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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Updated: Dec 14, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
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Published on: May 30, 2025

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Effectiveness of a Primary Care-Based Pediatric Weight Management Program.

Uyen Le-Jenkins1, Diana Cartagena2, Michelle Renaud2

  • 1Old Dominion University, Norfolk, Virginia ulejenki@odu.edu.

Journal of Doctoral Nursing Practice
|July 24, 2020
PubMed
Summary

A structured weight management program significantly improved pediatric obesity by enhancing diet, physical activity, and reducing screen time. This primary care approach shows promise for treating childhood obesity effectively.

Keywords:
childhood obesityhealthy lifestylemilitary treatment facilitiesweight management

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Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Behavioral Medicine

Background:

  • Childhood obesity presents a significant national health concern, particularly affecting pediatric populations within military healthcare settings.
  • The increasing prevalence of pediatric obesity necessitates effective intervention strategies within primary care environments.

Purpose of the Study:

  • To retrospectively assess the efficacy of a primary care-based structured weight management program for pediatric patients diagnosed with obesity.
  • To evaluate the impact of the 'All About Me Program' (AAMP) on anthropometric measures and behavioral targets in a military treatment facility setting.

Main Methods:

  • Retrospective chart review of 54 pediatric patients enrolled in the AAMP from August 2011 to July 2012.
  • Collected baseline data included demographics, 5-2-1-0 behavioral targets, and anthropometric measurements.
  • Compared pre- and post-program outcomes for 20 completers who attended five visits over three months, focusing on weight, BMI percentile, and behavioral adherence.

Main Results:

  • Significant reductions in body mass index (BMI) percentile were observed among participants.
  • Improvements noted in daily fruit and vegetable intake and increased physical activity levels.
  • Reductions in recreational screen time and consumption of sugary beverages were also significant.

Conclusions:

  • Preliminary findings suggest that primary care-based obesity interventions, such as the AAMP, are effective for managing and treating pediatric obesity.
  • The program's success indicates a promising model for broader implementation in pediatric primary care settings.