Overview of Project of Childhood Obesity

Overview of the Project

The project seeks to investigate the effect of a multidisciplinary pediatric obesity program on obese or overweight children and adolescents who attended a primary care pediatric setting. The project will be carried out for a period of 6 months and the outcome measurement will be a decrease in the Body Mass Index (BMI) and childhood obesity. For pediatric population, comprehensive, age-appropriate, culturally sensitive, in addition to dietary, physical activity and behavioral modifications are the first line of treatment for promoting a reduction in BMI (Bonnie et al, 2016). The delivery of such a therapy is normally provided by a multidisciplinary team within an outpatient healthcare setting (Mameli et al, 2017). In this project, the treatment will be delivered within a primary care setting. The multidisciplinary team will consist of a registered nutritionist, behavioral counselor, exercise specialist, physician and a nurse. The nutritionist will be responsible for assessing eating patterns and preferences of the project participants and plan and implement dietary goals with proper monitoring. The behavioral counselor will provide counseling to the project participants and family, develop a behavioral program, as well as identify any behavioral matter that may interfere with treatment. The exercise specialist will be responsible for assessing musculoskeletal and physical activities, developing and implementing rehabilitation and physical activity plan. Finally, the nurse and physician will coordinate the multidisciplinary team (Reichert-Anderson et al, 2015) Overview of Project of Childhood Obesity.

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Approach/Design

Children aged between 6 to 18 years with obesity and overweight and their parents/guardians will be recruited via various methods such as newspapers adverts, list serves, emails, and pediatrician referrals. Families who will respond to adverts and with a child qualifying will be invited for assessment where weight and height will be measured and will complete surveys. Computer-generated random numbers will be used to allocate parent-child pairs to the multidisciplinary pediatric obesity program. Parents and guardians will provide an informed consent while children and adolescents will complete an assent (Bonnie et al, 2016)

Methodology

The multidisciplinary pediatric obesity program will be composed of a registered nutritionist, behavioral counselor, exercise specialist, physician, and a nurse. All interventionists will attend 5-hour training on behavioral intervention for the project. Every study participant will be screened for height and weight in order to identify overweight and obese condition. Waist and hip circumference will be measured in centimeters. Participants and their family will be assessed by a nutritionist, who will perform anthropometric measurements, dietary patterns, promote healthy dietary habits according to the American Academy of Pediatrics’ guidelines. The behavioral counselor will handle the psychological components of the intervention. In addition, the counselor will conduct lifestyle modification counseling that will include promoting nutritious diet and physical activities (Reichert-Anderson et al, 2015). The exercise specialist will assess musculoskeletal and physical activities in the participants. In addition, the exercise specialist conducts physical activity for at least 30 minutes a day with a target of 60 minutes, and a decrease of inactivity will be provided to all participants and their parents/guardians in individual and group sessions. A registered nutritionist will provide various forms of nutritional interventions on the participants in accordance with the BMI during diagnosis. Personalized nutritional counseling will provided to overweight participants while a low-calorie balanced personalized diet will be provided to the obese participants (Roya & Soleiman, 2014).

All participants will attend follow-up visits monthly for 3 months and later every 2-3 months in accordance with the personalized treatment until the target is reached (5 % decrease in Body Mass Index (BMI) and reduction in childhood obesity). 1-3 days prior to every visit, a reminder call will be made to participants’ parents. During each follow-up visit; weight, height, waist circumference, and hip circumference will be documented. Overall, an endocrinologist, a nutritionist as well as a psychologist will support lifestyle and behavioral modifications among the participants (Walsh et al, 2014) Overview of Project of Childhood Obesity.

Project Location

Treatment sessions will be carried out at a primary care clinic in San Diego.

Participants’ Information

The project will recruit overweight and obese patients (BMI percentile: 85th to 98th) aged between 6 and 8 years. Both female and males will be included. Every study participant will be screened using medical examination and weight and height measurements to identify overweight or obesity condition. 1 parent/guardian will be recruited to participate in the project with the child. Only participants who will not be undergoing any psychological or weight-loss treatment, only English speakers will participate in the study.

Statistical Analysis
First tests of treatment differences in demographic characteristics will be performed using χ2 tests for definite variables and t tests for incessant variables. Analyses will be performed using the available data. All statistical analysis will be performed using SPPS. In addition, follow-up visits will be used as likely predictors. Every predictor will be analyzed using the linear regression model where predictors with significant correlation with BMI decreases will be included in linear regression model.

References

Bonnie J, Ronsen R, Roth S, Luke C, Nida S, Coombs L et al. (2016). The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention. Journal of the American Board of Family Medicine. 29(4), 434-443.

Mameli C, Krakauer JC, Krakauer NY, Bosetti A, Ferrari CM, Schneider L, et al. (2017) Effects of a multidisciplinary weight loss intervention in overweight and obese children and adolescents: 11 years of experience. PLoS ONE 12(7): e0181095.

Roya K & Soleiman F. (2014). Controlling childhood obesity: A systematic review on strategies and challenges. J Res Med Sci. 19(10): 993–1008.

Reichert-Anderson P, Yang P, Yang C, Jacobson M & Bernstein H. (2015). A Multidisciplinary Approach to Childhood Obesity Prevention in Pediatric Primary Care. Journal of the Academy of Nutritionists and Dieticians. 115(9).

Walsh S, Palmer W, Welsh J & Vos M. (2014). Challenges and successes of a multidisciplinary pediatric obesity treatment program. Nutr Clin Pract. 29(6):780-785 Overview of Project of Childhood Obesity.

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