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