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Multidisciplinary care management has a positive effect on paediatric obesity and social and individual factors are associated with better outcomes
Author(s) -
Carriere C.,
Cabaussel C.,
Bader C.,
BarbergerGateau P.,
Barat P.,
Thibault H.
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13560
Subject(s) - medicine , multidisciplinary approach , overweight , body mass index , obesity , psychological intervention , weight management , multivariate analysis , management of obesity , club , physical therapy , gerontology , family medicine , pediatrics , weight loss , nursing , social science , sociology , anatomy
Aim The Re PPOP Aquitaine network, which was established in south‐west France to prevent and treat paediatric obesity, has developed a multidisciplinary approach based on multicomponent lifestyle interventions and family‐based actions. This study assessed the impact of its care management programme and investigated the factors associated with better outcomes. Methods The impact of the Re PPOP care management programme was assessed by changes in the body mass index ( BMI ) Z score, between baseline and the end‐of‐care management. We focused on 982 overweight or obese children (59.9% girls) with a mean age of 10.64 years and a range of 2.4–17.9 years. A multivariate analysis examined the independent factors associated with better outcomes. Results At the end‐of‐care management programme, 75.5% of children had decreased their BMI Z score. Initial characteristics significantly associated with better outcomes were as follows: the age at baseline between five years and 15 years of age, playing sport at a club, being followed up by Re PPOP for longer than 10 months, no parental obesity and no academic difficulties. Conclusion This study confirmed that multidisciplinary treatment had a significant positive effect on paediatric obesity and that social and individual factors affected the efficiency of the care management.