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Counseling clinic for pediatric weight reduction: program formulation and follow-up
1Department of Pediatrics, Taipei Municipal Chung-Hsiao Hospital, Taiwan ROC.
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 1, 1997
Summary
This study shows a multicomponent weight reduction program effectively improved obesity in Chinese children and adolescents. Most participants maintained lower weight-for-length index (WLI) one year post-treatment, indicating program efficacy.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Medicine
Background:
- Childhood obesity is a growing public health concern globally.
- Effective, accessible interventions are needed for pediatric weight management.
Purpose of the Study:
- To evaluate the feasibility and efficacy of an outpatient, multicomponent weight reduction program for obese Chinese children and adolescents.
- To assess the long-term (1-year) impact of the intervention on obesity metrics.
Main Methods:
- A six-session, individualized program involving parents, diet, exercise, and behavior modification.
- Culturally sensitive approach tailored to the participants.
- Weight-for-length index (WLI) used to measure obesity at baseline, end-of-treatment, and 1-year follow-up.
Main Results:
- Statistically significant improvements in WLI were observed at end-of-treatment and 1-year follow-up.
- 97% of participants had a lower WLI post-treatment, with 80% maintaining this at 1 year.
- 59% achieved a WLI reduction of ≥0.1 at 1-year follow-up, compared to 38% at end-of-treatment.
Conclusions:
- The outpatient multicomponent program demonstrated encouraging short-term and 1-year efficacy in reducing obesity among Chinese children and adolescents.
- Participant age and weight loss percentage during treatment were significant predictors of long-term success.
- Further research is needed to determine long-term sustainability and efficacy.