Nelson Nardo Junior1, Josiane Aparecida Alves Bianchini2, Danilo Fernandes da Silva3, Zachary M Ferraro4, Carlos Andres Lopera1, Vanessa Drieli Seron Antonini1. 1. Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, Clinical Research Center of University Hospital of Maringa, Maringa, Parana, Brazil. 2. Faculty of Philosophy, Science and Letters of Mandaguari - FAFIMAN, Mandaguari, Parana, Brazil. josianeaabianchini@gmail.com. 3. Department of Physical Education, Midwest State University of Parana, Guarapuava, Parana, Brazil. 4. Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Abstract
To propose a response criterion for analyzing the intervention success by verifying patient outcomes after a multidisciplinary obesity treatment program in Brazilian children and adolescents. Obese children and adolescents (n = 103) completed a 16-week multidisciplinary intervention (IG) and were compared to the control group (CG) (n = 66). A cluster of parameters (e.g. total domain of HRQoL; BMI z-score; cardiorespiratory fitness; body mass; waist circumference; fat mass; lean mass) were measured pre and post-intervention, and the sum of the median percentage variation and the percentile 25 and 75 were used from IG and CG to determine the responsiveness to the program. We are proposing four ranges in which children and adolescents may be classified after the intervention: (1) CG percentile 50 values or lower are considered non-responsive to the intervention, (2) values greater than CG percentile 50 but lower than IG percentile 50 are considered slightly responsive, (3) values greater than IG percentile 50 but lower than IG percentile 75 were considered as moderately responsive, and (4) values greater than IG percentile 75 were considered very responsive. CONCLUSIONS: This criterion may serve as a complementary tool that can be employed to monitor the response to this model of multidisciplinary intervention. What is Known: • The effectiveness of multidisciplinary obesity interventions is usually determined by comparing changes in selected outcomes in the intervention versus versus control group. • There is no consensus about what should be assessed before and after the intervention program, which makes difficult to compare different programs and to determine their rate of responsiveness. What is New: • This study proposes a response criteria to pediatric obesity interventions following a similar model compared to ours based on key variables that presents low cost and high applicability in different settings.
To propose a response criterion for analyzing the intervention success by verifying patient outcomes after a multidisciplinary obesity treatment program in Brazilian children and adolescents. Obese children and adolescents (n = 103) completed a 16-week multidisciplinary intervention (IG) and were compared to the control group (CG) (n = 66). A cluster of parameters (e.g. total domain of HRQoL; BMI z-score; cardiorespiratory fitness; body mass; waist circumference; fat mass; lean mass) were measured pre and post-intervention, and the sum of the median percentage variation and the percentile 25 and 75 were used from IG and CG to determine the responsiveness to the program. We are proposing four ranges in which children and adolescents may be classified after the intervention: (1) CG percentile 50 values or lower are considered non-responsive to the intervention, (2) values greater than CG percentile 50 but lower than IG percentile 50 are considered slightly responsive, (3) values greater than IG percentile 50 but lower than IG percentile 75 were considered as moderately responsive, and (4) values greater than IG percentile 75 were considered very responsive. CONCLUSIONS: This criterion may serve as a complementary tool that can be employed to monitor the response to this model of multidisciplinary intervention. What is Known: • The effectiveness of multidisciplinary obesity interventions is usually determined by comparing changes in selected outcomes in the intervention versus versus control group. • There is no consensus about what should be assessed before and after the intervention program, which makes difficult to compare different programs and to determine their rate of responsiveness. What is New: • This study proposes a response criteria to pediatric obesity interventions following a similar model compared to ours based on key variables that presents low cost and high applicability in different settings.
Authors: Deborah C L Masquio; Aline de Piano; Priscila L Sanches; Flávia C Corgosinho; Raquel M S Campos; June Carnier; Patrícia L da Silva; Danielle A Caranti; Lian Tock; Lila M Oyama; Claudia M Oller do Nascimento; Marco T de Mello; Sergio Tufik; Ana R Dâmaso Journal: Clin Endocrinol (Oxf) Date: 2013-03-25 Impact factor: 3.478
Authors: Danielle Arisa Caranti; Marco Túlio de Mello; Wagner L Prado; Lian Tock; Kãli O Siqueira; Aline de Piano; Mara C Lofrano; Dejaldo M J Cristofalo; Henrique Lederman; Sérgio Tufik; Ana R Dâmaso Journal: Metabolism Date: 2007-09 Impact factor: 8.694