Short-term and long-term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity.
Pediatric Obesity. 2019-04-16; 14(8):
DOI: 10.1111/ijpo.12522
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1. Pediatr Obes. 2019 Aug;14(8):e12522. doi: 10.1111/ijpo.12522. Epub 2019 Apr 16.
Short-term and long-term positive outcomes of the multidisciplinary care
implemented by the French health networks for the prevention and care of
paediatric overweight and obesity.
Carriere C(1), Thibault H(1), Barat P(1), Guemazi-Kheffi F(2), Mellouet-Fort
B(3), Ancillon L(3), Bertrand AM(4), Quinart S(4), Guilmin-Crépon S(5), Arsan
A(5), Lestournelle A(6), Brument R(7), Saison-Canaple C(7), Renel L(8), Daussac
A(9), Jouret B(9), Negre V(4), Tauber M(9).
Author information:
(1)RePPOP Aquitaine, Bordeaux, France.
(2)RePPOP Ode (Alsace), Mulhouse, France.
(3)RePPOP Préo (Drôme et Ardèche), Annonay, France.
(4)RePPOP Franche-Comté, Besançon, France.
(5)RePPOP Ile-de-France, Paris, France.
(6)RePPOP Isère, SAINT MARTIN D’HÈRES, France.
(7)RéPPOP Rhône, Lyon, France.
(8)RéPPOP Manche, Cherbourg-Octeville, France.
(9)RéPPOP Toulouse Midi-Pyrénées, Toulouse, France.
BACKGROUND: The nine French regional health networks for the prevention and care
of paediatric obesity offer a 2-year program of multidisciplinary primary care
(medical, dietetical, psychological, adapted physical activity) based on
multicomponent lifestyle interventions.
OBJECTIVES: To assess the short-term and long-term impact of care management.
METHODS: The impact of the multidisciplinary care was assessed by changes in the
body mass index (BMI) Z score during the period of the care, and at least 2 years
after the end. Anthropometric data were collected at baseline and at the end of
the care either through a digital medical file or through direct phone contacts
with the referring. Long-term outcomes were assessed through studies relative to
post follow-up evaluation.
RESULTS: At the end of the period of the care in a network, 72.9% of 6947
children had decreased their BMI Z score from 3.6 ± 1.0 DS at baseline to
3.3 ± 1.1 DS at the end. The four studies relative to long-term evaluation showed
a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning
of the care.
CONCLUSIONS: The care provided by regional French networks for prevention and
care of paediatric obesity induce a reduction of BMI that continues afterwards.
© 2019 World Obesity Federation.
DOI: 10.1111/ijpo.12522
PMID: 30990572 [Indexed for MEDLINE]