Weight changes in overweight children enrolled in a therapeutic education program.

Christine Chollet, Julie Gauvin, Didier Rubio, Corinne Fleury, Jean-Yves Fatras,Maïthé Tauber,Béatrice Jouret

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie(2023)

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Abstract
BACKGROUND:Between 2016 and 2018, overweight children in the Midi-Pyrénées region of France were invited to participate in the Tout sur l'EQuilibre Alimentaire et l'Activité Physique (TEQAAP; All About Balanced Eating and Physical Activity) education program offered by the Structure d'Expertise Régionale Obésité Occitanie (SEROO; Regional Expert Center for Obesity in Occitanie). OBJECTIVES:To describe the patient population and evaluate the program efficacy. The primary criterion was the body mass index (BMI) Z-score of the patients at the end of the program compared to the beginning. METHODS:This retrospective, descriptive, and analytical study included 262 children (mean age: 10 years+10 months; 64% female) between 1 January 2016 and 31 December 2018. Data from 138 patients (52.7%) were accessible and analyzed. The mean study duration was 9 months. RESULTS:The mean BMI at inclusion was 23.3 kg/m² with a mean Z-score of 2.8 ± 0.6; 82% were overweight, 11.1% were obese, and 6.1% were normal weight. Socioeconomic categories were well-balanced (35% high, 28% intermediate, 37% low). At the end of the study, 87% of the children had improved or stabilized their BMI, and Z-scores were lower by 9%±2 (p<0.001). CONCLUSION:The TEQAAP program led to an improvement in the BMI of overweight children.
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