Primary Care Clinical Practice Elements and Improving Overweight Children's Weight Status

NCT02278705 | Completed

• 2 other identifiers: 1K23HL118152-01A1 Aim 11K23HL118152-01A1
• Study Type: observational
• Target: 7,192
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to identify whether specific clinical practices-including attention to body-mass-index (BMI) screening/overweight/obesity, medical risk (from conditions associated with overweight/obesity such as high blood pressure), and following up to reassess progress-will improve the weight status of overweight school-age children.

Conditions

Overweight; Childhood Obesity

Keywords

childhood obesity; childhood overweight; primary care; weight management

Outcome Measures

Primary Outcomes (1)

• weight-status improvement

  Children with a decrease in BMI percent relative to the age/sex-specific BMI at the 95th percentile

  From one visit to the next and from one well-child visit to the next

Study Arms (2)

Weight-status improved

Cases, termed, "weight-status improved," are defined as children whose BMI percent relative to their age/sex-specific BMI at the 95th percentile decreases from one visit to the next; and from one well-child visit to the next well-child (or primary-care visit approximately 9-18 months later).

Other: Attention to BMI; Other: Attention to high-BMI-related Medical Risk; Other: No attention to high BMI or high-BMI-related medical risk

Weight-status unchanged/worse

Controls are defined as children whose BMI percent relative to their age/sex-specific BMI at the 95th percentile remains unchanged or increases from one visit to the next; and from one well-child visit to the next well-child (or primary-care visit approximately 9-18 months later).

Other: Attention to BMI; Other: Attention to high-BMI-related Medical Risk; Other: No attention to high BMI or high-BMI-related medical risk

Interventions

Attention to BMI OTHER

Evidence (using electronic health record data) denoting provider attention to about high BMI.

Also known as: BMI

Weight-status improved; Weight-status unchanged/worse

Attention to high-BMI-related Medical Risk OTHER

Evidence (using electronic health record data) denoting provider attention to high-BMI-related medical risk, including from high blood pressure/hypertension, cholesterol/dyslipidemia, blood sugar/diabetes, liver enzymes/fatty liver, and low vitamin D/vitamin-D deficiency.

Also known as: Medical Risk

Weight-status improved; Weight-status unchanged/worse

No attention to high BMI or high-BMI-related medical risk OTHER

Lack of evidence (using electronic health record data) denoting provider attention to high BMI or high-BMI-related medical risk.

Also known as: No BMI/Medical-Risk Attention

Weight-status improved; Weight-status unchanged/worse

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Overweight 6-12 year-old children followed by pediatricians at community-based and academic primary-care clinics. A random sample of controls will be matched to cases by age, gender, race/ethnicity, BMI-percentile category, and clinic site.

You may qualify if:

• year-old children with ≥2 visits
• valid height and weight data at each visit
• BMI ≥85th percentile at the first visit

You may not qualify if:

• children \<6 and \>12 years old
• no valid height and weight data at two visits
• BMI \<85th percentile at all 6-12 year-old well child visits

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

University of Texas Southwestern and Children's Medical Center

Dallas, Texas, 75390, United States

Location

Related Publications (5)

• Turer CB, Montano S, Lin H, Hoang K, Flores G. Pediatricians' communication about weight with overweight Latino children and their parents. Pediatrics. 2014 Nov;134(5):892-9. doi: 10.1542/peds.2014-1282. Epub 2014 Oct 13.

  PMID: 25311599 BACKGROUND

• Turer CB, Mehta M, Durante R, Wazni F, Flores G. Parental perspectives regarding primary-care weight-management strategies for school-age children. Matern Child Nutr. 2016 Apr;12(2):326-38. doi: 10.1111/mcn.12131. Epub 2014 Apr 10.

  PMID: 24720565 BACKGROUND

• Upperman C, Palmieri P, Lin H, Flores G, Turer CB. What do parents want for their children who are overweight when visiting the paediatrician? Obes Sci Pract. 2015 Oct;1(1):33-40. doi: 10.1002/osp4.5. Epub 2015 Sep 10.

  PMID: 28580163 BACKGROUND

• Turer CB, Upperman C, Merchant Z, Montano S, Flores G. Primary-Care Weight-Management Strategies: Parental Priorities and Preferences. Acad Pediatr. 2016 Apr;16(3):260-6. doi: 10.1016/j.acap.2015.09.001. Epub 2015 Sep 26.

  PMID: 26514648 BACKGROUND

• Turer CB, Barlow SE, Montano S, Flores G. Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks: Analysis of Recorded Visits With Latino Children and Associated Health-Record Documentation. Glob Pediatr Health. 2017 Feb 6;4:2333794X16685190. doi: 10.1177/2333794X16685190. eCollection 2017.

  PMID: 28239625 BACKGROUND

MeSH Terms

Conditions

Overweight; Pediatric Obesity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Obesity

Study Officials

• Christy B Turer, MD, MHS

  University of Texas Southwestern Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 24, 2014
• First Posted: October 30, 2014
• Study Start: January 1, 2009
• Primary Completion: September 1, 2015
• Study Completion: September 1, 2015
• Last Updated: May 19, 2020

Record last verified: 2020-05

Locations

US (1)