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Psychiatric diagnoses and medication treatment among patients presenting for paediatric weight management: associations with adiposity, aerobic fitness and cardiometabolic health
Author(s) -
Tucker J. M.,
Cadieux A.,
Culver K.,
Smith L.,
Stratbucker W.
Publication year - 2017
Publication title -
clinical obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 12
eISSN - 1758-8111
pISSN - 1758-8103
DOI - 10.1111/cob.12185
Subject(s) - medicine , body mass index , anthropometry , waist , aerobic exercise , weight management , obesity , medical diagnosis , medical record , physical therapy , overweight , pathology
Summary We compared anthropometry, cardiometabolic risk and aerobic fitness among obese youth in weight management who were diagnosed with one or more psychiatric disorders ( PD ), with ( PD +M) or without ( PD −M) a prescribed psychotropic medication with those with no PD ( NPD ). Physical measures were evaluated at baseline, and psychiatric diagnoses and related medications were identified from medical records. Of 99 patients 64 (65%) had a diagnosed PD , and of those, 23 (36%) had a related medication ( PD +M). Compared to NPD , PD −M had a higher body mass index ( BMI ) ( P = 0.003), BMI z ‐score ( P = 0.015), percent body fat ( P = 0.005) and waist circumference ( P < 0.001), after adjusting for age, but PD +M did not. Cardiometabolic risk did not differ between groups, but aerobic fitness was lower among PD −M ( P = 0.001) and PD +M ( P = 0.008) compared to NPD . Obese youth in weight management exhibit high rates of psychiatric diagnoses that are associated with lower fitness and higher adiposity and may impact treatment efficacy.