Short-Term Predictors for Weight Correction Success of the First Paediatric Weight Correction Programme in Children’s Clinical University Hospital in Riga
Abstract
:1. Introduction
2. Materials and Methods
2.1. The Weight Correction Programme
2.2. Study Population
2.3. Measures
2.4. Statistical Analysis
2.5. Ethical Approval
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- WHO. Overweight and Obesity. World Health Organization, 2017. Available online: http://www.who.int/gho/ncd/risk_factors/overweight_obesity/overweight_adolescents/en/ (accessed on 12 June 2018).
- Velika, B.; Grīnberga, D.; Pudule, I.; Gavare, I. Bērnu Antropometrisko parametru un skolu vides pētījums Latvijā, 2015./2016. māc. g.: Slimību profilakses un kontroles centrs; SPKC: Rīga, Latvia, 2016. [Google Scholar]
- Pudule, I.; Velika, B.; Grīnberga, D.; Gobiņa, I.; Villeruša, A. Latvijas skolēnu veselības paradumu pētījums 2013./2014. mācību gada aptaujas rezultāti un tendences. Slimību profilakses un kontroles centrs; SPKC: Rīga, Latvia, 2015. [Google Scholar]
- WHO. Report of the Commission on Ending Childhood Obesity: Implementation Plan: Executive Summary; World Health Organization: Geneva, Switzerland, 2017. [Google Scholar]
- American Academy of Pediatrics Institute for Healthy Childhood Weight. Algorithm for the Assessment and Management of Childhood Obesity in Patients 2 Years and Older; AAP: Washington, DC, USA, 2016. [Google Scholar]
- Wilfley, D.E.; Staiano, A.E.; Altman, M.; Lindros, J.; Lima, A.; Hassink, S.G.; Dietz, W.H.; Cook, S. Improving access and systems of care for evidence-based childhood obesity treatment: Conference key findings and next steps. Obesity 2017, 25, 16–29. [Google Scholar] [CrossRef] [PubMed]
- Frelut, M.; De Filippo, G. The Need for Drug Treatment of Child and Adolescent Obesity. In The ECOG’s eBook on Child and Adolescent Obesity [Internet]; ECOG: Brussels, Belgium, 2015; Available online: ebook.ecogobesity.eu (accessed on 6 January 2018).
- Fried, M.; Yumuk, V.; Oppert, J.M.; Scopinaro, N.; Torres, A.; Weiner, R.; Yashkov, Y.; Frühbeck, G. Interdisciplinary European Guidelines on metabolic and bariatric surgery. Obes. Facts. 2013, 6, 449–468. [Google Scholar] [CrossRef] [PubMed]
- Grossman, D.C.; Bibbins-Domingo, K.; Curry, S.J.; Barry, M.J.; Davidson, K.W.; Doubeni, C.A.; Epling, J.W.; Kemper, A.R.; Krist, A.H.; Kurth, A.E.; et al. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA 2017, 317, 2417–2426. [Google Scholar] [PubMed]
- O’Connor, E.A.; Evans, C.V.; Burda, B.U.; Walsh, E.S.; Eder, M.; Lozano, P. Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA 2017, 317, 2427–2444. [Google Scholar] [CrossRef] [PubMed]
- Muhlig, Y.; Wabitsch, M.; Moss, A.; Hebebrand, J. Weight loss in children and adolescents. Dtsch. Arztebl. Int. 2014, 111, 818–824. [Google Scholar] [CrossRef] [PubMed]
- Dalla Valle, M.; Laatikainen, T.; Lehikoinen, M.; Nykanen, P.; Jaaskelainen, J. Paediatric obesity treatment had better outcomes when children were younger, well motivated and did not have acanthosis nigricans. Acta Paediatr. 2017, 106, 1842–1850. [Google Scholar] [CrossRef] [PubMed]
- Shalitin, S.; Phillip, M.; Krepel-Volsky, S. Predictors of successful weight reduction and maintenance in obese children and adolescents. Acta Paediatr. 2016, 105, e42–e46. [Google Scholar] [CrossRef]
- Wiegand, S.; Keller, K.M.; Lob-Corzilius, T.; Pott, W.; Reinehr, T.; Röbl, M.; Stachow, R.; Tuschy, S.; Weidanz, I.; Widhalm, K.; et al. Predicting weight loss and maintenance in overweight/obese pediatric patients. Horm Res. Paediatr. 2014, 82, 380–387. [Google Scholar] [CrossRef]
- Baxter, K.A.; Ware, R.S.; Batch, J.A.; Truby, H. Predicting success: Factors associated with weight change in obese youth undertaking a weight management program. Obes. Res. Clin. Pract. 2013, 7, e147–e154. [Google Scholar] [CrossRef]
- Goldschmidt, A.B.; Best, J.R.; Stein, R.I.; Saelens, B.E.; Epstein, L.H.; Wilfley, D.E. Predictors of child weight loss and maintenance among family-based treatment completers. J. Consult Clin. Psychol. 2014, 82, 1140–1150. [Google Scholar] [CrossRef]
- Van Allen, J.; Kuhl, E.S.; Filigno, S.S.; Clifford, L.M.; Connor, J.M.; Stark, L.J. Changes in parent motivation predicts changes in body mass index z-score (zBMI) and dietary intake among preschoolers enrolled in a family-based obesity intervention. J. Pediatr. Psychol. 2014, 39, 1028–1037. [Google Scholar] [CrossRef] [PubMed]
- Walker, S.E.; Smolkin, M.E.; O’Leary, M.L.; Cluett, S.B.; Norwood, V.F.; DeBoer, M.D.; Gurka, M.J. Predictors of Retention and BMI Loss or Stabilization in Obese Youth Enrolled in a Weight Loss Intervention. Obes. Res. Clin. Pract. 2012, 6, e330–e339. [Google Scholar] [CrossRef] [PubMed]
- Kovacs, M. The Children’s Depression, Inventory (CDI). Psychopharmacol. Bull. 1985, 21, 995–998. [Google Scholar] [PubMed]
- Rajjo, T.; Mohammed, K.; Alsawas, M.; Ahmed, A.T.; Farah, W.; Asi, N.; Almasri, J.; Prokop, L.J.; Murad, M.H. Treatment of Pediatric Obesity: An Umbrella Systematic Review. J. Clin. Endocrinol. Metab. 2017, 102, 763–775. [Google Scholar] [PubMed]
- Uysal, Y.; Wolters, B.; Knop, C.; Reinehr, T. Components of the metabolic syndrome are negative predictors of weight loss in obese children with lifestyle intervention. Clin. Nutr. 2014, 33, 620–625. [Google Scholar] [CrossRef] [PubMed]
- Park, M.H.; Falconer, C.L.; Croker, H.; Saxena, S.; Kessel, A.S.; Viner, R.M.; Kinra, S. Predictors of health-related behaviour change in parents of overweight children in England. Prev. Med. 2014, 62, 20–24. [Google Scholar] [CrossRef]
- Gillison, F.; Cooney, G.; Woolhouse, V.; Davies, A.; Dickens, F.; Marno, P. Parents’ perceptions of reasons for excess weight loss in obese children: A peer researcher approach. Res. Involv Engag. 2017, 3, 22. [Google Scholar] [CrossRef] [PubMed]
- Walker, J.L.; Malley, R.; Littlewood, R.; Capra, S. The Need for Early Referral: Characteristics of Children and Adolescents Who Are Overweight and Obese Attending a Multidisciplinary Weight Management Service. Children 2017, 4, 93. [Google Scholar] [CrossRef]
- Wake, M.; Lycett, K.; Clifford, S.A.; Sabin, M.A.; Gunn, J.; Gibbons, K.; Hutton, C.; McCallum, Z.; Arnup, S.J.; Wittert, G. Shared care obesity management in 3–10 year old children: 12 month outcomes of HopSCOTCH randomised trial. BMJ 2013, 346, f3092. [Google Scholar] [CrossRef] [PubMed]
- Dao, H.H.; Frelut, M.L.; Oberlin, F.; Peres, G.; Bourgeois, P.; Navarro, J. Effects of a multidisciplinary weight loss intervention on body composition in obese adolescents. Int. J. Obes. Relat. Metab. Disord. 2004, 28, 290–299. [Google Scholar] [CrossRef]
- Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart Lung and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report. Pediatrics 2011, 128 (Suppl. 5), S213–S256. [Google Scholar] [CrossRef] [PubMed]
- Andriani, H.; Liao, C.Y.; Kuo, H.W. Parental weight changes as key predictors of child weight changes. BMC Public Health 2015, 15, 645. [Google Scholar] [CrossRef] [PubMed]
- Mameli, C.; Krakauer, J.C.; Krakauer, N.Y.; Bosetti, A.; Ferrari, C.M.; Schneider, L.; Borsani, B.; Arrigoni, S.; Pendezza, E.; Zuccotti, G.V. Effects of a multidisciplinary weight loss intervention in overweight and obese children and adolescents: 11 years of experience. PLoS ONE 2017, 12, e0181095. [Google Scholar] [CrossRef] [PubMed]
- Parikka, S.; Maki, P.; Levalahti, E.; Lehtinen-Jacks, S.; Martelin, T.; Laatikainen, T. Associations between parental BMI, socioeconomic factors, family structure and overweight in Finnish children: A path model approach. Bmc Public Health 2015, 15, 271. [Google Scholar] [CrossRef] [PubMed]
- Mosli, R.H.; Miller, A.L.; Peterson, K.E.; Kaciroti, N.; Rosenblum, K.; Baylin, A.; Lumeng, J.C. Birth order and sibship composition as predictors of overweight or obesity among low-income 4- to 8-year-old children. Pediatr. Obes. 2016, 11, 40–46. [Google Scholar] [CrossRef]
- Gow, M.L.; Baur, L.A.; Ho, M.; Chisholm, K.; Noakes, M.; Cowell, C.T.; Garnett, S.P. Can early weight loss, eating behaviors and socioeconomic factors predict successful weight loss at 12- and 24-months in adolescents with obesity and insulin resistance participating in a randomised controlled trial? Int. J. Behav. Nutr. Phys. Act. 2016, 13, 43. [Google Scholar] [CrossRef] [PubMed]
Gender | p Value | Age Group | p Value | |||
---|---|---|---|---|---|---|
Boys | Girls | <10 Years | ≥10 Years | |||
n (%) | 85 (47) | 96 (53) | 33 (18) | 148 (82) | ||
z-BMI1, median (IQR), SD | 2.96 | 2.63 | <0.001 | 2.96 | 2.77 | 0.095 |
(2.62;3.28) | (2.20;2.95) | (2.41;3.74) | (2.30;3.10) | |||
WC1, median (IQR), cm | 99 | 96 | 0.014 | 87 | 99 | <0.001 |
(92;108) | (88;103) | (82;94) | (92;108) | |||
z-BMI2, median (IQR), SD | 2.82 | 2.52 | 0.005 | 2.91 | 2.60 | 0.021 |
(2.28;3.21) | (2.09;2.91) | (2.30;3.37) | (2.15;3.00) | |||
Change of z-BM I *, median (IQR), SD | −0.15 | −0.06 | 0.028 | −0.13 | −0.09 | 0.810 |
(−0.41;0.04) | (−0.25;0.10) | (−0.36;0.15) | (−0.27;0.06) | |||
Relative change of z-BMI **, median (IQR), SD | −4.4 | −2.4 | 0.039 | −3.3 | −3.5 | 0.446 |
(−15.3;1.4) | (−8.1;4.4) | (−11.9;5.4) | (−11.1;1.9) | |||
Patients with reduction of z-BMI, n (%) | 61 (72) | 56 (58) | 0.059 | 18 (55) | 99 (67) | 0.180 |
Patients with reduction of z-BMI by at least 0.20 units, n (%) | 39 (46) | 29 (30) | 0.030 | 13 (39) | 55 (37) | 0.811 |
Factors | OR | 95% CI | p | Adjusted OR | 95% CI | p |
---|---|---|---|---|---|---|
Parental excess weight | ||||||
Both parents | 1.51 | 0.66–3.49 | 0.331 | 2.14 | 0.53–8.74 | 0.287 |
Only father | 1.16 | 0.46–2.98 | 0.751 | 0.88 | 0.22–3.54 | 0.861 |
Only mother | 0.50 | 0.22–1.17 | 0.109 | 0.74 | 0.22–2.44 | 0.619 |
(Reference: none overweight) | ||||||
Gender: boys | 1.74 | 0.93–3.25 | 0.082 | 1.74 | 0.62–4.88 | 0.296 |
(Reference: girls) | ||||||
Birth weight ≥4 kg | 0.93 | 0.45–1.92 | 0.835 | 0.72 | 0.21–2.47 | 0.606 |
(Reference: <4 kg) | ||||||
Age: ≥10 years | 1.68 | 0.78–3.62 | 0.183 | 11.51 | 2.04–64.83 | 0.006 |
(Reference: <10 years) | ||||||
z-BMI1 | 1.45 | 0.95–2.19 | 0.085 | 2.15 | 0.81–5.68 | 0.123 |
(step: 1 unit) | ||||||
Follow-up time | 0.99 | 0.95–1.04 | 0.792 | 1.02 | 0.96–1.09 | 0.472 |
(step: 1 month) | ||||||
Waist circumference | 1.00 | 0.98–1.03 | 0.713 | 0.93 | 0.88–0.99 | 0.014 |
(step: 1 cm) | ||||||
Signs of depression (Reference: no signs of depression) | 1.53 | 0.67–3.51 | 0.314 | 2.17 | 0.72–6.67 | 0.168 |
Factors | OR | 95% CI | p | Adjusted OR | 95% CI | p |
---|---|---|---|---|---|---|
Parental excess weight | ||||||
Both parents | 1.75 | 0.80–3.83 | 0.159 | 3.068 | 0.77–12.21 | 0.112 |
Only father | 1.13 | 0.45–2.83 | 0.789 | 0.412 | 0.08–2.25 | 0.306 |
Only mother | 0.69 | 0.28–1.70 | 0.422 | 0.865 | 0.23–3.30 | 0.832 |
(Reference: none overweight) | ||||||
Gender: boys | 1.96 | 1.07–3.60 | 0.031 | 4.22 | 1.37–13.05 | 0.012 |
(Reference: girls) | ||||||
Birth weight ≥4 kg | 0.55 | 0.25–1.19 | 0.129 | 0.46 | 1.84–0.12 | 0.274 |
(Reference: <4 kg) | ||||||
Age: ≥10 years | 0.95 | 0.85–1.07 | 0.411 | 5.16 | 0.77–34.56 | 0.091 |
(Reference: <10 years) | ||||||
z-BMI1 | 1.83 | 1.21–2.76 | 0.004 | 2.33 | 0.75–7.20 | 0.143 |
(step: 1 unit) | ||||||
Follow-up time | 1.02 | 0.98–1.07 | 0.336 | 1.07 | 1.00–1.15 | 0.047 |
(step: 1 month) | ||||||
Waist circumference | 1.00 | 0.98–1.03 | 0.727 | 0.94 | 0.87–1.01 | 0.088 |
(step: 1 cm) | ||||||
Signs of depression (Reference: no signs of depression) | 1.53 | 0.67–3.51 | 0.314 | 1.15 | 0.38–3.49 | 0.799 |
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Gailite, J.; Apela, D.; Dzīvīte-Krišāne, I.; Gardovska, D. Short-Term Predictors for Weight Correction Success of the First Paediatric Weight Correction Programme in Children’s Clinical University Hospital in Riga. Medicina 2019, 55, 75. https://doi.org/10.3390/medicina55030075
Gailite J, Apela D, Dzīvīte-Krišāne I, Gardovska D. Short-Term Predictors for Weight Correction Success of the First Paediatric Weight Correction Programme in Children’s Clinical University Hospital in Riga. Medicina. 2019; 55(3):75. https://doi.org/10.3390/medicina55030075
Chicago/Turabian StyleGailite, Jurgita, Dana Apela, Iveta Dzīvīte-Krišāne, and Dace Gardovska. 2019. "Short-Term Predictors for Weight Correction Success of the First Paediatric Weight Correction Programme in Children’s Clinical University Hospital in Riga" Medicina 55, no. 3: 75. https://doi.org/10.3390/medicina55030075