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Int. J. Environ. Res. Public Health 2011, 8(12), 4662-4678; doi:10.3390/ijerph8124662
Article

The Centre for Healthy Weights—Shapedown BC: A Family-Centered, Multidisciplinary Program that Reduces Weight Gain in Obese Children over the Short-Term

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Received: 19 September 2011; in revised form: 14 November 2011 / Accepted: 9 December 2011 / Published: 15 December 2011
(This article belongs to the Special Issue Childhood Obesity: Prevention and Treatment)
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Abstract: The objective was to conduct a program evaluation of the Centre for Healthy Weights—Shapedown BC (CHW-SB), a family-centered, multidisciplinary program for obese children, by assessing the change in weight trajectories from program intake to completion. Secondary outcomes included changes in clinical, biochemical and psychological parameters, and in physical activity (PA) levels. The CHW-SB program was evaluated over 10 weeks. Data collection included anthropometric, metabolic, PA and psychological measures. Longitudinal mixed effects regression was performed to evaluate weight change from Phase 1 (before program on waitlist) to Phase 2 (during program). 238 children < 18 years of age were referred to the program of which 119 were eligible for participation. There was a significant decrease in weight trajectory in children following program entry. Participants experienced an average .89% monthly increase before program entry, compared to a .37% monthly decline afterwards, a drop of 1.26% (p < 0.0001, 95%CI 1.08 to 1.44). zBMI (2.26 ± 0.33 to 2.20 ± 0.36, p < 0.001), waist circumference (99 ± 15.7 to 97 ± 16 cm, p < 0.0001) and fasting insulin (137 ± 94.8 to 121 ± 83.4 pmol/L, < 0.001) also decreased in participants who attended the final visit. Significant improvements were seen in all measures of PA, self-concept, and anxiety. CHW-SB, a government-funded program, is the first obesity-treatment program to be evaluated in Canada. While short-term evaluation revealed significant improvements in adiposity, PA, and psychological measures, the lack of full follow-up is a limitation in interpreting the clinical effectiveness of this program, as drop-out may be associated with lack of success in meeting program goals. These data also emphasize the need for ongoing evaluation to assess the long-term implications of this unique program and ultimately optimize utilization of governmental resources.
Keywords: obesity; weight loss; BMI reduction; children; prevention; treatment; intervention obesity; weight loss; BMI reduction; children; prevention; treatment; intervention
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Panagiotopoulos, C.; Ronsley, R.; Al-Dubayee, M.; Brant, R.; Kuzeljevic, B.; Rurak, E.; Cristall, A.; Marks, G.; Sneddon, P.; Hinchliffe, M.; Chanoine, J.-P.; Mâsse, L.C. The Centre for Healthy Weights—Shapedown BC: A Family-Centered, Multidisciplinary Program that Reduces Weight Gain in Obese Children over the Short-Term. Int. J. Environ. Res. Public Health 2011, 8, 4662-4678.

AMA Style

Panagiotopoulos C, Ronsley R, Al-Dubayee M, Brant R, Kuzeljevic B, Rurak E, Cristall A, Marks G, Sneddon P, Hinchliffe M, Chanoine J-P, Mâsse LC. The Centre for Healthy Weights—Shapedown BC: A Family-Centered, Multidisciplinary Program that Reduces Weight Gain in Obese Children over the Short-Term. International Journal of Environmental Research and Public Health. 2011; 8(12):4662-4678.

Chicago/Turabian Style

Panagiotopoulos, Constadina; Ronsley, Rebecca; Al-Dubayee, Mohammed; Brant, Rollin; Kuzeljevic, Boris; Rurak, Erin; Cristall, Arlene; Marks, Glynis; Sneddon, Penny; Hinchliffe, Mary; Chanoine, Jean-Pierre; Mâsse, Louise C. 2011. "The Centre for Healthy Weights—Shapedown BC: A Family-Centered, Multidisciplinary Program that Reduces Weight Gain in Obese Children over the Short-Term." Int. J. Environ. Res. Public Health 8, no. 12: 4662-4678.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert