Multidisciplinary care management has a positive effect on paediatric obesity and social and individual factors are associated with better outcomes
Acta Paediatr. 2016-09-20; 105(11): e536-e542
DOI: 10.1111/apa.13560
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1. Acta Paediatr. 2016 Nov;105(11):e536-e542. doi: 10.1111/apa.13560. Epub 2016 Sep
20.
Multidisciplinary care management has a positive effect on paediatric obesity and
social and individual factors are associated with better outcomes.
Carriere C(1)(2)(3), Cabaussel C(3)(4), Bader C(1), Barberger-Gateau P(1)(2),
Barat P(1)(3)(4), Thibault H(5)(6)(7)(8).
Author information:
(1)Université Bordeaux, Bordeaux, France.
(2)INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, Bordeaux,
France.
(3)RePPOP of Aquitaine, Bordeaux, France.
(4)CHU de Bordeaux, Unité d’endocrinologie et de diabétologie pédiatrique,
Hôpital des Enfants, Bordeaux, France.
(5)Université Bordeaux, Bordeaux, France. .
(6)INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, Bordeaux,
France. .
(7)RePPOP of Aquitaine, Bordeaux, France. .
(8)CHU de Bordeaux, Unité d’endocrinologie et de diabétologie pédiatrique,
Hôpital des Enfants, Bordeaux, France. .
AIM: The RePPOP Aquitaine network, which was established in south-west France to
prevent and treat paediatric obesity, has developed a multidisciplinary approach
based on multicomponent lifestyle interventions and family-based actions. This
study assessed the impact of its care management programme and investigated the
factors associated with better outcomes.
METHODS: The impact of the RePPOP care management programme was assessed by
changes in the body mass index (BMI) Z score, between baseline and the
end-of-care management. We focused on 982 overweight or obese children (59.9%
girls) with a mean age of 10.64 years and a range of 2.4-17.9 years. A
multivariate analysis examined the independent factors associated with better
outcomes.
RESULTS: At the end-of-care management programme, 75.5% of children had decreased
their BMI Z score. Initial characteristics significantly associated with better
outcomes were as follows: the age at baseline between five years and 15 years of
age, playing sport at a club, being followed up by RePPOP for longer than 10
months, no parental obesity and no academic difficulties.
CONCLUSION: This study confirmed that multidisciplinary treatment had a
significant positive effect on paediatric obesity and that social and individual
factors affected the efficiency of the care management.
©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
DOI: 10.1111/apa.13560
PMID: 27564716 [Indexed for MEDLINE]