Background and objectives: The efficacy of a weight correction programme can be affected by such predictors as the number of contact hours, gender, age, baseline weight, parental weight status, psycho-emotional status, insulin resistance, and socioeconomic status. The aim of this current study was to evaluate the overall efficacy of the Weight Correction Programme at Children’s Clinical University Hospital, and explore the impact of the probable predictors. We evaluated the efficacy depending on gender, age, parental weight status, signs of depression, baseline body mass index z-score (z-BMI), and baseline waist circumference. Materials and Methods: The data were gathered from medical records. The inclusion criteria were as follows: Entered the programme by 13 June 2017, at least five years old, follow-up data available. All the respondents were divided into two age groups: <10 years old and ≥10 years old. Results: The study included 181 respondents. They were 5 to 17 years old on the first day of participation in the Weight Correction Programme. Results indicated that 117 (65%) patients managed to reduce z-BMI and 69 (38%) patients achieved clinically significant reduction of z-BMI. Boys had four times higher odds (odds ratio (OR) = 4,22; CI 1.37–13.05; p = 0.012) to reduce their z-BMI by at least 0.20 units than girls. The respondents of the older age group (≥10 years) had a better chance to reduce z-BMI than the younger ones (OR = 11,51; CI 2.04–64.83; p = 0.006). The odds to reduce z-BMI were lower by 7% for every extra cm of waist circumference (OR = 0.93; CI 0.88–0.99; p = 0.014) for reducing z-BMI. The follow-up time was also a positive predictor, and with every month the odds for clinically significant z-BMI reduction increased by 7% (OR = 1.07; CI 1.00–1.15; p = 0.047). The parental weight status, signs of depression, and baseline z-BMI were not significant predictors. Conclusions: More than half of the patients of the respondents managed to reduce their z-BMI. Female gender, younger age, and larger waist circumference were negative predictors.
Objectives: Overweight and obesity has become an important worldwide health issue, that is why the risk factors for gaining excess weight are being studied a lot. Big birth weight and parental overweight are known risk factors for childhood overweight. The association between psychological issues and excess weight is bidirectional. Aim of our research was assessing if there was any association between parental weight status, birth weight or signs of depression and the exact value of already overweight child’s standardized body mass index (z-BMI). Study design: Cross-sectional study. Materials and Methods: All 303 respondents included were six to seventeen years old patients of the first weight correction programme in Baltic states. Their first day data were gathered from Children’s Clinical University Hospital electronic databases Andromeda and Saule, as well as from outpatient medical records. Height and weight data were turned into z-BMI. Depression signs had been assessed using Children Depression Inventory (by M. Kovacs, 1992). Parental weight status and child’s birth weight had also been documented. Results: From all 303 respondents 141 (47%) were boys. Median age 12 (IQR 10-15) years. The median z-BMI was significantly higher in boys than in girls (2.97 (IQR 2.59-3.37) vs. 2.59 (IQR 2.13-2.90), p<0.001). Parental weight status correlated significantly with z-BMI value in boys (r=0.17, p=0.043) and in girls (r=0.18, p=0.026). The correlation became stronger when controlled by birth weight and signs of depression: r=0.87, p=0.005 for boys; r=0.96, p<0.001 for girls. There was no significant correlation between z-BMI and either birth weight or signs of depression. Conclusions: The parental excess weight correlated significantly with the z-BMI of their son or daughter. The signs of depression and birth weight had no significant association with z-BMI.
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