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Interdisciplinary Management of Pediatric Obesity: Lessons Learned in the Midsouth

E Thomaseo Burton1,2, Webb A Smith1,2, Idia B Thurston1,2,3

  • 11 Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, USA.

Clinical Pediatrics
|September 15, 2017
PubMed

Insights

This study highlights challenges in pediatric weight management for underserved youth, emphasizing the need to address resource limitations and cultural factors to improve treatment success.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Behavioral Medicine

Background:

  • Alarming pediatric obesity rates in the US Midsouth necessitate targeted interventions.
  • The Healthy Lifestyle Clinic (HLC) was established to manage pediatric obesity and related comorbidities.

Purpose of the Study:

  • To analyze the characteristics and challenges of a diverse pediatric weight management cohort.
  • To provide insights for emerging weight management programs and identify factors influencing treatment attrition.

Main Methods:

  • Retrospective analysis of 380 patients from the HLC with at least 6 months of follow-up.
  • Evaluation of clinical data, including severe obesity and comorbidities like insulin resistance.

Main Results:

  • The cohort was predominantly non-Hispanic Black (67.1%) with severe obesity (zBMI=2.52).
  • High rates of insulin resistance and other comorbidities were observed.
  • Significant challenges were identified in implementing intensive lifestyle changes for families with limited resources.

Conclusions:

  • Interventions must consider socioeconomic and cultural factors for diverse pediatric populations.
  • Further research is needed on environmental and cultural influences to reduce high attrition rates in pediatric obesity treatment.

Keywords:
attritionclinical cohortcomorbiditiespediatric obesityweight management

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