Exploring the association between individual, family, and program characteristics and change in health outcomes 12 months after enrollment into the CANadian Pediatric Weight management Registry (CANPWR)
Authors' conclusion
Male sex and hours spent with a mental health provider, exercise counselor, and registered dietitian were related to significant improvements in several anthropometric and cardiometabolic health indicators at 12 months post-baseline.
Study context
- Population
- Children 2–17 years old with overweight or obesity in multidisciplinary obesity management, enrolled in the CANadian Pediatric Weight Management Registry (CANPWR)893 with BMI z-score at 12 mo
- Participants
- 1,286 children
- Exposure
- Individual, family and program characteristics vs change in health outcomes at 12 months
- Outcome
- Associations of individual, family and program characteristics with changes in WHO BMI z-score and cardiometabolic indicators (systolic and diastolic BP; fasting and 2-h OGTT glucose; HDL and non-HDL cholesterol; fasting TG)
- Follow-up
- 12 months
Methodological detailsmulticentre registry, multiple linear regression
- Multicentre registry
- Multiple linear regression
Main finding
As reported in the abstract
- Older age at baseline, worsened Δ BMI z-score: estimated β (95% CI [0.006, 0.042]), p = 0.007
- 0.025
- Female sex, worsened Δ BMI z-score: estimated β (95% CI [0.108, 0.329]), p < 0.001
- 0.241
- Total hours with mental health provider, improved Δ BMI z-score: estimated β (95% CI [−0.030, −0.001]), p = 0.049
- −0.015
- Hours with exercise counselor, improved high density lipoprotein (HDL): estimated β (95% CI [0.008, 0.039]), p = 0.003
- 0.023
- Hours with registered dietitian, improved non-HDL cholesterol: estimated β (95% CI [−0.051, −0.001]), p = 0.044
- −0.026
Observational data: associations, not effects.
Further findings
Change in BMI z-score from baseline · 6 months
- MD (95% CI −0.10 to −0.06); p < 0.001
- −0.08
- 1065/1286 (82.8%) with data
Change in BMI z-score from baseline · 12 months
- MD (95% CI −0.13 to −0.04); p = 0.001
- −0.08
- 893/1286 (69.4%) with data
Change in fasting TG from baseline · 12 months
- MD (95% CI −0.13 to −0.02); p = 0.011
- −0.07
Original publication
Exploring the association between individual, family, and program characteristics and change in health outcomes 12 months after enrollment into the CANadian Pediatric Weight management Registry (CANPWR). Int J Obes (Lond). Published 16 September 2024. doi:10. 1038/ s41366-024-01631-2
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