{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T11:24:55Z","timestamp":1783337095193,"version":"3.54.6"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Factors related to clinically meaningful outcomes for pediatric patients seeking care for severe obesity are not well known. Examining patient-level and program-level characteristics related to success may inform future care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>: To determine factors associated with a clinically significant reduction in weight status measured by %BMIp95 after 6 months of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>This is a retrospective study of youth 5\u201317 years of age seeking multicomponent weight management care to determine if patient characteristics, treatment recommendations, reported adherence, and additional program-affiliated class participation are associated with 6-month change in %BMIp95.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 170 children with obesity, higher reductions in %BMIp95 were seen in those with medium-high dietary adherence compared to low-none (\u221210.8 vs. \u22124.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002).\n                      <jats:italic toggle=\"yes\">Post hoc<\/jats:italic>\n                      analysis showed higher dietary adherence among those with private insurance than public insurance (59% vs. 41%, respectively,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children receiving multidisciplinary multicomponent weight management, who achieve clinically meaningful outcomes, are more likely to be adherent to dietary recommendations regardless of the type. Further study is needed of how best to address social determinants of health to improve dietary adherence. Clinical Trial Registration Number: NCT02121132.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2023.0083","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T11:35:10Z","timestamp":1700134510000},"page":"416-424","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Treating Children and Adolescents With Obesity: Characteristics of Success"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1836-0533","authenticated-orcid":false,"given":"Amy","family":"Christison","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, IL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Tucker","sequence":"additional","affiliation":[{"name":"Health Optimization Services, Helen DeVos Children's Hospital, Grand Rapids, MI, USA."},{"name":"Department of Pediatrics and Human Development, Michigan State University, Grand Rapids, MI, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"King","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA."},{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Department of General Academic Pediatrics, Children's Mercy Kansas City, University of Missouri\u2014Kansas City, Kansas City, MO, USA."},{"name":"Children's Center for Healthy Lifestyles &amp; Nutrition, Kansas City, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Cuda","sequence":"additional","affiliation":[{"name":"Alamo City Healthy Kids &amp; Families, San Antonio, TX, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Frank","sequence":"additional","affiliation":[{"name":"The Heart Institute, Center for Better Health and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Kirk","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA."},{"name":"The Heart Institute, Center for Better Health and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the POWER Work Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,6]]},"reference":[{"issue":"3","key":"e_1_3_5_2_2","doi-asserted-by":"crossref","first-page":"20173459","DOI":"10.1542\/peds.2017-3459","article-title":"Prevalence of obesity and severe obesity in US children, 1999\u20132016","volume":"141","author":"Skinner AC","year":"2018","unstructured":"Skinner AC, , Ravanbakht SN, , Skelton JA, et al. 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