE