EXERCISE MEASURE OUTCOME in the CHOOSING HEALTHY ACTIONS TOGETHER (CHAT) CLINIC: AN ONTARIO PAEDIATRIC BARIATRIC NETWORK PROGRAM
CPS ePoster Library. Smith R. Jun 1, 2017; 176599; 38
Dr. Ryan W Smith
Dr. Ryan W Smith
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Abstract
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Background: The Ontario Paediatric Bariatric Network (OPBN) attempts to streamline and standardize care, while translating evidence-based practices across the province. The Choosing Healthy Actions Together (CHAT) clinic at our institution is a member of the OPBN. The FITNESSGRAM's ® Progressive Aerobic Capacity Endurance Run (PACER) has been validated to assess aerobic fitness in children, and is routinely measured in the clinic along with markers of physiological health, and anthropometric data.

Objectives: Objectives: Retrospective review of physiological performance in the CHAT clinic over a one-year period (June 2015 to August 2016).

Methods: Methods: Children (ages 1 to 18 years) attending the CHAT clinic were retrospectively reviewed. Data collected included demographic data, anthropometrics, PACER data, and attendance at clinic. Data were analyzed using descriptive statistics and pair-wise comparison of means by t-test.

Results: Results: Data were available on 54 patients (28 males, 52%). Mean (SD) age, BMI and BMI-Z score at intake was 10.6 (2.6) years, 29.7 (5.7) kg/m^2 and 2.31 (0.38), respectively. BMI-Z score did not change over 1 year (p=0.32). Twenty-meter sprint time was faster at 6 months compared to intake, (mean difference 0.24 seconds [95% CI 0.09 to 0.38 seconds]; P = 0.003), but not at one year. There was a trend in improved PACER score from 6 months to one year (mean difference 2.0 runs [95% CI -0.1 to 4.1 runs]; P = 0.06). Of children completing intake, only one dropped out. One-year data is pending for 34 children.

Conclusion: Conclusion: Gains in physiological performance, but not BMI score, were realized in a regional paediatric obesity clinic. Follow-up of complete data over the one-year period is needed. Future research should explore the impact of physiologic performance as an obesity outcome in children in obesity clinics.Conflict of Interest Statement: The authors have nothing to disclose. There are no conflicts of interest or sources of financial support. There was no external funding for this study.Ethics: The study was passed through the ethics mechanism at the study site institution.

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