Sustained effects after a multidisciplinary lifestyle modification program for children with excess weight and children affected with obesity - 27/01/25

Doi : 10.1016/j.orcp.2025.01.001

Tung-En Chien ^a,^{^{1
Tung-En Chien and Pei-Shan Chen contribute equally to this article.}}, Pei-Shan Chen ^b,^{^{1
Tung-En Chien and Pei-Shan Chen contribute equally to this article.}}, Kai-Chi Chang ^c,^d, Chien-Ting Hsu ^e, Hsi-Wen Huang ^b, Shu-Mei Tsai ^f, Yen-Tsz Chen ^f, Chih-Hsuan Chang ^g, Hui-Ru Yang ^c, Yi-Ching Tung ^c, Huey-Ling Chen ^c,^h,^i,^⁎
^a School of Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
^b Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
^c Department of Pediatrics, National Taiwan University Hospital, National Taiwan University Children’s Hospital, Taipei, Taiwan
^d Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
^e Department of Pediatrics, National Taiwan University BioMedical Park Hospital, Hsinchu County, Taiwan
^f Department of Dietetics, National Taiwan University Hospital, Taipei, Taiwan
^g Department of Clinical Psychology Center, National Taiwan University Hospital, Taipei, Taiwan
^h Hepatitis Research Center, National Taiwan University Hospital, National Taiwan University Children’s Hospital, Taipei, Taiwan
ⁱ Department and Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan

^⁎Correspondence to: Department of Pediatrics, Department and Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine and Children’s Hospital, 17F, No. 8, Chung-Shan South RoadTaipei 100, Taiwan.Department of Pediatrics, Department and Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine and Children’s Hospital17F, No. 8, Chung-Shan South RoadTaipei100Taiwan

Abstract

Background

Lifestyle modification (LM) is the mainstay in the management of obese children. This study aimed to investigate the long-term effects of a pediatric cohort participating in a hospital-based LM program.

Methods

Overweight/obese children and adolescents who visited a multidisciplinary LM program “The Health and Vitality Clinic” were included. Data on weight and height were collected at 6, 12, and 18 months following the initial visit. The changes in body mass index (BMI) and BMI z-score were analyzed.

Results

A total of 120 participants aged 5–18 years who visited the clinic were included. Sixty-one subjects who completed > 1 months (up to a maximum of 5 months) of the LM program constituted the LM group, while those who visited the clinic once were characterized as hospital-control (HC) group. There was a significant reduction in BMI at 6 and 12 months in the LM group, and at 6 months in the HC group, with a greater reduction observed in the LM group at 6 and 12 months (-1.05 ± 1.46 vs. −0.42 ± 1.21, p = 0.027; −0.87 ± 1.46 vs. −0.14 ± 1.43, p = 0.038, respectively). Both groups showed a downward trend in BMI z-score at 6, 12, and 18 months, with the LM group showing a greater reduction at the 6 months (-0.33 ± 0.28 vs. −0.22 ± 0.18, p = 0.019). BMI decline was more pronounced in adolescents than in children, showing variations in weight gains based on age.

Conclusions

The study demonstrated lasting effects in BMI and BMI z-score following the completion of the LM program.

Le texte complet de cet article est disponible en PDF.

Keywords : Lifestyle modification, Pediatric, Obese children, Body mass index, Growth, Fatty liver

Plan

Introduction

Materials and methods

Study population

Follow-up of the growth

Statistical analysis

Results

Baseline characteristics of the study population

Changes of height and weight

Comparisons by age and sex

The height z-score trajectories

Discussion

Conclusions

Ethics statement

CRediT authorship contribution statement

Export

Vol 18 - N° 6

P. 450-456 - novembre 2024 Retour au numéro

Article précédent

Bariatric surgeons’ views on barriers and enablers to bariatric surgery in Australia and New Zealand: A qualitative content analysis
Mia Majstorovic, Anna Chur-Hansen, Anne L.J. Burke, Jane M. Andrews

| Article suivant

Clinical characteristics affecting weight loss in an East Asian population receiving semaglutide: A STEP 6 subgroup analysis
Takashi Kadowaki, Sang Yeoup Lee, Wataru Ogawa, Tomoyuki Nishida, Maria Overvad, Kazuyuki Tobe, Toshimasa Yamauchi, Soo Lim, for the STEP 6 investigators

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Sustained effects after a multidisciplinary lifestyle modification program for children with excess weight and children affected with obesity - 27/01/25

Abstract

Background

Methods

Results

Conclusions

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL