ESPE Abstracts (2016) 86 P-P2-499

Multidisciplinary Care Management of Pediatric Obesity and Factors Associated with Better Outcomes

Helene Thibaultb,c, Caroline Carrièreb,c, Cassandre Cabausselb, C Badera, Pascale Barberger-Gateaua,c & Pascal Barata,b

aUniversité Bordeaux, Bordeaux, France; bRePPOP, Bordeaux, France; cINSERM U897, ISPED, Bordeaux, France

Background: RePPOP Aquitaine (network of prevention and treatment of pediatric obesity in southwest France) has developed a multidisciplinary approach to treat childhood obesity based on multicomponent lifestyle interventions and family-based actions.

Objective and hypotheses: This study assessed the impact of the care management proposed by RePPOP Aquitaine and investigated factors associated with better outcomes.

Method: The impact of RePPOP care management was assessed by changes in BMI Z-score between baseline and the end of care management among 982 overweight or obese children. A multivariate analysis examined independently factors significantly associated with better outcomes at the end of care management.

Results: At the end of care management, 75.5% of children had decreased their BMI Z-score. Initial characteristics significantly associated with better outcomes at multivariate analysis were: age at baseline (5–15 years old), practice in sports club, length of follow-up by RePPOP (>10 months), no parental obesity and having no academic difficulties.

Conclusion: This study confirms that several social and individual factors affect the efficiency of pediatric obesity care management but highlights that multidisciplinary treatment has a significant positive effect on body weight and the importance of organizing care within the family and the health professional community.

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