Challenges and Successes of a Multidisciplinary Pediatric Obesity Treatment Program

Walsh, Stephanie; Palmer, Wendy; Welsh, Jean A.; Vos, Miriam B.

doi:10.1177/0884533614551839

Cited by 14 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This discrepancy in improvement may be due to the frequency of follow-up within the Epstein programming. The outcomes for this intervention are more similar to findings from the Strong4Life Obesity Treatment Program who showed changes in BMI z-score values of −0.1, at 6–12 months, and −0.2, at > 12 months, and thus BMI stabilization [ 51 ].…”

Section: Discussionsupporting

confidence: 53%

Innovative Assessments Help Elucidate Sustained Improvements in Fitness and Metabolic Health in Obese Children

Vanderwall¹,

Clark²,

Eickhoff³

et al. 2016

J Child Obes

View full text Add to dashboard Cite

Objective Treatment of childhood obesity is a medical challenge and limited data are available describing successful long term interventions. This study presents a multi-disciplinary intervention that resulted in sustained physiological improvement over a one-year period. Methods The criterion outcome variables include cardiovascular fitness (CVF) measured by a population-specific treadmill test to predict maximal oxygen uptake (predicted VO2 max) and the body composition (BC) variables of fat mass, non-bone lean mass and percent body fat from whole body dual energy x-ray absorptiometry (DXA) scans. Subjects were overweight and obese children (N=79) evaluated at baseline, 6 and 12 months at a University Hospital-based pediatric fitness clinic. Results Statistically significant improvements in non-bone lean body mass (+4.24 kg ± 5.0, p<0.0001) and predicted VO2 max (+0.14L/min ± 0.10, p<0.0001) were seen at 6 months. These significant improvements were sustained over 12 months: body fat percentage (−2.28 ± 3.49, p<0.0001), lean mass (+6.0 kg ± 4.0, p<0.0001) and predicted VO2 max (+0.22 L/min ± 0.19, p<0.0001). These results were observed despite increases in weight and body mass index (BMI) at 6-months (weight: +6.6 kg ± 6.93, p<0.0001; BMI: +0.37 ± 1.21, p=0.47) and 12-months (weight: +6.3 kg ± 5.8, p<0.0001; BMI: +0.91 ± 2.06, p=0.0002). Conclusion These results reflect the sustained effect of a multidisciplinary approach, and the value of using valid and reliable assessment methods to measure sustained physiological changes in a sample of 79 overweight and obese children.

show abstract

Section: Discussionsupporting

confidence: 53%

Innovative Assessments Help Elucidate Sustained Improvements in Fitness and Metabolic Health in Obese Children

Vanderwall¹,

Clark²,

Eickhoff³

et al. 2016

J Child Obes

View full text Add to dashboard Cite

show abstract

“…In addition to dietary modifications, multidisciplinary weight management programs that include coordinated treatment/ counselling with a psychologist, exercise physiologist, registered dietitian, medical provider, and nurse provide higher success rate and long-lasting lifestyle modifications that could benefit children with NAFLD. 119 There is also continual interest in pharmacological and surgical options for paediatric NAFLD. As reviewed elsewhere, examples of potential pharmacological treatments of interest include insulin sensitizers, antioxidants (especially vitamin E), lipid-lowering medications, bile acids and probiotics.…”

Section: Nafldmentioning

confidence: 99%

Perspectives on youth‐onset nonalcoholic fatty liver disease

Castillo‐Leon

Cioffi

Vos

2020

Endocrino Diabet & Metabol

Self Cite

View full text Add to dashboard Cite

Nonalcoholic fatty liver disease (NAFLD) is becoming increasingly well-known for being the most common chronic liver disease in the world. While NAFLD has been documented across the full lifespan, from newborn to those advanced in age, the increase in children with NAFLD is of particular concern. Prior studies suggest that youth with NAFLD exhibit a more progressive form of the disease, including increased fibrosis, compared to adults with

show abstract

“…, Walsh et al . ). Only a few studies have analysed children's and parents’ experiences in relation to childhood obesity prevention and management using qualitative methods (Davis et al .…”

Section: Literature Reviewmentioning

confidence: 97%

“…The question of the impact of anti-obesity policies on children's and parents' lives has been quite under-researched. In the field of health research, most of the studies are quantitative and focus on the outcomes of health programs in terms of physical and psychological health (Saelens et al 2013, Taveras et al 2015, Walsh et al 2014. Only a few studies have analysed children's and parents' experiences in relation to childhood obesity prevention and management using qualitative methods (Davis et al 2013, Murtagh et al 2006, Wills et al 2006.…”

Section: Literature Reviewmentioning

confidence: 99%

Patients’ autonomy as a negotiated order: an ethnographic perspective on the clinical management of childhood obesity

Lutz

2019

Sociology Health & Illness

View full text Add to dashboard Cite

The principle of patients’ autonomy has assumed a central place in healthcare. Patients are encouraged to play an active role in the management of their health, especially when they are affected by chronic illnesses that require long‐term follow‐up. In this article, we analyse patients’ and professionals’ conceptions of patients’ autonomy in the context of childhood obesity management. Based on the results of an ethnographic study that we conducted within a paediatric hospital in French‐speaking Switzerland, we put into perspective the discourses that professionals, parents and children construct around their experiences of the therapy. Our study reveals that the conceptions that these three different actors have of patients’ autonomy converge on several points, but they also diverge on many others. While the rise of autonomy in healthcare has mostly been analysed as a form of empowerment of patients, our results show that this principle also introduces new forms of social control over patients’ lives, and it creates new tensions for patients who are unable to match with the normative expectations of professionals in terms of self‐management and self‐care.

show abstract

Challenges and Successes of a Multidisciplinary Pediatric Obesity Treatment Program

Abstract: This report describes a low-intensity multidisciplinary weight management program that is feasible. Initial assessment of the program suggests benefit in most patients who participate >6 months, but longer follow-up and assessment of comorbidities are needed.

Cited by 14 publications

References 24 publications

Innovative Assessments Help Elucidate Sustained Improvements in Fitness and Metabolic Health in Obese Children

Innovative Assessments Help Elucidate Sustained Improvements in Fitness and Metabolic Health in Obese Children

Perspectives on youth‐onset nonalcoholic fatty liver disease

Patients’ autonomy as a negotiated order: an ethnographic perspective on the clinical management of childhood obesity

Contact Info

Product

Resources

About