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Effectiveness of a Family-Centered Pediatric Weight Management Program Integrated in Primary Care

Veronica Else1, Qiaoling Chen2, Alan B Cortez3

  • 1Southern California Permanente Medical Group, Kaiser Permanente Yorba Linda Medical Offices, Yorba Linda, CA.

The Permanente Journal
|February 26, 2021
PubMed

Insights

A family-based weight management program in primary care effectively reduced body weight in children. This low- to moderate-intensity intervention showed significant improvements in body mass index (BMI) over six months.

Area of Science:

  • Pediatric Weight Management
  • Primary Care Interventions
  • Behavioral Health

Background:

  • Limited evidence exists for low- to medium-intensity weight loss interventions.
  • Childhood obesity requires effective and accessible management strategies.

Purpose of the Study:

  • To evaluate a family-based weight management intervention in pediatric primary care.
  • To assess the intervention's effectiveness in reducing children's body weight.

Main Methods:

  • Retrospective analysis of electronic medical records from Kaiser Permanente.
  • Compared a family-based weight management group (FB-WMG, n=162) with two control groups: referred but not enrolled (Ref-CG, n=203) and area-matched (Area-CG, n=287).
  • Body Mass Index (BMI) was measured at baseline and after 6 months.

Main Results:

  • 69.1% of FB-WMG participants reduced or maintained BMI over 6 months, versus 45.8% in Ref-CG (p<0.001) and 57.8% in Area-CG (p=0.02).
  • In girls aged 3-12, 75% reduced or maintained BMI compared to 42% in Ref-CG (p<0.001).
  • Average BMI change was -0.85 kg/m² compared to Ref-CG and -0.28 kg/m² compared to Area-CG.

Conclusions:

  • Low- to moderate-intensity family-based weight management in primary care is effective.
  • The intervention demonstrated success within a 6-month period.
  • Family-centered approaches can yield positive outcomes in pediatric weight management.
Abstract

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