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Updated: Dec 14, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
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Energy Management for Personalized Weight Reduction (EMPOWER) Program: Three-Year Outcome Data.

A P Vidmar1,2, C Fink2, B Torres2

  • 1Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, USA.

Advances in Clinical Endocrinology and Metabolism
|July 24, 2020
PubMed
Summary
This summary is machine-generated.

Pediatric obesity interventions show modest BMI improvements. Lower baseline BMI and no comorbidities predict better outcomes in youth, guiding future treatment strategies.

Keywords:
Multi-Disciplinary ClinicObesityPediatricsWeight Loss

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Area of Science:

  • Pediatric Endocrinology
  • Obesity Medicine
  • Public Health

Background:

  • Current pediatric obesity guidelines recommend clinic-based, family-centered, multidisciplinary interventions.
  • These programs often yield only modest improvements in Body Mass Index (BMI) status.
  • Factors predicting individual patient outcomes in pediatric obesity management remain understudied.

Purpose of the Study:

  • To evaluate the outcomes of the EMPOWER clinic for pediatric obesity.
  • To identify participant-specific characteristics that predict BMI status improvement.

Main Methods:

  • Retrospective cohort study of youth completing at least 6 visits in the EMPOWER clinic.
  • Paired t-tests analyzed changes in zBMI, modified BMIz, and %BMIp95 from baseline to the 6th visit.
  • Multivariate mixed-effects models assessed the impact of baseline characteristics on BMI status changes.

Main Results:

  • 92 participants (87% severe obesity, 66% Hispanic) were analyzed.
  • Significant reductions observed in zBMI (-0.09 SD) and modified BMIz (-0.0003 SD) at the 6th visit.
  • Lower baseline BMI status and absence of comorbidities predicted BMI status improvement; age, gender, ethnicity, family history, and insurance were not significant predictors.

Conclusions:

  • Current pediatric obesity management guidelines result in modest BMI status reduction.
  • Further research is needed to understand determinants of obesity-related health outcomes.
  • This understanding can guide the development of more innovative and effective interventions for high-risk pediatric populations.