Characteristics of paediatric weight management in the United States: Associations with program retention and BMI outcomes in the paediatric obesity weight evaluation registry (POWER)
Corresponding Author
Jared M. Tucker
Health Optimization Services, Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA
Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
Correspondence
Jared M. Tucker, SH Office of Research & Education, 100 Michigan Street NE, Mailcode 038, Grand Rapids, MI 49503, USA.
Email: [email protected]
Search for more papers by this authorWilliam Stratbucker
Health Optimization Services, Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA
Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
Search for more papers by this authorEileen C. King
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA
Search for more papers by this authorSuzanne Cuda
Division of Adolescent Medicine, Department of Pediatrics, Children's Hospital of San Antonio, Baylor College of Medicine, San Antonio, Texas, USA
Search for more papers by this authorSylvia Negrete
Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
Search for more papers by this authorBrooke Sweeney
General Academic Pediatrics, Children's Mercy Kansas City, University of Missouri Kansas City, Children's Center for Healthy Lifestyles & Nutrition, Kansas City, Missouri, USA
Search for more papers by this authorSeema Kumar
Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorClaudia Borzutzky
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, California, USA
Search for more papers by this authorHelen J. Binns
Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois, USA
Search for more papers by this authorShelley Kirk
Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA
The Heart Institute, Center for Better Health and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorThe POWER Work Group
Search for more papers by this authorCorresponding Author
Jared M. Tucker
Health Optimization Services, Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA
Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
Correspondence
Jared M. Tucker, SH Office of Research & Education, 100 Michigan Street NE, Mailcode 038, Grand Rapids, MI 49503, USA.
Email: [email protected]
Search for more papers by this authorWilliam Stratbucker
Health Optimization Services, Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA
Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
Search for more papers by this authorEileen C. King
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA
Search for more papers by this authorSuzanne Cuda
Division of Adolescent Medicine, Department of Pediatrics, Children's Hospital of San Antonio, Baylor College of Medicine, San Antonio, Texas, USA
Search for more papers by this authorSylvia Negrete
Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
Search for more papers by this authorBrooke Sweeney
General Academic Pediatrics, Children's Mercy Kansas City, University of Missouri Kansas City, Children's Center for Healthy Lifestyles & Nutrition, Kansas City, Missouri, USA
Search for more papers by this authorSeema Kumar
Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorClaudia Borzutzky
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, California, USA
Search for more papers by this authorHelen J. Binns
Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois, USA
Search for more papers by this authorShelley Kirk
Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA
The Heart Institute, Center for Better Health and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorThe POWER Work Group
Search for more papers by this authorFunding information: Heart Institute Research Core, Cincinnati Children's Hospital Medical Center (CCHMC)
Summary
Objective
To describe characteristics of paediatric weight management (PWM) programs across the United States and evaluate associations with program-specific retention rates and body mass index (BMI) outcomes at 6 months.
Methods
A program profile survey was administered to 33 programs within the Paediatric Obesity Weight Evaluation Registry (POWER) to assess program staffing, services, and treatment format. Patient retention and percent of the 95th BMI percentile (%BMIp95) changes were assessed for each program.
Results
At 6 months program retention rates ranged from 15% to 74% (median: 41%), and program %BMIp95 changes ranged from −9.0 to +0.5 percentage points (median: −1.7). Percent of patients with ≥5 percentage-point decrease in %BMIp95 ranged from 17% to 71% across programs (median: 29%). No associations were detected between program characteristics and retention or %BMIp95 changes.
Conclusions
Six-month patient retention and BMI outcomes vary substantially in PWM programs across the United States. Yet, no associations were found between PWM treatment factors and these program-level patient outcomes.
CONFLICT OF INTEREST
The authors have no conflicts of interest to disclose.
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