Veronica Else1, Qiaoling Chen2, Alan B Cortez3, Corinna Koebnick2. 1. Southern California Permanente Medical Group, Kaiser Permanente Yorba Linda Medical Offices, Yorba Linda, CA. 2. Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA. 3. Southern California Permanente Medical Group, Kaiser Permanente Tustin Ranch, Tustin, CA.
Abstract
INTRODUCTION: The evidence supporting the effectiveness of weight loss interventions with low to medium intensity is limited. OBJECTIVE: To measure the effectiveness of a family-based weight management intervention in pediatric primary care to reduce body weight in children. METHODS: Electronic medical record data of pediatric patients in Kaiser Permanente Orange County, California, who were enrolled in weight management between April 2014 and December 2018 (family-based behavior-changing weight management [FB-WMG], n = 162) and compared with a control group (CG) of patients who were referred but did not enroll (Ref-CG, n = 203) and an area-matched CG also matched by sex, age, zip code, and body mass index (BMI) (Area-CG, n = 287). BMI was measured at the first visit (or index date) and after 6 months. RESULTS: Children enrolled in the FB-WMG had 5 (interquartile range = 3-6) sessions over the first 6 months of the program. Most FB-WMG patients (69.1%) reduced or maintained BMI over 6 months, compared with 45.8% of Ref-CG (p < 0.001) and 57.8% of Area-CG (p = 0.02). In girls 3 to 12 years of age, 75% of participants reduced or maintained BMI, compared with 42% of Ref-CG (p < 0.001) and 59.8% of Area-CG (p = 0.07). On average, the difference in BMI change over the 6-month follow-up period was -0.85 kg/m² (95% confidence interval = -1.25 to -0.46 kg/m²) compared with Ref-CG and -0.28 kg/m² (95% confidence interval = -0.63 to 0.08 kg/m²) and Area-CG. CONCLUSION: Low- to moderate-intensity family-based weight management intervention in primary care can be successful after only 6 months compared with a referred control group.
INTRODUCTION: The evidence supporting the effectiveness of weight loss interventions with low to medium intensity is limited. OBJECTIVE: To measure the effectiveness of a family-based weight management intervention in pediatric primary care to reduce body weight in children. METHODS: Electronic medical record data of pediatric patients in Kaiser Permanente Orange County, California, who were enrolled in weight management between April 2014 and December 2018 (family-based behavior-changing weight management [FB-WMG], n = 162) and compared with a control group (CG) of patients who were referred but did not enroll (Ref-CG, n = 203) and an area-matched CG also matched by sex, age, zip code, and body mass index (BMI) (Area-CG, n = 287). BMI was measured at the first visit (or index date) and after 6 months. RESULTS: Children enrolled in the FB-WMG had 5 (interquartile range = 3-6) sessions over the first 6 months of the program. Most FB-WMG patients (69.1%) reduced or maintained BMI over 6 months, compared with 45.8% of Ref-CG (p < 0.001) and 57.8% of Area-CG (p = 0.02). In girls 3 to 12 years of age, 75% of participants reduced or maintained BMI, compared with 42% of Ref-CG (p < 0.001) and 59.8% of Area-CG (p = 0.07). On average, the difference in BMI change over the 6-month follow-up period was -0.85 kg/m² (95% confidence interval = -1.25 to -0.46 kg/m²) compared with Ref-CG and -0.28 kg/m² (95% confidence interval = -0.63 to 0.08 kg/m²) and Area-CG. CONCLUSION: Low- to moderate-intensity family-based weight management intervention in primary care can be successful after only 6 months compared with a referred control group.
Authors: Denise E Wilfley; Amanda E Staiano; Myra Altman; Jeanne Lindros; Angela Lima; Sandra G Hassink; William H Dietz; Stephen Cook Journal: Obesity (Silver Spring) Date: 2016-12-07 Impact factor: 5.002
Authors: Cynthia L Ogden; Cheryl D Fryar; Craig M Hales; Margaret D Carroll; Yutaka Aoki; David S Freedman Journal: JAMA Date: 2018-06-19 Impact factor: 56.272
Authors: Zachary J Ward; Michael W Long; Stephen C Resch; Catherine M Giles; Angie L Cradock; Steven L Gortmaker Journal: N Engl J Med Date: 2017-11-30 Impact factor: 176.079
Authors: Elizabeth A O'Connor; Corinne V Evans; Brittany U Burda; Emily S Walsh; Michelle Eder; Paula Lozano Journal: JAMA Date: 2017-06-20 Impact factor: 56.272