Long-Term Outcomes following the MEND 7–13 Child Weight Management Program

Kolotourou, Maria; Radley, Duncan; Gammon, Catherine; Smith, Lindsey; Chadwick, Paul; Sacher, Paul

doi:10.1089/chi.2014.0092

Cited by 36 publications

(42 citation statements)

References 24 publications

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“…Weight regain is often reported after overweight and obesity treatment [14,28]. In this study, the mean BMI SDS declined throughout 1.5 years of treatment in boys.…”

Section: Discussionmentioning

confidence: 49%

“…Community-based treatment options have the advantages of being situated in the families’ local area and being accessible by self-referral, and thus may help improve treatment availability and accessibility [8,9]. Nonetheless, few overweight and obesity treatment programs have been evaluated in community healthcare settings, the results are mixed, and the long-term treatment effects are unclear [8–14]. In the United Kingdom, a nine-week community-based obesity treatment of 116 children aged 8−12 years resulted in a 0.30 reduction in body mass index (BMI) standard deviation score (SDS) (p<0.001), but at a 2.4-year follow-up after the MEND program, BMI SDS was not lower than at entry [14].…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, few overweight and obesity treatment programs have been evaluated in community healthcare settings, the results are mixed, and the long-term treatment effects are unclear [8–14]. In the United Kingdom, a nine-week community-based obesity treatment of 116 children aged 8−12 years resulted in a 0.30 reduction in body mass index (BMI) standard deviation score (SDS) (p<0.001), but at a 2.4-year follow-up after the MEND program, BMI SDS was not lower than at entry [14]. In America, a six-months community-based obesity treatment of 155 children and adolescents aged 6−17 years resulted in only a 0.06 reduction in BMI SDS (p<0.001) [12,13].…”

Section: Introductionmentioning

confidence: 99%

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A hospital-based child and adolescent overweight and obesity treatment protocol transferred into a community healthcare setting

et al. 2017

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BackgroundDue to the pandemic of child and adolescent overweight and obesity, improvements in overweight and obesity treatment availability and accessibility are needed.MethodsIn this prospective study, we investigated if reductions in body mass index (BMI) standard deviation scores (SDS) and waist circumference (WC) would occur during 1.5 years of community-based overweight and obesity treatment based upon an effective hospital-based overweight and obesity treatment protocol, The Children’s Obesity Clinics’ Treatment protocol. Height, weight, and WC were measured at all consultations. Changes in BMI SDS and WC were analyzed using linear mixed models based upon the repeated measures in each child.ResultsFrom June 2012 to January 2015, 1,001 children (455 boys) were consecutively enrolled in the community-based treatment program. Upon entry, the median age was 11 years (range: 3−18), and the median BMI SDS was 2.85 (range: 1.26−8.96) in boys and 2.48 (range: 1.08−4.41) in girls. After 1.5 years of treatment BMI SDS was reduced in 74% of the children. BMI SDS was reduced by a mean of 0.38 (95% confidence interval (CI): 0.30−0.45, p<0.0001) in boys and 0.18 (95% CI: 0.12−0.25, p<0.0001) in girls after 1.5 years of treatment, independently of baseline age, BMI SDS, and Tanner stage (all p>0.08). WC was reduced by a mean of 3.8 cm (95% CI: 2.7−4.9, p>0.0001) in boys and 5.1 cm (95% CI: 4.0−6.2, p>0.0001) in girls. The dropout rate was 31% after 1.5 years. A median of 4.5 consultation hours was invested per child per year.ConclusionBMI SDS and WC were reduced after 1.5 years of treatment. Hence, this community-based overweight and obesity treatment program may help accommodate the need for improvements in treatment availability and accessibility.

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“…Weight regain is often reported after overweight and obesity treatment [14,28]. In this study, the mean BMI SDS declined throughout 1.5 years of treatment in boys.…”

Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A hospital-based child and adolescent overweight and obesity treatment protocol transferred into a community healthcare setting

et al. 2017

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“…Therefore, publication bias is unlikely. The change in self‐esteem was maintained at follow‐up of up to 2.4 years from baseline in 17 studies (Figure B, 0.35 [0.05] P < .001, I 2 79%). Publication bias is unlikely (funnel plot symmetry, fail‐safe N = 1029 studies).…”

Section: Resultsmentioning

confidence: 95%

“…The change in body image between pre‐intervention and postintervention was reported in 27 studies, between pre‐intervention and follow‐up in three studies, and 13 studies reported data at all three time points. Of the 40 studies reporting body image pre‐intervention and postintervention ranging in duration from 2 weeks to 24 months, body image was reported to be significantly improved compared with baseline in 22 studies, not significantly changed in 10 studies, five studies did not state whether or not the change was significant and three studies reported a significant improvement in one body image measure and no change in another.…”

Section: Resultsmentioning

confidence: 99%

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

et al. 2020

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Summary Background Pediatric obesity impacts on multiple domains of psychological health, including self‐esteem and body image. Objective To determine the effect of multicomponent pediatric obesity treatment interventions on self‐esteem and body image. Methods A systematic search of published literature up to June 2019 was undertaken using electronic databases MEDLINE, EMBASE, Cochrane Library, and PsychINFO. Eligible studies implemented an obesity treatment intervention, including a dietary and physical activity component with/without a behavioral component, in children and adolescents with overweight/obesity, and assessed self‐esteem and/or body image. Data were extracted by one reviewer and cross‐checked. Meta‐analysis was used to combine outcome data and moderator analysis conducted to identify intervention characteristics influencing outcomes. Results 64 studies were identified. Meta‐analysis of 49 studies (n = 10471) indicated that pediatric obesity treatment results in increased self‐esteem postintervention (standardized mean difference, [SE] 0.34 [0.03], P < .001, I2 87%), maintained at follow‐up (0.35 [0.05] P < .001, I2 79%, 17 studies). Similarly, meta‐analysis of 40 studies (n = 2729) indicated improvements in body image postintervention (0.40 [0.03], P < .001, I2 73%), maintained at follow‐up (0.41 [0.08], P < .001, I2 89%, 16 studies). Conclusions Pediatric obesity treatment improves self‐esteem and body image in the short and medium term. These findings may underpin improvements in other psychological outcomes.

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Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions

Pursey

Burrows

Barker

et al. 2021

Intl J Eating Disorders

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Objective: Body image concerns and extreme weight control behaviors frequently develop in childhood indicating an important age group for the implementation of universal-selective prevention approaches. This systematic review aimed to evaluate the effect of universal-selective prevention interventions addressing disordered eating, body image concerns, and/or extreme weight control behaviors in children aged 6-12 years. Method: Nine databases were searched up to April 2021. Studies were included if they delivered a universal-selective prevention intervention to children aged 6-12 years and reported outcomes relating to body image, disordered eating, or weight

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Long-Term Outcomes following the MEND 7–13 Child Weight Management Program

Abstract: Background: In the current study we report outcomes 2.4 years from baseline

Cited by 36 publications

References 24 publications

A hospital-based child and adolescent overweight and obesity treatment protocol transferred into a community healthcare setting

A hospital-based child and adolescent overweight and obesity treatment protocol transferred into a community healthcare setting

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions

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