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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Outcome of a hospital based multidisciplinary weight loss program in obese Filipino children
Ann Marie Tan-Ting1, Luisito Llido1
1Obesity and Weight Management Center, St. Luke's Medical Center, Quezon City, Metro-Manila, Philippines.
Insights
A 3-month multidisciplinary weight loss program effectively reduced weight, BMI, and body fat in obese Filipino children. Greater attendance at program sessions correlated with more significant weight loss results.
Area of Science:
- Pediatrics
- Public Health
- Obesity Research
Background:
- Childhood obesity is a growing concern in the Philippines, with increasing national prevalence.
- A multidisciplinary approach integrating diet, exercise, and behavioral therapy is recommended for pediatric weight management.
Purpose of the Study:
- To evaluate the effectiveness of a staged, 3-month multidisciplinary intervention for obese children.
- The intervention combined dietary changes, physical activity, and behavioral strategies.
Main Methods:
- A prospective study was conducted at a hospital-based weight management center over 15 months.
- Participants included 44 obese children (aged 5-17 years) with BMI between the 85th-99th percentile.
- Outcome measures included changes in weight, BMI, BMI z-score, body fat, blood pressure, and waist circumference.
Main Results:
- The program led to significant reductions in weight (mean 4.2 kg, 5.3%), BMI (1.5 units), BMI z-score (0.15), body fat (14%), systolic blood pressure (7.25 mm Hg), and waist circumference (5.4 cm).
- Weight loss, BMI reduction, and body fat decrease were significantly correlated with the number of program sessions attended.
Conclusions:
- A 3-month staged, multidisciplinary program is effective for weight loss in obese Filipino children.
- The frequency of session attendance positively influenced the degree of weight loss achieved.
Background:
Childhood obesity is becoming a problem for Filipino children with an increasing national prevalence of pediatric overweight and obesity. A multidisciplinary approach combining behavioral therapy with diet and exercise is often advocated as having the greatest impact in pediatric weight management.
Objective:
To determine the effects of a weight loss program, which is a staged 3-mo, multidisciplinary intervention consisting of combined dietary, exercise, and behavioral methods in obese children.
Research Methods And Procedures:
Prospective study done in a hospital-based weight management center; duration of study: 15 mo (November 2005 to January 2008); participants: 44 obese children (aged 5-17 y; body mass index [BMI] 85th-99th percentile); outcome measures: change in weight, BMI, BMI z-score (SD score); secondary measures included changes in waist circumference, blood pressure, and body fat. Statistical tests: paired t tests, χ² test, Wilcoxon ranked sum test, regression analysis, and ANOVA.
Results:
At the end of the program, the patients demonstrated a decrease in weight, BMI, BMI z-score, body fat, systolic blood pressure, and waist circumference. Mean weight loss is 4.2 kg (P < 0.01) with an average of 5.3% weight loss; BMI decreased by 1.5 units (P < 0.01), BMI z-score by 0.15 (P < 0.004), body fat by 14% (P < 0.01), systolic blood pressure by 7.25 mm Hg (P < 0.05), and waist circumference by 5.4 cm (P < 0.05). Decrease in weight, BMI, and body fat were significantly correlated with number of sessions attended.
Conclusion:
The use of a multidisciplinary 3-mo staged program resulted in an effective weight loss in obese Filipino children, which was directly related to the frequency of sessions attended.
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