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Short‐term and long‐term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity
Author(s) -
Carriere Caroline,
Thibault Hélène,
Barat Pascal,
GuemaziKheffi Fatiha,
MellouetFort Blandine,
Ancillon Laurent,
Bertrand AnneMarie,
Quinart Sylvain,
GuilminCrépon Sophie,
Arsan Armine,
Lestournelle Anne,
Brument Régine,
SaisonCanaple Camille,
Renel Lise,
Daussac Adeline,
Jouret Béatrice,
Negre Véronique,
Tauber Maïthé
Publication year - 2019
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12522
Subject(s) - medicine , overweight , multidisciplinary approach , body mass index , psychological intervention , anthropometry , obesity , health care , family medicine , pediatrics , physical therapy , nursing , social science , sociology , economics , economic growth
Summary Background The nine French regional health networks for the prevention and care of paediatric obesity offer a 2‐year program of multidisciplinary primary care (medical, dietetical, psychological, adapted physical activity) based on multicomponent lifestyle interventions. Objectives To assess the short‐term and long‐term impact of care management. Methods The impact of the multidisciplinary care was assessed by changes in the body mass index (BMI) Z score during the period of the care, and at least 2 years after the end. Anthropometric data were collected at baseline and at the end of the care either through a digital medical file or through direct phone contacts with the referring. Long‐term outcomes were assessed through studies relative to post follow‐up evaluation. Results At the end of the period of the care in a network, 72.9% of 6947 children had decreased their BMI Z score from 3.6 ± 1.0 DS at baseline to 3.3 ± 1.1 DS at the end. The four studies relative to long‐term evaluation showed a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning of the care. Conclusions The care provided by regional French networks for prevention and care of paediatric obesity induce a reduction of BMI that continues afterwards.