Byrne Jillian L S, O'Connor Kathleen, Peng Chenhui, Morash Cailyn L, Ball Geoff D C
Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta.
Pediatric Centre for Weight and Health, Stollery Children's Hospital, Edmonton, Alberta.
Paediatr Child Health. 2018 Sep;23(6):377-382. doi: 10.1093/pch/pxx191. Epub 2018 Jan 11.
To examine children's wait time to access a multidisciplinary, tertiary-level weight management clinic and assess anthropometric changes from time of referral to baseline assessment.
A retrospective medical record review was completed of children (5 to 17 years) enrolled in a multidisciplinary, tertiary-level paediatric weight management clinic from 2006 to 2015. Children's demographic and anthropometric data from their referral to and baseline assessment at the clinic were retrieved from medical records. Based on changes in body mass index (BMI) z-score from the time of referral to baseline assessment, children were categorized as (>0.05 unit decrease), (>0.05 unit increase) or (-0.05 to 0.05 unit change). The proportion of children with a ≥0.25 unit BMI z-score reduction was calculated. Analysis of variance and chi-squared tests were performed.
Children (n=400) were 11.7 ± 2.9 years old at the time of referral, 52.8% (n=211) female, and had an average wait time of 4.5 ± 3.9 months. By 3 and 6 months postreferral, 44.0% (n=176) and 80.8% (n=323), respectively, had attended baseline assessments. Based on BMI z-score change, children were classified as (n=183; 45.8%), (n=118; 29.5%) or (n=99; 24.8%). One-fifth of children (n=86; 21.5%) experienced a BMI z-score reduction ≥0.25 units, a subgroup that was younger, had a higher BMI z-score at referral, and had a longer wait time between referral and baseline assessment (all P<0.05).
Most children who enrolled in paediatric weight management initiated treatment within six months and experienced a modest decrease or stabilization in BMI z-score during their wait time.
研究儿童进入多学科三级体重管理诊所的等待时间，并评估从转诊到基线评估期间的人体测量学变化。
对2006年至2015年在一家多学科三级儿科体重管理诊所登记的儿童（5至17岁）进行回顾性病历审查。从病历中检索儿童从转诊到诊所基线评估的人口统计学和人体测量学数据。根据从转诊到基线评估期间体重指数（BMI）z评分的变化，将儿童分为（下降>0.05单位）、（上升>0.05单位）或（变化-0.05至0.05单位）。计算BMI z评分降低≥0.25单位的儿童比例。进行方差分析和卡方检验。
转诊时儿童（n=400）的年龄为11.7±2.9岁，女性占52.8%（n=211），平均等待时间为4.5±3.9个月。转诊后3个月和6个月时，分别有44.0%（n=176）和80.8%（n=323）的儿童进行了基线评估。根据BMI z评分变化，儿童分为（n=183；45.8%）、（n=118；29.5%）或（n=99；24.8%）。五分之一的儿童（n=86；21.5%）的BMI z评分降低≥0.25单位，该亚组年龄更小，转诊时BMI z评分更高，转诊与基线评估之间的等待时间更长（所有P<0.05）。
大多数登记参加儿科体重管理的儿童在六个月内开始治疗，并且在等待期间BMI z评分有适度下降或稳定。
