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Kaiser Permanente Georgia's Experience with Operation Zero: A Group Medical Appointment to Address Pediatric

Josephine Hinchman, Luke Beno, Adrienne Mims

    The Permanente Journal
    |April 27, 2011
    PubMed

    Insights

    Operation Zero (O.Z.), a family-centered pediatric weight management program, effectively reduced body fat and waist size in adolescents. This structured intervention shows promise for improving health behaviors and weight management outcomes in children.

    Area of Science:

    • Pediatric Endocrinology
    • Public Health
    • Behavioral Medicine

    Background:

    • Childhood overweight (OW) rates have more than tripled in the US since 1980, leading to serious health issues like type 2 diabetes.
    • Effective pediatric OW treatment options are limited for healthcare providers.
    • Pediatric OW poses significant long-term health risks, necessitating effective interventions.

    Purpose of the Study:

    • To evaluate the effectiveness of Kaiser Permanente of Georgia's Operation Zero (O.Z.) group medical appointment clinic for pediatric weight management.
    • To assess the program's impact on body fat (BF), waist size, and BMI-for-age percentile in preadolescent and adolescent patients.
    • To determine the program's success in improving lifestyle behaviors related to nutrition and physical activity.

    Main Methods:

    • Retrospective analysis of baseline and eight-week post-clinic outcomes for O.Z. participants.
    • Inclusion of a control group to assess long-term weight maintenance.
    • Measurement of key outcomes including weight, BMI-for-age percentile, waist size, and percentage of body fat (%BF).

    Main Results:

    • Significant reductions in %BF and waist size were observed eight weeks post-program completion.
    • These reductions were noted in the total sample, adolescents, preteens, and those attending six or more sessions.
    • While weight and BMI-for-age percentile showed insignificant increases at 6 months and 1 year, the O.Z. group's weight change at 6 months was statistically less than the control group.

    Conclusions:

    • A structured, family-oriented weight management program like O.Z. is effective in improving key indicators of weight management.
    • The program demonstrates success in reducing body fat and waist circumference in pediatric participants.
    • Family-centered approaches in group settings can yield positive clinical outcomes for pediatric overweight.
    Abstract

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