The Centre for Healthy Weights—Shapedown BC: A Family-Centered, Multidisciplinary Program that Reduces Weight Gain in Obese Children over the Short-Term

International Journal of Environmental Research and Public Health

Constadina Panagiotopoulos¹  Rebecca Ronsley³  Mohammed Al-Dubayee⁴  Rollin Brant⁶  Boris Kuzeljevic⁶  Erin Rurak¹  Arlene Cristall²  Glynis Marks⁵  Penny Sneddon²  Mary Hinchliffe²  Jean-Pierre Chanoine¹ 

[1] Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, V6T 1Z4, Canada;British Columbia Children’s Hospital, Vancouver, British Columbia V6H 3V4, Canada;University of Toronto, Toronto, Ontario M5S 1A1, Canada;Department of Pediatrics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia;Nanaimo Regional General Hospital, Nanaimo, British Columbia, V9S 2B7, Canada;Child & Family Research Institute, Vancouver, British Columbia, V5Z 4H4, Canada;

关键词: obesity;    weight loss;    BMI reduction;    children;    prevention;    treatment;    intervention;   

DOI  :  10.3390/ijerph8124662

来源: mdpi

【 摘 要 】

The objective was to conduct a program evaluation of the Centre for Healthy Weights—Shapedown BC (CHW-SB), a family-centered, multidisciplinary program for obese children, by assessing the change in weight trajectories from program intake to completion. Secondary outcomes included changes in clinical, biochemical and psychological parameters, and in physical activity (PA) levels. The CHW-SB program was evaluated over 10 weeks. Data collection included anthropometric, metabolic, PA and psychological measures. Longitudinal mixed effects regression was performed to evaluate weight change from Phase 1 (before program on waitlist) to Phase 2 (during program). 238 children <18 years of age were referred to the program of which 119 were eligible for participation. There was a significant decrease in weight trajectory in children following program entry. Participants experienced an average .89% monthly increase before program entry, compared to a .37% monthly decline afterwards, a drop of 1.26% (p < 0.0001, 95%CI 1.08 to 1.44). zBMI (2.26 ± 0.33 to 2.20 ± 0.36, p < 0.001), waist circumference (99 ± 15.7 to 97 ± 16 cm, p < 0.0001) and fasting insulin (137 ± 94.8 to 121 ± 83.4 pmol/L, p < 0.001) also decreased in participants who attended the final visit. Significant improvements were seen in all measures of PA, self-concept, and anxiety. CHW-SB, a government-funded program, is the first obesity-treatment program to be evaluated in Canada. While short-term evaluation revealed significant improvements in adiposity, PA, and psychological measures, the lack of full follow-up is a limitation in interpreting the clinical effectiveness of this program, as drop-out may be associated with lack of success in meeting program goals. These data also emphasize the need for ongoing evaluation to assess the long-term implications of this unique program and ultimately optimize utilization of governmental resources.

【 授权许可】

CC BY   
© 2011 by the authors; licensee MDPI, Basel, Switzerland.