Overview of Project on Childhood Obesity

Obesity continues to plague many demographic groups even as various stakeholders in the healthcare systems design new intervention programs. One particular group that has continued to attract the attention of both health care personnel and the research community is the young people. Children between the ages of 6 years and adolescents up to the age of 18 are becoming more exposed to this serious condition (Walsh, Palmer, Welsh, & Vos, 2014). Recent data from ongoing research points to a multidisciplinary approach as being the best one for a favorable outcome. One such approach seems to suggest that maybe multidisciplinary pediatric obesity management could reduce the prevalence of obesity among this young demographic group. However, research into the success rate of such multi-pronged approaches is ongoing. Overview of Project on Childhood Obesity

Instruments

One of the best instruments for a study aimed at establishing the feasibility of multidisciplinary pediatric obesity programs are retrogressive studies. Several studies have been developed in various parts of the world to assist pediatricians in their duties of helping young and adolescent patients to manage their obesity. One such resource is the MPOWER program developed by the University of Michigan in 2007 (Woolford, Sallinen, Clark, & Freed, 2010). The Michigan Pediatric Outpatient Weight Evaluation and Reduction program enables pediatricians in the US to identify obese out-patient children and adolescents and enroll them in a weight management and obesity management scheme.

Similarly, the CDC normative BMI percentiles are widely used in Europe and the West to identify abnormal BMI scores among young patients, adolescents and even adult patients (Cho et al., 2018). This methodology has long been used in most parts of the world for children above the age of 2 years, adults and even older patients. Several studies and widespread consensus among medical staff internationally continue to support the use of the CDC normative BMI percentiles as a method of identifying and managing obesity alongside trained medical staff.

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Data Collection Methods:

The data collection methodology applicable for this study will depend on obese respondents aged between the ages of 6 years and 18 years. They will be referred based on their primary caregiver’s discovery or knowledge of their BMI percentiles at or exceeding the 95th percentile according to the CDC normative scale. Respondents with mental disorders or those with obesity management prescription medication are to be excluded to ensure a sanitary research environment (Cho et al., 2018). Additionally, there should be another similar group whose obesity management regimes do not include a multidisciplinary approach.
Data will be collected through electronic weight and height measurement equipment. Due to the combination of mental, physical, and nutritional protocols, changes might begin to occur in the BMI percentiles with time and dedication. Overview of Project on Childhood Obesity

Data Analysis Plan:

The PICOT statement hints at the need to establish if a multidisciplinary pediatric obesity management regimen compared to a non-multidisciplinary one results in BMI changes of a 5% decrease in respondents aged between 6 years and 18 years over a 6 month period. After collection of the data from both groups, it is subjected to simple linear regression analysis to establish the relationship between age, gender and type of obesity management regimen to changes in BMI over the time limit stipulated. The presence of different genders in the two groups involved in this research process means there may be deviations (Walsh, Palmer, Welsh, & Vos, 2014). However, simple linear regression analysis can be programmed based on the parameters one desires to investigate meaning the PICOT statement will be applied.

Additionally, there is a need to carefully identify the significance level based on variations in the specified populations under research and the effects of these variations on the hypothetical standpoint and statistical confidence levels. It should be noted that the statistical results of data analysis will be used to interpret the hypothetical position taken by the PICOT statement and the possibility that a multidisciplinary approach is better at remedying pediatric obesity within the demographic parameters provided.

PICOT Statement

Population: There is a growing trend among patients aged between 6 years and 18 years to develop obesity in most parts of the developed world (Ling, Stommel, & Choi, 2018). Most of these patients attend a primary care pediatric setting where their interventions are varied depending on their medical condition and the pediatrician’s own medical expertise.

Intervention: Most of the current pediatric obesity management regimes are centered on weight management and nutrition. However, there is a need to develop patient-centered pediatric care systems that are multidisciplinary in order to benefit from the combination of several proven strategies. MPOWER exemplifies such an approach very well.

Control: The decision to use two groups whereby one benefited from a multidisciplinary obesity management regimen while the other used a different approach was informed by the need to identify if the former offered tangible results. The control group in this regard was the latter group.

Outcome: The desired outcome was a 5% decrease in the BMI of the participating obese respondent over a stipulated time span. Such an outcome would naturally be followed by a marked reduction in childhood obesity. Overview of Project on Childhood Obesity

Time: The time factor considered in this research endeavor was 6 months. It was expected that if indeed the multidisciplinary approach offered marginal benefits over an alternative approach, six months would suffice in demonstrating such benefits.

References

Cho, J., Goldenson, N. I., Pester, M. S., Khoddam, R., Bello, M. S., Dunton, G. F., … Leventhal, A. M. (2018). Longitudinal Associations Between Anhedonia and Body Mass Index Trajectory Groups Among Adolescents. Journal of Adolescent Health, 63(1), 81-87. doi:10.1016/j.jadohealth.2017.12.022

Ling, J., Stommel, M., & Choi, S. H. (2018). Attempts to Lose Weight Among US Children: Importance of Weight Perceptions from Self, Parents, and Health Professionals. Obesity, 26(3), 597-605. doi:10.1002/oby.22106

Walsh, S. M., Palmer, W., Welsh, J. A., & Vos, M. B. (2014). Challenges and Successes of a Multidisciplinary Pediatric Obesity Treatment Program. Nutrition in Clinical Practice, 29(6), 780-785. doi:10.1177/0884533614551839

Woolford, S. J., Sallinen, B. J., Clark, S. J., & Freed, G. L. (2010). Results From a Clinical Multidisciplinary Weight Management Program. Clinical Pediatrics, 50(3), 187-191. doi:10.1177/0009922810384845 Overview of Project on Childhood Obesity

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