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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
FitKids360: design, conduct, and outcomes of a stage 2 pediatric obesity program
Jared M Tucker1, Joey C Eisenmann2, Kathleen Howard3
1Helen DeVos Children's Hospital, Grand Rapids, MI 49503, USA.
Insights
The FitKids360 program successfully improved physical activity, reduced screen time, and enhanced dietary behaviors in overweight youth. This evidence-based intervention also led to significant reductions in BMI and obesogenic risk factors within families.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Behavioral Medicine
Background:
- Pediatric overweight and obesity are significant public health concerns requiring effective interventions.
- Stage 2 programs offer intensive, multicomponent approaches for youth with overweight and obesity.
- Family-centered interventions are crucial for sustainable lifestyle changes.
Purpose of the Study:
- To describe the FitKids360 program, a stage 2 pediatric weight management intervention.
- To evaluate the effectiveness of FitKids360 in improving lifestyle behaviors and anthropometric measures in youth.
- To assess changes in the home environment's obesogenic risk factors.
Main Methods:
- The FitKids360 program is a physician-referred, 7-week, multicomponent healthy lifestyle intervention.
- Intervention targets physical activity, screen time, and dietary behaviors using a family-centered approach.
- Assessments included lifestyle behaviors, anthropometry, and the Family Nutrition and Physical Activity (FNPA) survey.
Main Results:
- Patients increased moderate to vigorous physical activity by 14 minutes and reduced screen time by 44 minutes.
- Family Nutrition and Physical Activity (FNPA) scores improved by 9%, with 69% of high-risk families dropping below the threshold.
- Patients demonstrated significant reductions in Body Mass Index (BMI) and BMI z-scores.
Conclusions:
- FitKids360 is an effective stage 2 pediatric weight management program.
- The program successfully targets key lifestyle behaviors and reduces obesogenic risk factors.
- Findings support the use of FitKids360 for medical and public health professionals developing pediatric obesity programs.
Abstract:
This paper describes FitKids360, a stage 2 pediatric weight management program. FitKids360 is a physician-referred, multicomponent, low-cost healthy lifestyle program for overweight and obese youth 5-16 years of age and their families. FitKids360 provides an evidence-based approach to the treatment of pediatric overweight by targeting patients' physical activity, screen time, and dietary behaviors using a family-centered approach. The intervention begins with a two-hour orientation and assessment period followed by six weekly sessions. Assessments include lifestyle behaviors, anthropometry, and the Family Nutrition and Physical Activity (FNPA) survey, which screens for obesogenic risk factors in the home environment. Outcomes are presented from 258 patients who completed one of 33 FitKids360 classes. After completing FitKids360, patients increased moderate to vigorous physical activity by 14 minutes (P = 0.019), reduced screen time by 44 minutes (P < 0.001), and improved key dietary behaviors. Overall, FNPA scores increased by 9% (P < 0.001) and 69% of patients with "high risk" FNPA scores at baseline dropped below the "high risk" range by followup. Patients also lowered BMIs (P = 0.011) and age- and sex-adjusted BMI z-scores (P < 0.001) after completing the 7-week program. We hope this report will be useful to medical and public health professionals seeking to develop stage 2 pediatric obesity programs.
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