Body Mass Index Change Between Referral to and Enrollment in Pediatric Weight Management

被引：1
|
作者：
White, Michelle J. [1 ]
Hoffman, Jessica [2 ,3 ]
Armstrong, Sarah [1 ,4 ]
Skinner, Asheley C. [1 ,4 ]
机构：
[1] Duke Univ, Duke Ctr Childhood Obes Res, Dept Pediat, DUMC 102376,2301 Erwin Rd, Durham, NC 27705 USA
[2] Univ Michigan, Dept Pediat, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Med, Ann Arbor, MI 48109 USA
[4] Duke Unvers, Dept Populat Hlth Sci, Duke Clin Res Inst, Durham, NC USA
来源：
CLINICAL PEDIATRICS | 2020年 / 59卷 / 01期
关键词：
child obesity; referral; pediatric weight management; primary care; health equity; OBESITY; ATTRITION; ADOLESCENTS; CHILDREN; INTERVENTIONS; PREVENTION; PREDICTORS; ATTENDANCE; OVERWEIGHT; PROGRAM;
D O I：
10.1177/0009922819884587
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
This study describes changes in body mass index z score (BMIz) and percent of 95th percentile (P95) between referral to pediatric weight management (PWM) and initial PWM visit. We conducted a prospective cohort analysis among subjects (n = 77) aged 5 to 11 years referred to PWM and compared height and weight at time of referral versus initial PWM visit. Mean BMIz decreased by 0.05, and P95 decreased by 1.48 across all age groups (both P < .01) from time of referral to initial visit. Children 5 to 8 years old experienced a greater BMIz change than older children (-0.07 vs -0.02; P < .05). Interval BMIz change was greater for non-Hispanic White and Hispanic children compared with non-Hispanic Blacks (-0.10 vs -0.01; P < .001). There were no subgroup differences in P95. Interval BMI changes between referral and treatment approach half the effect reported by some PWM programs. Referral to PWM may motivate pretreatment lifestyle changes in some patients.
引用
收藏
页码：70 / 74
页数：5
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