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Updated: Dec 14, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
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.
Insights
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.
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.
Background:
Childhood obesity is a growing epidemic of great concern for our nation, including pediatric populations treated at military treatment facilities.
Objective:
This study aims to retrospectively evaluate the effectiveness of a primary care-based structured weight management program in a sample of pediatric patients with obesity at a military treatment facility.
Methods:
This study was a retrospective chart review of patients enrolled in the All About Me Program (AAMP) from August 1, 2011, through July 10, 2012. Baseline demographics, 5-2-1-0 behavioral targets, and anthropometric measures were obtained from 54 enrollees. Pre- and post-program weight, body mass index (BMI) percentile, and 5-2-1-0 behavioral targets were compared for 20 patients who completed the program which consisted of a total of five visits over 3 months.
Results:
Participants showed a significant reduction in their BMI, improvement in daily servings of fruits and vegetables, reduction in recreational screen time from baseline, improvement in daily physical activity, and reduction in consumption of sugary beverages.
Conclusions:
These preliminary findings are a promising indicator that primary care-based obesity interventions may be effective for the management and treatment of pediatric obesity.
Implications For Nursing:
This evidence-based toolkit provides a practical point-of-care guidance on the prevention, assessment, and treatment of childhood obesity and can be easily implemented in other primary care settings.
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