Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register

Abstract Background Obesity constitutes a critical risk for adolescent health. This study aimed at identifying youth‐friendly components of obesity treatment. Methods In this feasibility study, an adolescent obesity treatment platform was implemented at two Pediatric outpatient clinics in Sweden. Bo...

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Autores principales:	Annika Janson, Anna Bohlin, Britt‐Marie Johansson, Sofia Trygg‐Lycke, Fredrika Gauffin, Sven Klaesson
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	adolescent health bariatric surgery developmentally appropriate health care neuropsychiatric disorders obesity treatment youth‐friendly care Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/ea9eb7ea01f5428da71b6fea2ff4c7d7
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spelling	oai:doaj.org-article:ea9eb7ea01f5428da71b6fea2ff4c7d72021-12-01T08:57:17ZAdapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register2055-223810.1002/osp4.539https://doaj.org/article/ea9eb7ea01f5428da71b6fea2ff4c7d72021-12-01T00:00:00Zhttps://doi.org/10.1002/osp4.539https://doaj.org/toc/2055-2238Abstract Background Obesity constitutes a critical risk for adolescent health. This study aimed at identifying youth‐friendly components of obesity treatment. Methods In this feasibility study, an adolescent obesity treatment platform was implemented at two Pediatric outpatient clinics in Sweden. Body mass index (BMI), BMI z‐score, and the category of obesity (International Obesity Task Force) were compared before and after the intervention and with data on standard care from the Swedish Childhood Obesity Treatment Register. Results The study included 99 participants (49 females) aged 13–18 years from 1 September 2014, to 31 December 2016. A pediatric nurse met the participants on average 6.5 times in the average inclusion period of 15 months. Physical activity sessions attracted 63 participants. Acceptance Commitment Therapy and In Real Life groups attracted 24 participants. At inclusion, 62 participants had obesity and 37 severe obesity, and 71/99 (72%) remained in the same category. The mean BMI increased from 32.0 to 33.4 kg/m2 (p < 0.01), but 56/94 (60%) participants lowered their BMI or increased less than 1 kg/m2 and 73% stayed to the end of the study. Participants who were new to treatment and participants coming for more than eight visits to the nurse did not increase in BMI. BMI did not change for the 221 out of 641 register patients who had two recordings of BMI in the study period. Conclusions The platform was successful in increasing retention, and 60% of participants lowered or maintained their BMI. Still, seven out of ten adolescents with obesity or severe obesity remained in the same weight category.Annika JansonAnna BohlinBritt‐Marie JohanssonSofia Trygg‐LyckeFredrika GauffinSven KlaessonWileyarticleadolescent healthbariatric surgerydevelopmentally appropriate health careneuropsychiatric disordersobesity treatmentyouth‐friendly careInternal medicineRC31-1245ENObesity Science & Practice, Vol 7, Iss 6, Pp 699-710 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent health bariatric surgery developmentally appropriate health care neuropsychiatric disorders obesity treatment youth‐friendly care Internal medicine RC31-1245
spellingShingle	adolescent health bariatric surgery developmentally appropriate health care neuropsychiatric disorders obesity treatment youth‐friendly care Internal medicine RC31-1245 Annika Janson Anna Bohlin Britt‐Marie Johansson Sofia Trygg‐Lycke Fredrika Gauffin Sven Klaesson Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
description	Abstract Background Obesity constitutes a critical risk for adolescent health. This study aimed at identifying youth‐friendly components of obesity treatment. Methods In this feasibility study, an adolescent obesity treatment platform was implemented at two Pediatric outpatient clinics in Sweden. Body mass index (BMI), BMI z‐score, and the category of obesity (International Obesity Task Force) were compared before and after the intervention and with data on standard care from the Swedish Childhood Obesity Treatment Register. Results The study included 99 participants (49 females) aged 13–18 years from 1 September 2014, to 31 December 2016. A pediatric nurse met the participants on average 6.5 times in the average inclusion period of 15 months. Physical activity sessions attracted 63 participants. Acceptance Commitment Therapy and In Real Life groups attracted 24 participants. At inclusion, 62 participants had obesity and 37 severe obesity, and 71/99 (72%) remained in the same category. The mean BMI increased from 32.0 to 33.4 kg/m2 (p < 0.01), but 56/94 (60%) participants lowered their BMI or increased less than 1 kg/m2 and 73% stayed to the end of the study. Participants who were new to treatment and participants coming for more than eight visits to the nurse did not increase in BMI. BMI did not change for the 221 out of 641 register patients who had two recordings of BMI in the study period. Conclusions The platform was successful in increasing retention, and 60% of participants lowered or maintained their BMI. Still, seven out of ten adolescents with obesity or severe obesity remained in the same weight category.
format	article
author	Annika Janson Anna Bohlin Britt‐Marie Johansson Sofia Trygg‐Lycke Fredrika Gauffin Sven Klaesson
author_facet	Annika Janson Anna Bohlin Britt‐Marie Johansson Sofia Trygg‐Lycke Fredrika Gauffin Sven Klaesson
author_sort	Annika Janson
title	Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
title_short	Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
title_full	Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
title_fullStr	Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
title_full_unstemmed	Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register
title_sort	adapting pediatric obesity care to better suit adolescent patients: design of a treatment platform and results compared with standard care in the national patient quality register
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/ea9eb7ea01f5428da71b6fea2ff4c7d7
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Adapting pediatric obesity care to better suit adolescent patients: Design of a treatment platform and results compared with standard care in the national patient quality register

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