Obesity

Seasonal variability in body mass index change among children enrolled in the Pediatric Obesity Weight Evaluation Registry: A step in the right direction

Pediatr ObesPublished Prospective cohort study

Authors' conclusion

Across 31 clinics nationwide, children reduced their %BMIp95 every season, but reductions were significantly smaller during the summer quarter. While PWM successfully mitigated excess weight gain during every period, summer remains a high-priority time.

Study context

Population
Youth with obesity in paediatric weight management (PWM) care in 31 programs, Pediatric Obesity Weight Evaluation Registry (POWER), 2014–2019; 48% aged 6–11, 54% female, 73% severe obesity
Participants
6,816 participants
Exposure
Change in %BMIp95 by calendar quarter vs Q3
Outcome
Change in percentage of the 95th percentile for BMI (%BMIp95), compared by quarter
Methodological detailslongitudinal, multicentre (31 PWM programs), registry-based, Mean enrolment 424.9 ± 401.5 days
  • Longitudinal
  • Multicentre (31 PWM programs)
  • Registry-based
  • Mean enrolment 424.9 ± 401.5 days

Main finding

As reported in the abstract

Change in %BMIp95 vs Q3

B

−0.27

95% CI −0.46 to −0.09

Q1 vs Q3 · greater reduction in Q1

B

−0.21

95% CI −0.40 to −0.03

Q2 vs Q3 · greater reduction in Q2

B

−0.44

95% CI −0.63 to −0.26

Q4 vs Q3 · greater reduction in Q4

Observational data: associations, not effects.

Original publication

Seasonal variability in body mass index change among children enrolled in the Pediatric Obesity Weight Evaluation Registry: A step in the right direction. Pediatr Obes. Published 21 February 2023. doi:10.1111/ijpo.13012

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