Background: Treatment studies about childhood obesity in primary care are lacking. We hypothesized that providing a paid family membership to the YMCA would be effective in reducing weight.Methods: Patients 5 to17 years old in at least the 85th body mass index (BMI) percentile were eligible. All participants were scheduled to attend 4 nutrition classes and to return for evaluation at 2, 4, 6, 9, and 12 months. Participants were randomized to nutrition classes only (n ‫؍‬ 39) or nutrition classes and family YMCA membership (n ‫؍‬ 44). The primary outcome measure was year change in BMI-for-age percentile.Results

No abstract

INTRODUCTION. Burnout among resident physicians has been an area of concern that predates the COVID-19 pandemic. With the significant turmoil during the pandemic, this study examined resident physicians’ burnout, depression, anxiety, and stress as well as the benefits of engaging in activities related to  wellness, mindfulness, or mental wellbeing. METHODS. The authors conducted a cross-sectional survey of 298 residents from 13 residency programs sponsored by the University of Kansas School of Medicine-Wichita, in October and November 2021. Authors used a 31-item questionnaire to measure levels of burnout, depression, anxiety, and stress. A mixed method approach was used to collect, analyze, and interpret the data. Descriptive statistics, One-way ANOVA/Kruskal-Wallis tests, adjusted odds ratios (aOR), and immersion-crystallization methods were used to analyze the data. RESULTS. There was a 52% response rate, with 65.8% (n=102) of the respondents reporting manifestations of burnout. Those who reported at least one manifestation of burnout experienced a higher level of emotional exhaustion (aOR=6.73; 95% CI, 2.66-16.99; P<.01), depression (aOR=1.21; 95% CI, 1.04-1.41; P=.01), anxiety (aOR=1.14; 95% CI, 1.00-1.30; P=.04), and stress (aOR=1.36; 95% CI, 1.13-1.64; P<.01). Some wellness activities respondents engaged in included regular physical activities, meditation and yoga, support from family and friends, religious activities, time away from work, and counseling sessions. CONCLUSIONS. The findings suggest the COVID-19 pandemic continues to pose a significant and worsening prevalence of burnout and other negative mental health effects on residents. Appropriate wellness and mental health support initiatives are needed to help resident physicians thrive in the health care environment.

Introduction. Modest weight loss (5 to 7%) reduced the incidenceof type II diabetes in the Diabetes Prevention Program (DDP) trial.A DPP-inspired lifestyle intervention requiring minimal patientself-data collection and tailored to low-SES patients throughminimal cost was developed for our indigent, obese patients. Methods. Obese (BMI ≥ 30 kg/m2), indigent (≤ 200% FederalPoverty Level) adults (age 18 - 70) were offered a nocostweight loss intervention as an adjunct to their usual primarycare in a residency outpatient clinic. The interventionprovided options for diet plans and social support. The goalwas to achieve a 5% loss of body weight over six months. Results. The sample (n = 158) was 86% female and 62% white,with a median age of 45 and median BMI of 40.9. Two-thirds ofsubjects chose the 50% diet; YMCA membership was selected byall but one. The 5% weight loss goal was met by 12.8%; another8.7% gained that amount. Subjects who either had pre-existingYMCA membership or used their provided membership weresuccessful, relative to those who received but never used theirmembership (0.6% loss vs 0.9% gain; p < 0.05). Changes in weightover six months were observed in the youngest (gain of 3.9 lbs.,p < 0.05) and the oldest (loss of 4.0 lbs., p < 0.05) age quartiles. Conclusions. A DPP-inspired lifestyle intervention tailoredto low-SES patients did not lead to overall weight loss, reinforcingthat weight reduction programs must provide a significantamount of support for participants to see success.Older age and a behavioral commitment to physical activityimproved the likelihood of success. KS J Med 2016;9(4):83-87.

Background: Burnout among resident physicians has been an area of concern that predates the COVID-19 pandemic. With the significant turmoil during the pandemic, this study examined resident physicians' burnout, depression, anxiety, and stress as well as the benefits of engaging in activities related to wellness, mindfulness, or mental wellbeing.