Health Outcomes of Youth in Clinical Pediatric Weight Management Programs in POWER

Kumar, Seema; King, Eileen; Christison, Amy L.; Kelly, Aaron S.; Ariza, Adolfo J.; Borzutzky, Claudia; Cuda, Suzanne; Kirk, Shelley; Abraham-Pratt, Indira; Ali, Lamiaa; Armstrong, Sarah; Binns, Helen J.; Brubaker, Jamie L.; Cristison, A.; Fox, Claudia K.; Gordon, Christopher L.; Hendrix, Selinde; Hes, Dyan; Jenkins, Lucy; Joseph, Madeline; Heyrman, Mary; Liu, L.; McClure, Auden C.; Hofley, M.; Negrete, Sylvia; Novick, Marsha; O'Hara, Valerie; Rodrue, J.; Santos, Melissa; Stoll, Janis; Stratbucker, William; Sweeney, Brooke; Tester, June M.; Walka, Sherry; deHeer, H.; Wallace, Stephenie; Walsh, Stephanie; Wittcopp, Chrystal; Weedn, Ashley; Yee, Jennifer K.; Grace, Benjamin

doi:10.1016/j.jpeds.2018.12.049

Cited by 71 publications

(60 citation statements)

References 35 publications

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“…Children who have class 3 severe obesity experienced greater reductions in BMI than those youth with class 1 obesity or class 2 severe obesity over the course of treatment. This result was contrary to our hypotheses; however, it is consistent with previous weight management research suggesting that youth with more severe obesity experience greater reductions in weight to approach the mean (Kumar et al 2019 ). More severe obesity at baseline would be expected to be treated with more intensive weight loss interventions (e.g., medication management, more frequent visits), often coupled with more concern from families leading to improved readiness to implement changes.…”

Section: Discussioncontrasting

confidence: 58%

Weight Management Outcomes of Youth with Autism Spectrum Disorder Seeking Treatment from a Multidisciplinary Team

Killian

Pallotto

Sweeney

et al. 2021

J Autism Dev Disord

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Youth with Autism Spectrum Disorder (ASD) are at an increased risk for developing obesity when compared to their typically developing peers. Given higher prevalence of obesity in youth with ASD, understanding factors relating to success in obesity treatment provides insight into implementing efficacious treatments for youth. The current study examines age, sleep, and metabolic factors potentially affecting success in 74 youth ( M age = 11.66) attending a multidisciplinary weight management treatment program over a year. Multilevel modeling indicated that higher baseline BMI class category, medications at baseline, and absence of sleep difficulties predicted greater reduction in BMI after a year of treatment.

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Section: Discussioncontrasting

confidence: 58%

Weight Management Outcomes of Youth with Autism Spectrum Disorder Seeking Treatment from a Multidisciplinary Team

Killian

Pallotto

Sweeney

et al. 2021

J Autism Dev Disord

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“…Since 2013, there has been a US-based registry of 2–18-year-old children enrolled in pediatric weight management programs [ 78 ]. Early analyses have examined factors associated with greater or lesser improvement in weight status, suggesting that Hispanic race/ethnicity may be associated with greater improvement, though social determinants of health such as food insecurity have not yet been evaluated [ 79 ]. It may be that in youth, while food insecurity is not independently associated with development of obesity above and beyond poverty itself, it is a factor that makes weight improvement more challenging.…”

Section: Considering Food Insecurity In the Context Of Obesity Prevenmentioning

confidence: 99%

Food Insecurity and Pediatric Obesity: a Double Whammy in the Era of COVID-19

2020

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Purpose of Review This review examines the current evidence about the ways in which food insecurity relates to obesity in children and adolescents, examining diet and diet-related behaviors, and taking into consideration the role of stress. Recent Findings While living with food insecurity impacts stress and diet-related behaviors in children and adolescents, it is not clear whether food insecurity is associated with obesity above and beyond the influence of poverty. However, strategies to mitigate food insecurity and obesity are inherently connected, and recent examples from clinical practice (e.g., screening for food insecurity among patients) and advocacy (e.g., policy considerations regarding federal food programs such as the Supplemental Nutrition Assistance Program, or SNAP) are discussed. Summary Food insecurity and obesity coexist in low-income children and adolescents in the USA. The COVID-19 pandemic exerts disproportionate burden on low-income children and families, magnifying their vulnerability to both food insecurity and pediatric obesity.

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“…The percentage of the 95th percentile for BMI (%BMIp95), defined as the ratio of the BMI to the age and sex-specific BMI at the 95th percentile multiplied by 100, was calculated. The %BMIp95 is a more stable measure for severe pediatric obesity [27].…”

Section: Methodsmentioning

confidence: 99%

Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity: A Pilot Study

Eneli

Tindall

et al. 2019

IJERPH

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Treatment options are limited for children and adolescents with severe obesity. One alternative treatment is the protein-sparing modified fast (PSMF), a low-carbohydrate, high-protein diet that can result in substantial weight loss. The aim of the study is to evaluate the adherence and efficacy of a revised PSMF (rPSMF) for severe obesity in a pediatric tertiary care weight-management program. The rPSMF with 1200–1800 calories, 40–60 g of carbohydrate/day and 1.2–1.5 g protein/kg of ideal bodyweight was implemented over 12 months. Twenty-one participants enrolled in the study. Mean age 16.2 ± 1.4 years, females (76.2%) and mean weight at baseline was 119 ± 19.9 kg. Regardless of adherence to the rPSMF, the mean weight change at 1 month was −3.7 ± 3.5 kg, (range −13.5 kg to 0.9 kg); at 3 months was −5.5 ± 5.1 kg, (range −19.3 kg to 1.8 kg) and at 6 months was −4.7 ± 6.6 kg, (range −18.3 kg to 8.6 kg). At 12 months, the mean weight change was −1.3 ± 10.6 kg (range −17.7 kg to 14.8 kg). Parent and child-reported physical and psychosocial quality of life (HRQOL) improved. Despite limited adherence, the rPSMF diet resulted in clinically significant weight loss and improved HRQOL for children and adolescents with severe obesity.

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Health Outcomes of Youth in Clinical Pediatric Weight Management Programs in POWER

Cited by 71 publications

References 35 publications

Weight Management Outcomes of Youth with Autism Spectrum Disorder Seeking Treatment from a Multidisciplinary Team

Weight Management Outcomes of Youth with Autism Spectrum Disorder Seeking Treatment from a Multidisciplinary Team

Food Insecurity and Pediatric Obesity: a Double Whammy in the Era of COVID-19

Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity: A Pilot Study

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