Outcomes of a Community-Based Paediatric Weight Management Programme in an Irish Midlands Setting
A E Bennett1, C Johnston Molloy2, C Glennon-Slattery2
1Department of Clinical Medicine, School of Medicine, Trinity Centre for Health Sciences, St. James' Hospital Campus, Dublin 8, Ireland.
Insights
This study evaluated a childhood obesity program in Ireland, finding modest reductions in body mass index (BMI). However, high attrition rates highlight challenges in pediatric weight management programs.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood obesity is a significant public health concern requiring effective interventions.
- The Scottish Childhood Overweight Treatment Trial (SCOTT) provides a basis for pediatric weight management.
- Primary care settings offer a potential venue for delivering obesity interventions to children and families.
Purpose of the Study:
- To assess the effectiveness of an adapted SCOTT intervention for childhood overweight and obesity in Irish primary care.
- To evaluate the feasibility of implementing a dietitian-led program targeting lifestyle factors.
- To identify challenges related to program recruitment, retention, and outcomes.
Main Methods:
- An adapted SCOTT intervention was delivered through monthly dietitian-led sessions over six months.
- The program focused on improving dietary habits, family meals, screen time, and physical activity.
- Participants included children referred for overweight or obesity, with data collected on body mass index (BMI) and BMI z-score.
Main Results:
- A statistically significant reduction in mean body mass index (BMI) was observed from session one to session six (p<0.01).
- The mean BMI z-score showed a modest decrease of 0.2 (p=0.01).
- High attrition rates (64.7%) were noted, with only 53.7% of referred families opting into the program.
Conclusions:
- The adapted intervention demonstrated statistically significant, albeit modest, reductions in BMI among participating children.
- Significant challenges exist in program referral, family engagement, and participant retention.
- Further research is needed to develop sustainable and effective strategies for pediatric weight management in primary care settings.
Abstract:
Ongoing investigation is needed into feasible approaches which reduce excess weight in childhood. This study aimed to assess the effectiveness of an adapted version of the Scottish Childhood Overweight Treatment Trial (SCOTT) in an Irish primary care setting. Families were offered monthly dietitian-led sessions for six months. These sessions targeted dietary habits, family meals, screen time and exercise. Of the 95 children (mean age 7.6 years) referred, 90.5% (n86) were obese and 9.5% (n9) were overweight. Fifty-one (53.7%) families opted into the programme from referral, and 18 completed the programme (64.7% attrition). Statistically significant reductions in body mass index (BMI) were observed between sessions one and six (25.7±4.2kg/m2 and 25.3±4.8kg/m2, respectively, p<0.01). BMI z-score modestly decreased by 0.2 (p=0.01). Despite these reductions, issues with programme referral, attrition and long-term effectiveness were evident. Further investigation into strategies which reduce paediatric overweight is warranted.
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