Obesity

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 Registry-based cohort study

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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