Family-based obesity treatment in children with disabilities

Callie L Brown1, Megan B Irby2, Timothy T Houle3

  • 1Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.

Academic Pediatrics
|March 10, 2015
PubMed

Insights

Pediatric weight management programs are effective for children with and without cognitive disabilities (CD). Family-centered care leads to similar or better weight status changes in children with CD.

Area of Science:

  • Pediatric Endocrinology
  • Obesity Medicine
  • Developmental Pediatrics

Background:

  • Pediatric obesity is a significant public health concern.
  • Effective weight management strategies are crucial for children with and without developmental challenges.
  • Tertiary-care programs offer specialized interventions for complex cases.

Purpose of the Study:

  • To compare the effectiveness of an interdisciplinary, family-centered pediatric weight management program for children with and without cognitive disabilities (CD).
  • To evaluate treatment outcomes, including changes in body mass index (BMI) z-score and attrition rates.

Main Methods:

  • Retrospective analysis of 453 patients from a tertiary-care pediatric weight management clinic.
  • Patients were categorized into groups with and without cognitive disabilities (CD).
  • Longitudinal data on BMI z-score changes and treatment attrition were extracted from electronic health records.

Main Results:

  • No significant differences in baseline BMI or BMI z-score between groups.
  • Attrition rates were similar for children with and without CD.
  • Children with CD showed a statistically significant greater reduction in BMI z-score compared to those without CD (-0.07 vs -0.03, P = .029).

Conclusions:

  • Interdisciplinary, family-centered pediatric weight management programs yield comparable or superior outcomes for children with cognitive disabilities (CD).
  • The patient-centered approach, leveraging individual strengths, likely contributes to the success of these programs.
  • These findings support the inclusive application of specialized weight management interventions for diverse pediatric populations.
Abstract

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