Paediatric obesity treatment had better outcomes when children were younger, well motivated and did not have acanthosis nigricans

Valle, Marketta Dalla; Laatikainen, Tiina; Lehikoinen, Miika; Nykänen, Päivi; Jääskeläinen, Jarmo

doi:10.1111/apa.13953

Cited by 19 publications

(35 citation statements)

References 27 publications

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“…We also lack the knowledge whether the Finnish approach, with health checks by a school physician at first and fifth grades (ages 7 and 11), is ideal with respect to timing when aiming to prevent and treat obesity. For example, treatment results in paediatric outpatient clinics were clearly better if interventions were started before the age of 10 …”

Section: Introductionmentioning

confidence: 99%

Distinct age‐related patterns of overweight development to guide school healthcare interventions

Häkkänen¹,

But

Ketola

et al. 2019

Acta Paediatrica

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Aim We aimed to identify groups of primary school children with similar overweight development, reveal age‐related patterns of overweight development in the resulting groups and analyse overweight‐related school healthcare interventions. Methods This retrospective longitudinal register study utilised electronic health records from six primary school years. From a random sample of 2000 sixth graders, we derived a study cohort of 508 children meeting criteria for overweight at least once during primary school. We investigated how many different groups (latent classes) of children with similar weight development would emerge by applying flexible latent class mixed models on body mass index standard deviation score. We also explored the resulting groups with respect to offered overweight‐related interventions. Results Per child, the data consisted in median 7 growth measurements over 5.4 years. We identified five overweight development groups for girls and four for boys. The groups converged temporarily around age 10 after which only some continued into obesity. School nurses and physicians offered overweight‐related interventions to children with obesity, less to children gaining weight or with overweight. Conclusion Obesity prevention might benefit from awareness of typical overweight development patterns when designing intervention studies or planning and timing multidisciplinary school health check programmes.

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Section: Introductionmentioning

confidence: 99%

Distinct age‐related patterns of overweight development to guide school healthcare interventions

Häkkänen¹,

But

Ketola

et al. 2019

Acta Paediatrica

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“…In this issue of Acta Paediatrica , Dalla Valle et al evaluated the efficacy of a treatment programme for children and adolescents with obesity in Finland and explored the factors that contributed to its long‐term success. This family‐based multidisciplinary programme included all of the anticipated nutritional, exercise and behavioural counselling components.…”

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confidence: 99%

“…When Dalla Valle et al examined the proportions of participants with BMI SDS reductions, they found very encouraging results as follows: of the 493 children assessed at 12 months, 60% demonstrated a reduced BMI SDS from baseline, with 39% having a clinically meaningful reduction of at least 0.25 SDS . When such analyses are performed, we can become much more confident in the success rates of our obesity treatment programmes, as opposed to when we only analyse the average outcomes.…”

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confidence: 99%

“…There are additional educational features in the article by Dalla Valle et al . One is the clear reminder of the natural history of paediatric obesity, which was presented by the rise in BMI SDS in the year before the programme began.…”

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confidence: 99%

“…In summary, the paper by Dalla Valle et al describes a relatively effective paediatric obesity programme. It demonstrates several aspects related to reporting the success of such programmes and identifies several predictors of success.…”

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confidence: 99%

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What paediatric obesity treatment programmes work, and how can we measure their success?

Dubnov-Raz

Berry

2017

Acta Paediatrica

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More than just body mass index: Using the Edmonton obesity staging system for pediatrics to define obesity severity in a multi‐ethnic Australian pediatric clinical cohort

Southcombe

Vivekanandarajah

Krstic

et al. 2022

Obesity Science & Practice

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Background Despite advancements in the use of body mass index (BMI) to categorize obesity severity in pediatrics, its utility in guiding individual clinical decision making remains limited. The Edmonton Obesity Staging System for Pediatrics (EOSS‐P) provides a way to categorize the medical and functional impacts of obesity according to the severity of impairment. The aim of this study was to describe the severity of obesity among a sample of multicultural Australian children using both BMI and EOSS‐P tools. Methods This cross‐sectional study included children aged 2–17 years receiving obesity treatment through the Growing Health Kids (GHK) multi‐disciplinary weight management service in Australia between January to December 2021. BMI severity was determined using the 95th percentile for BMI on age and gender standardized Centre for Disease Control and Prevention (CDC) growth charts. The EOSS‐P staging system was applied across the four health domains (metabolic, mechanical, mental health and social milieu) using clinical information. Results Complete data was obtained for 338 children (age 10.0 ± 3.66 years), of whom 69.5% were affected by severe obesity. An EOSS‐P stage 3 (most severe) was assigned to 49.7% of children, the remaining 48.5% were assigned stage 2 and 1.5% were assigned stage 1 (least severe). BMI predicted health risk as defined by EOSS‐P overall score. BMI class did not predict poor mental health. Conclusion Used in combination, BMI and EOSS‐P provide improved risk stratification of pediatric obesity. This additional tool can help focus resources and develop comprehensive multidisciplinary treatment plans.

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Paediatric obesity treatment had better outcomes when children were younger, well motivated and did not have acanthosis nigricans

Abstract: Paediatric obesity treatment was most effective at a younger age. Good motivation and adherence contributed to favourable outcomes, while acanthosis nigricans was associated with a poor outcome.

Cited by 19 publications

References 27 publications

Distinct age‐related patterns of overweight development to guide school healthcare interventions

Distinct age‐related patterns of overweight development to guide school healthcare interventions

What paediatric obesity treatment programmes work, and how can we measure their success?

More than just body mass index: Using the Edmonton obesity staging system for pediatrics to define obesity severity in a multi‐ethnic Australian pediatric clinical cohort

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