Kylie Leong, Muhammad Munir Tohid, Bernard Xian Wei Liew, Siao Hui Toh, Mohammad Ashik Zainuddin, Fadzlynn Fadzully, Brandon Guoqiang Feng, Muhammad Alif Bin Abu Bakar, Benny Kai Guo Loo
{"title":"新加坡一家三级医疗中心对超重和肥胖儿科参与者运动计划的评估。","authors":"Kylie Leong, Muhammad Munir Tohid, Bernard Xian Wei Liew, Siao Hui Toh, Mohammad Ashik Zainuddin, Fadzlynn Fadzully, Brandon Guoqiang Feng, Muhammad Alif Bin Abu Bakar, Benny Kai Guo Loo","doi":"10.1123/pes.2023-0160","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Pediatric obesity is rising in prevalence. We audited the results of an exercise program for overweight and obese pediatric participants in a tertiary pediatric hospital. The main aim was to determine the program's effectiveness, with the main outcome of change in body mass index (BMI).</p><p><strong>Method: </strong>Retrospective review of data from all pediatric participants attending the program between January 2017 and December 2022. Inclusion criteria for analysis were BMI ≥90th centile, ages 6-15, attendance in at least 2 sessions and for at least 1 week. Statistical analysis was done using Generalized Additive Modeling.</p><p><strong>Results: </strong>One hundred thirty seven participants were included. The average duration in the program was 16 months (min = 1 wk, max = 57 mo). Majority (66%, n = 94) attended at intervals of >4 weeks. Only 7% (n = 9) attended weekly. The shorter the visit intervals, the more likely the BMI loss. The greatest decrease in BMI (-0.275; 95% confidence interval, -0.381 to -0.17) was in 15-year-old obese participants with visit intervals of <1 week. At the last visit, 84.7% maintained, 12.4% improved and 2.9% worsened in BMI category, respectively.</p><p><strong>Conclusion: </strong>Participants who attended an exercise program at least weekly demonstrated the best outcomes. Most did not adhere to the recommended frequency and thus had poorer outcomes. We have since made improvements to our program to increase visit frequency.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Exercise Program for Overweight and Obese Pediatric Participants in a Single Tertiary Center in Singapore.\",\"authors\":\"Kylie Leong, Muhammad Munir Tohid, Bernard Xian Wei Liew, Siao Hui Toh, Mohammad Ashik Zainuddin, Fadzlynn Fadzully, Brandon Guoqiang Feng, Muhammad Alif Bin Abu Bakar, Benny Kai Guo Loo\",\"doi\":\"10.1123/pes.2023-0160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Pediatric obesity is rising in prevalence. We audited the results of an exercise program for overweight and obese pediatric participants in a tertiary pediatric hospital. The main aim was to determine the program's effectiveness, with the main outcome of change in body mass index (BMI).</p><p><strong>Method: </strong>Retrospective review of data from all pediatric participants attending the program between January 2017 and December 2022. Inclusion criteria for analysis were BMI ≥90th centile, ages 6-15, attendance in at least 2 sessions and for at least 1 week. Statistical analysis was done using Generalized Additive Modeling.</p><p><strong>Results: </strong>One hundred thirty seven participants were included. The average duration in the program was 16 months (min = 1 wk, max = 57 mo). Majority (66%, n = 94) attended at intervals of >4 weeks. Only 7% (n = 9) attended weekly. The shorter the visit intervals, the more likely the BMI loss. The greatest decrease in BMI (-0.275; 95% confidence interval, -0.381 to -0.17) was in 15-year-old obese participants with visit intervals of <1 week. At the last visit, 84.7% maintained, 12.4% improved and 2.9% worsened in BMI category, respectively.</p><p><strong>Conclusion: </strong>Participants who attended an exercise program at least weekly demonstrated the best outcomes. Most did not adhere to the recommended frequency and thus had poorer outcomes. 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Evaluation of Exercise Program for Overweight and Obese Pediatric Participants in a Single Tertiary Center in Singapore.
Purpose: Pediatric obesity is rising in prevalence. We audited the results of an exercise program for overweight and obese pediatric participants in a tertiary pediatric hospital. The main aim was to determine the program's effectiveness, with the main outcome of change in body mass index (BMI).
Method: Retrospective review of data from all pediatric participants attending the program between January 2017 and December 2022. Inclusion criteria for analysis were BMI ≥90th centile, ages 6-15, attendance in at least 2 sessions and for at least 1 week. Statistical analysis was done using Generalized Additive Modeling.
Results: One hundred thirty seven participants were included. The average duration in the program was 16 months (min = 1 wk, max = 57 mo). Majority (66%, n = 94) attended at intervals of >4 weeks. Only 7% (n = 9) attended weekly. The shorter the visit intervals, the more likely the BMI loss. The greatest decrease in BMI (-0.275; 95% confidence interval, -0.381 to -0.17) was in 15-year-old obese participants with visit intervals of <1 week. At the last visit, 84.7% maintained, 12.4% improved and 2.9% worsened in BMI category, respectively.
Conclusion: Participants who attended an exercise program at least weekly demonstrated the best outcomes. Most did not adhere to the recommended frequency and thus had poorer outcomes. We have since made improvements to our program to increase visit frequency.
期刊介绍：
Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach.
Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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