Recorded presentation

Andrette T. Ward, MD, MPH¹, Roshanak Monzavi, MD¹, Christiane Wert, MPH, RD², Lydia Hazan, MD³, Naomi D Neufeld, MD², and Francine R Kaufman, MD¹. (1) Division of Endocrinology and Metabolism, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #61, Los Angeles, CA 90066, (323) 671-7688, anward@chla.usc.edu, (2) Kidshape, 8733 Beverly Blvd, Suite 400, Los Angeles, CA 90048, (3) Powerplay, 4311 Wilshire Boulevard, Suite 110, Los Angeles, CA 90010

Background: Outpatient weight-loss programs have been developed to address pediatric obesity. This study aims to evaluate outcomes for three Los Angeles-based programs. Methods: Three family-centered outpatient pediatric weight-loss programs were identified for a retrospective analysis. Baseline and follow-up data, including demographics, anthropometric measures, blood pressure, and lab values were reviewed. During the next phase of the study, long-term follow-up data, qualitative surveys and focus group discussions with program alumni, will be gathered and analyzed. Results: Kids N Fitness (KNF), a 12-week program, generated data from 78 participants. Mean age (years) of participants was 11.5. Ninety-two percent were AA and Latino and 55% were males. Kidshape, an 8-week program, generated data from 27 participants. Mean age was 13.1. Forty-eight percent of participants were male. POWERPLAY, an 8-week program, generated data from 60 participants. Mean age was 11.1. Sixty-five percent were Latino and 42% males. Mean initial/final BMI (kg/m2) from KNF, Kidshape and POWERPLAY were 33.7/33.2, 33.4/32.0 and 32.0/29.5, respectively, with statistically significant pre and post mean values for all three programs (p<.05). Additionally, mean initial/final DBP (mmHg) for KNF, and Kidshape were 67/62.5 and 75/60, respectively. Mean initial/final triglycerides (mg/dl) for KNF and Kidshape were 148.1/122.6 and 145.8/56, respectively. These pre and post mean values were also statistically significant (p<0.05). Conclusions: Outpatient, family-based weight-loss programs with supervised nutrition education and physical activity can successfully lower BMI in obese children and adolescents, and improve parameters associated with co-morbid conditions. Long-term follow-up data and qualitative data collection should better assess program sustainability.

Learning Objectives:

1)Describe components of a successful pediatric outpatient weight-loss program.
• Identify modifiable health parameters that can improved by participation in an outpatient weight-loss program.
• Discuss strategies for improving sustainability of short-term weight loss among obese pediatric patients.

Keywords: Obesity, Adolescent Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation