This project aims to move what is currently a specialty-care model for the management of obesity of children and adolescents into the primary care setting.
The goal of this project is to create a sustainable clinical model in the primary care setting that improves nutritional health, lessens obesity, and addresses weight-related complications of children and adolescents to reduce risk for metabolic disease in later life. The primary objectives include tracking changes in BMI (both absolute and percentile) and levels of hemoglobin A1c, liver enzymes (AST, ALT levels), and lipids in patients seen in a primary care setting by a general pediatrician board-certified in obesity medicine. Secondary objectives include tracking patient adherence, follow-up, and retention.
Study Type
OBSERVATIONAL
Enrollment
400
Dietician visits, education, anti-obesity medications, and/or referral for metabolic-bariatric surgery as indicated by American Academy of Pediatrics guidelines for obesity management.
The Children's Clinic
Portland, Oregon, United States
RECRUITINGOregon Health & Science University
Portland, Oregon, United States
ACTIVE_NOT_RECRUITINGChange in body weight
Body weight in kg
Time frame: Baseline to follow-up (1-3 years)
Change in body height
Body height in meters
Time frame: Baseline to follow-up (1-3 years)
Change in BMI
BMI will be calculated using the formula: kg weight / m2 height. Will be in both absolute and percentile for age
Time frame: Baseline to follow-up (1-3 years)
Impact on glucose control
Hemoglobin A1c levels
Time frame: Baseline to follow-up (1-3 years)
Impact on fatty liver
Levels of liver enzymes ALT, AST
Time frame: Baseline to follow-up (1-3 years)
Impact on lipid levels
Levels of total, LDL, HDL, and non-HDL cholesterol. Triglycerides.
Time frame: Baseline to follow-up (1-3 years)
Patient follow-up metrics
Patient clinical follow-up rate, medication adherence, and retention
Time frame: Baseline to follow-up (1-3 years)
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