Outcome of a hospital based multidisciplinary weight loss program in obese Filipino children

Background: Childhood obesity is becoming a problem for Filipino children with an increasing national prevalence of pediatric overweight and obesity. A multidisciplinary approach combining behavioral therapy with diet and exercise is often advocated as having the greatest impact in pediatric weight management. Objective: To determine the effects of a weight loss program, which is a staged 3-mo, multidisciplinary intervention consisting of combined dietary, exercise, and behavioral methods in obese children. Research methods and procedures: Prospective study done in a hospital-based weight management center; duration of study: 15 mo (November 2005 to January 2008); participants: 44 obese children (aged 5-17 y; body mass index [BMI] 85th-99th percentile); outcome measures: change in weight, BMI, BMI z-score (SD score); secondary measures included changes in waist circumference, blood pressure, and body fat. Statistical tests: paired t tests, chi(2) test, Wilcoxon ranked sum test, regression analysis, and ANOVA. Results: At the end of the program, the patients demonstrated a decrease in weight, BMI, BMI z-score, body fat, systolic blood pressure, and waist circumference. Mean weight loss is 4.2 kg (P < 0.01) with an average of 5.3% weight loss; BMI decreased by 1.5 units (P < 0.01), BMI z-score by 0.15 (P < 0.004), body fat by 14% (P < 0.01), systolic blood pressure by 7.25 mm Hg (P < 0.05), and waist circumference by 5.4 cm (P < 0.05). Decrease in weight. BMI, and body fat were significantly correlated with number of sessions attended. Conclusion: The use of a multidisciplinary 3-mo staged program resulted in an effective weight loss in obese Filipino children, which was directly related to the frequency of sessions attended. (C) 2011 Elsevier Inc. All rights reserved.