Body Mass Index and Blood Pressure Improvements With a Pediatric Weight Management Intervention at Federally Qualified Health Centers

Details

• Alternative Title:
  Acad Pediatr
• Personal Author:
  Imoisili, Omoye E. ; Lundeen, Elizabeth A. ; Freedman, David S. ; Womack, Lindsay S. ; Wallace, Jessica ; Hambidge, Simon J. ; Federico, Steven ; Everhart, Rachel ; Harr, Delia ; Vance, Jillian ; Kompaniyets, Lyudmyla ; Dooyema, Carrie ; Park, Sohyun ; Blanck, Heidi M. ; Goodman, Alyson B.
• Description:
  Objective:
  
  The Mind, Exercise, Nutrition, Do It! 7–13 (MEND 7–13) program was adapted in 2016 by 5 Denver Health federally qualified health centers (DH FQHC) into MEND+, integrating clinician medical visits into the curriculum and tracking health measures within an electronic health record (EHR). We examined trajectories of body mass index (BMI, kg/m2) percentile, and systolic and diastolic blood pressures (SBP and DBP) among MEND+ attendees in an expanded age range of 4 to 17 years, and comparable nonattendees.
  
  Methods:
  
  Data from April 2015 to May 2018 were extracted from DH FQHC EHR for children eligible for MEND+ referral (BMI ≥85th percentile). The sample included 347 MEND+ attendees and 21,061 nonattendees. Mixed-effects models examined average rate of change for BMI percent of the 95th percentile (%BMIp95), SBP and DBP (mm Hg), after completion of the study period.
  
  Results:
  
  Most children were ages 7 to 13 years, half were male, and most were Hispanic. An average of 4.2 MEND+ clinical sessions were attended. Before MEND+, %BMIp95 increased by 0.247 units/month among MEND+ attendees. After attending, %BMIp95 decreased by 0.087 units/month (P < .001). Eligible nonattendees had an increase of 0.084/month in %BMIp95. Before MEND+ attendance, SBP and DBP increased by 0.041 and 0.022/month, respectively. After MEND+ attendance, SBP and DBP decreased by 0.254/month (P < .001) and 0.114/month (P < .01), respectively. SBP and DBP increased by 0.033 and 0.032/month in eligible nonattendees, respectively.
  
  Conclusions:
  
  %BMIp95, SBP, and DBP significantly decreased among MEND+ attendees when implemented in community-based clinical practice settings at DH FQHC.
  
  
• Subjects:
  Article Blood Pressure Electronic Health Record Federally Qualified Health Center Pediatric Obesity Pediatric Weight Management Intervention
• Source:
  Acad Pediatr. 21(2):312-320
• Pubmed ID:
  33279738
• Pubmed Central ID:
  PMC8091487
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Volume:
  21
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a95f39db7d121388a5b64c716cd22f402a46b72cccd554a6a8b0c4e2bd660d02
• Download URL:
  https://stacks.cdc.gov/view/cdc/106054/cdc_106054_DS1.pdf
• File Type:
  [PDF - 600.78 KB ]