Clinical outcomes of an inpatient pediatric obesity treatment program in the USA
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Sharonda J. Alston Taylor
,
Kimberly Rennie
Abstract
Background
When treating recalcitrant and severe childhood obesity, pharmaceutical options are limited and few patients qualify for bariatric surgery. A prolonged inpatient program serves as an alternative treatment. The purpose of this project was to describe the development of a medically supervised inpatient weight management program and evaluate its effectiveness.
Methods
This is a retrospective chart review of 18 patients [4–18 years, mean body mass index (BMI) 50.2 kg/m2] admitted to an inpatient pediatric weight management program from October 2011 through December 31, 2012 to evaluate the biometric, laboratory, sleep and behavioral changes that occurred from admission to discharge from the program.
Results
Average weight loss was 15% (6.9%–21.5%, p = 0.0001), the decrease in BMI was 15.1% (1.61–21.57, p = 0.0001), systolic blood pressure and diastolic blood pressure decreased by 7.2% (p = 0.003) and 10.3% (p = 0.040), respectively. The reduction in heart rate was 15% (p = 0.013). Upon admission, nine patients had obstructive sleep apnea syndrome (OSAS), of which one was treated with tonsillectomy and six were not compliant with home positive airway pressure (PAP) therapy. At discharge, three patients no longer required PAP and five required decreased PAP settings. Upon admission, seven patients met the criteria for an internalizing disorder. At discharge, symptom reduction was noted.
Conclusion
An intensive pediatric inpatient weight management program leads to successful weight loss, improvement in hemodynamic parameters, reduction in OSA treatment requirements and symptom improvement in anxiety and depressive disorders in obese children.
Acknowledgments
We thank the many people who have actively participated in program development and the care of the patients in the CHANGES Health and Wellness Program at Healthbridge Children’s Hospital, Houston.
Conflict of interest: Sharonda Alston Taylor, Kimberly Rennie and Cindy Jon have no conflicts of interests to disclose. No honorarium, grant or other form of payment was given to any of the authors to produce this manuscript.
Funding: none
Financial disclosures: none
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Artikel in diesem Heft
- Editorial
- Infectious mononucleosis: be aware of its lethality!
- Original Articles
- Is there a link between self-perceived stress and physical activity levels in Scottish adolescents?
- Does verruca vulgaris affect social anxiety and self-esteem in adolescents?
- Smart phone usage and addiction among dental students in Saudi Arabia: a cross sectional study
- Review
- Health policy making for street children: challenges and strategies
- Original Articles
- Menarche as a predictor of risk-taking behavior in a sample of Hungarian adolescent girls
- Level of Internet use among Greek adolescents with type 1 diabetes
- Clinical outcomes of an inpatient pediatric obesity treatment program in the USA
- Obesity prevalence and contributing factors among adolescents in secondary schools in Pemagatshel district, Bhutan
- Contraception usage among young adult men of a Nigerian university
- Monitoring screen use: a qualitative exploration of family strategies in Swiss homes
- Proposed model for the cultural adaptation of an Internet-based depression prevention intervention (CATCH-IT) for Arab adolescents
- Physical fitness and obesity levels during an academic year followed by summer holidays: an issue of insufficient time for physical activity
- Differences in physical activity, eating habits and risk of obesity among Kuwaiti adolescent boys and girls: a population-based study
- Cardiac anomalies and associated comorbidities in a large adolescent population
