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Multidisciplinary Approach to Obesity Management: A Case Report
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Multidisciplinary Approach to Obesity Management: A Case Report

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2-Year BMI Changes of Children Referred for Multidisciplinary Weight Management

Jennifer K Cheng1, Xiaozhong Wen2, Kristen D Coletti1

  • 1Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA 02115, USA.

International Journal of Pediatrics
|March 28, 2014
PubMed

Insights

Children in a multidisciplinary weight management program showed greater body mass index (BMI) reductions than those in usual care. Younger children (<5 years) experienced the best outcomes in this pediatric weight management study.

Area of Science:

  • Pediatrics
  • Obesity Management
  • Public Health

Background:

  • Childhood obesity is a significant public health concern requiring effective management strategies.
  • Multidisciplinary programs offer a comprehensive approach to pediatric weight management.
  • Understanding the comparative effectiveness of such programs versus usual care is crucial.

Purpose of the Study:

  • To compare body mass index (BMI) changes in children participating in a multidisciplinary weight management program versus those receiving usual primary care.
  • To analyze BMI z-score trajectories over a 2-year period in referred overweight or obese children.
  • To identify factors influencing treatment outcomes, such as age.

Main Methods:

  • Retrospective database analysis of 583 overweight or obese children referred to a pediatric weight management program.
  • Utilized multivariable mixed-effect models to compare 2-year BMI z-score trajectories.
  • Compared outcomes between program participants (n=338) and nonparticipants (n=245) followed by primary care providers.

Main Results:

  • Program participants demonstrated a modest decrease in mean BMI z-score over 2 years, which was lower than nonparticipants.
  • Statistically significant differences in the rate of BMI z-score change were observed between groups at 0-6 months and 19-24 months post-referral.
  • Younger participants (under 5 years) showed significantly better outcomes across all examined time points.

Conclusions:

  • Pediatric multidisciplinary weight management programs lead to greater BMI z-score reductions compared to usual primary care in a real-world setting.
  • Early intervention, particularly in younger children, appears to yield superior outcomes in pediatric weight management.
  • Further research into the cost-effectiveness of these programs is warranted.

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