Jeffrey S Geller1, Eileen T Dube2, Glavielinys A Cruz3, Jason Stevens4, Kara Keating Bench1. 1. 1 Department of Family Medicine, Greater Lawrence Family Health Center , Lawrence, MA. 2. 2 Department of Alternative Medicine, Greater Lawrence Family Health Center , Lawrence, MA. 3. 3 Department of Psychology, Massachusetts School of Professional Psychology , Lawrence, MA. 4. 4 Department of Physics, University of Massachusetts , Amherst, MA.
Abstract
BACKGROUND: This is a retrospective cohort study to evaluate a novel group medical visit (GMV) program using an empowerment curriculum as treatment for pediatric obesity in a federally qualified community health center. METHODS: Biometric and self-reported data were reviewed from 417 overweight or obese children ages 5-18 attending the pediatric obesity empowerment model GMV program (POEM-GMV) at least twice during a 3-year period. Variables were evaluated using paired means t-test. Pearson's correlation test was used to evaluate variables and the BMI z-score. Subanalysis by gender was performed. RESULTS: The average participant was 10.48 ± 2.53 years old and participated for 301 ± 287 days. BMI z-score reduced from 2.99 ± 0.96 to 2.88 ± 0.88 (p < 0.0001). Overall, 62.6% of participants had improved weight outcome. Statistically significant improvement was noted in stress, exercise, beverage consumption, fast food intake, television viewing, and bedtime. Stress and beverage consumption had the highest correlation with BMI z-score. By sex, 71.4% of boys (n = 196; p < 0.0001) and 54.8% (n = 221; p < 0.014) of girls realized a reduction in BMI z-score, 61.2% (p < 0.001) of boys and 47.1% (p = 0.097) of girls had a reduction in their percent overweight. CONCLUSIONS: POEM-GMV may be a useful approach in the treatment of pediatric obesity in an underserved community. There were statistically significantly improved outcomes in obesity, especially for boys. Significant improvement was observed in many lifestyle factors associated with obesity. Weight loss most closely correlated with reduced stress levels and sugary beverage consumption. Additional studies are needed to further evaluate the efficacy of POEM-GMV.
BACKGROUND: This is a retrospective cohort study to evaluate a novel group medical visit (GMV) program using an empowerment curriculum as treatment for pediatric obesity in a federally qualified community health center. METHODS: Biometric and self-reported data were reviewed from 417 overweight or obesechildren ages 5-18 attending the pediatric obesity empowerment model GMV program (POEM-GMV) at least twice during a 3-year period. Variables were evaluated using paired means t-test. Pearson's correlation test was used to evaluate variables and the BMI z-score. Subanalysis by gender was performed. RESULTS: The average participant was 10.48 ± 2.53 years old and participated for 301 ± 287 days. BMI z-score reduced from 2.99 ± 0.96 to 2.88 ± 0.88 (p < 0.0001). Overall, 62.6% of participants had improved weight outcome. Statistically significant improvement was noted in stress, exercise, beverage consumption, fast food intake, television viewing, and bedtime. Stress and beverage consumption had the highest correlation with BMI z-score. By sex, 71.4% of boys (n = 196; p < 0.0001) and 54.8% (n = 221; p < 0.014) of girls realized a reduction in BMI z-score, 61.2% (p < 0.001) of boys and 47.1% (p = 0.097) of girls had a reduction in their percent overweight. CONCLUSIONS:POEM-GMV may be a useful approach in the treatment of pediatric obesity in an underserved community. There were statistically significantly improved outcomes in obesity, especially for boys. Significant improvement was observed in many lifestyle factors associated with obesity. Weight loss most closely correlated with reduced stress levels and sugary beverage consumption. Additional studies are needed to further evaluate the efficacy of POEM-GMV.
Authors: Monica L Wang; Marisa Otis; Milagros C Rosal; Christina F Griecci; Stephenie C Lemon Journal: Int J Behav Nutr Phys Act Date: 2019-07-30 Impact factor: 6.457
Authors: Perla Saldivar; Valerie Mira; Petra Duran; Christina Moldovan; Georgina Ang; Nina Parikh; Martin L Lee; Theodore C Friedman Journal: Obes Sci Pract Date: 2021-05-04