Dataset Information

The CANadian Pediatric Weight management Registry (CANPWR): study protocol.

ABSTRACT:

Background

Over recent decades, the prevalence of pediatric obesity has increased markedly in developed and developing countries, and the impact of obesity on health throughout the lifespan has led to urgent calls for action. Family-based weight management interventions that emphasize healthy lifestyle changes can lead to modest improvements in weight status of children with obesity. However, these interventions are generally short in duration, reported in the context of randomized controlled trials and there are few reports of outcomes of these treatment approaches in the clinical setting. Answering these questions is critical for improving the care of children with obesity accessing outpatient health services for weight management. In response, the CANadian Pediatric Weight management Registry (CANPWR) was designed with the following three primary aims: 1. Document changes in anthropometric, lifestyle, behavioural, and obesity-related co-morbidities in children enrolled in Canadian pediatric weight management programs over a three-year period; 2. Characterize the individual-, family-, and program-level determinants of change in anthropometric and obesity-related co-morbidities; 3. Examine the individual-, family-, and program-level determinants of program attrition.

Methods/design

This prospective cohort, multi-centre study will include children (2-17 years old; body mass index ?85(th) percentile) enrolled in one of eight Canadian pediatric weight management centres. We will recruit 1,600 study participants over a three-year period. Data collection will occur at presentation and 6-, 12-, 24-, and 36-months follow-up. The primary study outcomes are BMI z-score and change in BMI z-score over time. Secondary outcomes include anthropometric (e.g., height, waist circumference,), cardiometabolic (e.g., blood pressure, lipid profile, glycemia), lifestyle (e.g., dietary intake, physical activity, sedentary activity), and psychosocial (e.g., health-related quality of life) variables. Potential determinants of change and program attrition will include individual-, family-, and program-level variables.

Discussion

This study will enable our interdisciplinary team of clinicians, researchers, and trainees to address foundational issues regarding the management of pediatric obesity in Canada. It will also serve as a harmonized, evidence-based registry and platform for conducting future intervention research, which will ultimately enhance the weight management care provided to children with obesity and their families.

SUBMITTER: Morrison KM

PROVIDER: S-EPMC4082676 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

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Publications

The CANadian Pediatric Weight management Registry (CANPWR): study protocol.

Morrison Katherine M KM Damanhoury Samah S Buchholz Annick A Chanoine Jean-Pierre JP Lambert Marie M Tremblay Mark S MS Berall Glenn G Hamilton Jill J Laberge Anne Marie AM Legault Laurent L Thabane Lehana L Jakymyshyn Monica M Ambler Kathryn A KA Ball Geoff D C GD

BMC pediatrics 20140623

<h4>Background</h4>Over recent decades, the prevalence of pediatric obesity has increased markedly in developed and developing countries, and the impact of obesity on health throughout the lifespan has led to urgent calls for action. Family-based weight management interventions that emphasize healthy lifestyle changes can lead to modest improvements in weight status of children with obesity. However, these interventions are generally short in duration, reported in the context of randomized contr ...[more]

PMID: 24957705

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Dataset Information

The CANadian Pediatric Weight management Registry (CANPWR): study protocol.

Background

Methods/design

Discussion

Publications

The CANadian Pediatric Weight management Registry (CANPWR): study protocol.

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