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Clinical Pediatrics
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*Obesity
*Obesity in Children
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YMCA Program for Childhood Obesity: A Case Series

David P. McCormick, MD

Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas, David.mccormick{at}utmb.edu

Matthew Ramirez, BS

Division of General Academic Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas

Sandra Caldwell, BS

Division of General Academic Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas

Amy W. Ripley, BA

Division of General Academic Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas

Donna Wilkey, MD, MPH

Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas

Family-based behavioral interventions for treatment of childhood obesity have rarely been tested for effectiveness in community settings. The aim of the study was to evaluate the effectiveness of a community-based program for obese children designed to stabilize or reduce body weight. Obese children from our pediatric practice who were active in the program were evaluated. Weight gain during the time of the study was compared with mean weight gain for a group of obese-matched controls who did not participate in the program. Mean weight gain for subjects was 0.28 kg/mo compared with a weight gain for controls of 0.62 kg/mo. Between the first and last visits, 43% (15/35) of the subjects experienced clinically significant differences in weight gain compared with controls. Eight patients lost weight. A YMCA weight management program, which included group counseling, nutrition education, physical activity, and gift card incentives, resulted in favorable changes in overweight children.

Key Words: obesity • child • treatment

This version was published on September 1, 2008

Clinical Pediatrics, Vol. 47, No. 7, 693-697 (2008)
DOI: 10.1177/0009922808315826
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