Planned Evaluation of the Healthy Weight Clinic Pediatric Weight Management and Implementation: Massachusetts-CORD 3.0

2021 ◽  
Vol 17 (S1) ◽  
pp. S-55-S-61
Author(s):  
Lauren Fiechtner ◽  
Desiree Sierra Velez ◽  
Sujata G. Ayala ◽  
Ines Castro ◽  
Jeanne Lindros ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Weight ◽  
Pediatric Weight Management

scholarly journals Use of Lisdexamfetamine to Treat Obesity in an Adolescent with Severe Obesity and Binge Eating

Children ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 22 ◽  
Author(s):  
Gitanjali Srivastava ◽  
Valerie O’Hara ◽  
Nancy Browne
Keyword(s):  
Weight Management ◽  
Pediatric Obesity ◽  
Severe Obesity ◽  
Clinical Care ◽  
Care Center ◽  
Tertiary Care ◽  
Healthy Weight ◽  
Care Needs ◽  
Therapeutic Modalities ◽  
Pediatric Weight Management

Approximately two-thirds of US children and adolescents have either obesity or overweight status, with almost 24% of adolescents (ages 12–19 years) afflicted with severe obesity, defined as >1.2 × the 95th BMI percentile for age/gender. Despite the increasing disproportionate rise in severe or extreme childhood obesity, many children in weight management programs do not achieve a healthy weight. Most often, these patients will go on to require metabolic and bariatric surgery (MBS), but challenges and limitations may prohibit MBS on adolescents. Thus, tertiary care pediatric weight management centers are compelled to treat select pediatric obesity subtypes presenting with disease progression and disability with the available adult FDA-approved therapeutic modalities, specifically pharmacotherapy, in order to alleviate the disease state and provide relief to the patient. Here, we describe a case of severe pediatric obesity where a dedicated multidisciplinary pediatric weight management team at a tertiary care center utilizes a progressive pharmacotherapeutic approach with enormous benefits to the patient, highlighting the urgent gap and clinical care needs of this special population niche of severe adolescent obesity.

Design and Approach of the Healthy Weight Clinic Pediatric Weight Management Intervention Package and Implementation: Massachusetts-CORD 3.0

2021 ◽  
Vol 17 (S1) ◽  
pp. S-48-S-54
Author(s):  
Lauren Fiechtner ◽  
Ines Castro ◽  
Sujata G. Ayala ◽  
Desiree Sierra Velez ◽  
Jeanne Lindros ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Weight ◽  
Intervention Package ◽  
Management Intervention ◽  
Pediatric Weight Management ◽  
Weight Management Intervention

scholarly journals Stay in treatment: Predicting dropout from pediatric weight management study protocol

2021 ◽  
pp. 100799
Author(s):  
Diane C. Berry ◽  
Erinn T. Rhodes ◽  
Sarah Hampl ◽  
Caroline Blackwell Young ◽  
Gail Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Study Protocol ◽  
Management Study ◽  
Pediatric Weight Management

Obesity and cancer: student therapeutic radiographers’ understanding of obesity and cancer and their role in weight management

2021 ◽  
pp. 1-7
Author(s):  
Manmeet Kaur ◽  
Laura Charlesworth
Keyword(s):  
Weight Management ◽  
Current Knowledge ◽  
Education Institution ◽  
Service Users ◽  
Healthy Weight ◽  
Online Questionnaire ◽  
Staff Members ◽  
Margin Of Error ◽  
Management Advice ◽  
Obesity And Cancer

Abstract Aims: To explore student therapeutic radiographers’ understanding of obesity and cancer and to identify if student therapeutic radiographers believe that radiographers should have a role within weight management. Materials and Methods: This study used a self-completed online questionnaire (google forms) to collect data from Radiotherapy and Oncology students, studying at one Higher Education Institution, to gain an understanding of their current knowledge of weight management. A retrospective margin of error calculation was carried out, showing a 9% margin of error with a 90% confidence level. Results: In total 57 responses were received, n = 50 BSc students and n = 7 pre-registration MSc students. Three key barriers to openly discussing weight loss management with service users emerged from the questionnaire data; these were a lack of time, lack of clear guidelines and lack of confidence. These barriers could potentially be addressed by improving education and training, making it easier for therapeutic radiographers to openly discuss weight management with service users. Findings: Awareness of guidelines was suboptimal, with 82% (n = 47) of respondents unaware of any guidelines. In addition to this, the majority of students identified a lack of confidence as a barrier to them providing weight management advice. Despite this, 54·4% of respondents agreed that radiographers should have a role in providing weight management advice, with 22·2% of respondents being unsure. Findings suggest that behaviour change is required amounts both students and staff members, so that healthcare professionals are more inclined to have healthy weight management discussions. Perhaps more specialist roles need to be developed, so that healthy weight management discussions can become a norm.

Predictors of successful weight loss in children treated at a community hospital–based tertiary care pediatric weight management program

2021 ◽  
pp. 136749352110375
Author(s):  
Zina C Mc Sweeney ◽  
Morgan D McSweeney ◽  
Shirley H Huang ◽  
Samareh G Hill
Keyword(s):  
Body Mass Index ◽  
Weight Management ◽  
Body Mass ◽  
Community Hospital ◽  
Linear Regression Analysis ◽  
Management Program ◽  
Health Concern ◽  
Weight Management Program ◽  
Pediatric Weight Management ◽  
Weight Management Programs

Childhood obesity is a major public health concern. However, predictors of successful outcomes for patients treated at multidisciplinary community hospital–based pediatric weight management programs remain poorly understood. We conducted a retrospective analysis to evaluate 633 pediatric patients from ages 2 to 18 at a tertiary pediatric weight management program in 2018. Predictors were evaluated in univariate comparisons, and significant variables were included in a linear regression analysis to identify factors associated with improvements in body mass index relative to the age- and sex-specific 95th percentile body mass index (%BMIp95). We found that male sex and increased number of clinical visits were independently and significantly associated with reductions in %BMIp95. Baseline %BMIp95, age, preferred language, and insurance status were not significant predictors of outcomes. A total of 398 (63%) patients experienced a decrease in %BMIp95 from baseline to follow-up. One quarter (24.8%) of patients experienced a decrease in %BMIp95 of at least 5%, a threshold associated with cardiometabolic improvements. Further, we observed significant improvements in cholesterol, triglycerides, alanine aminotransferase, aspartate aminotransferase, HbA1c, and waist circumference. These findings support a potential need for sex- and gender-tailored care as well as the benefits of increased access to pediatric weight management programs.

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