{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:40:17Z","timestamp":1756338017497,"version":"3.44.0"},"reference-count":34,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Purpose<\/jats:bold>:<\/jats:italic> Pediatric obesity is rising in prevalence. We audited the results of an exercise program for overweight and obese pediatric participants in a tertiary pediatric hospital. The main aim was to determine the program\u2019s effectiveness, with the main outcome of change in body mass index (BMI). <jats:italic><jats:bold>Method<\/jats:bold>:<\/jats:italic> Retrospective review of data from all pediatric participants attending the program between January 2017 and December 2022. Inclusion criteria for analysis were BMI \u226590th centile, ages 6\u201315, attendance in at least 2 sessions and for at least 1\u00a0week. Statistical analysis was done using Generalized Additive Modeling. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> One hundred thirty seven participants were included. The average duration in the program was 16\u00a0months (min\u2009=\u20091\u00a0wk, max\u2009=\u200957\u00a0mo). Majority (66%, n\u2009=\u200994) attended at intervals of &gt;4\u00a0weeks. Only 7% (n\u2009=\u20099) attended weekly. The shorter the visit intervals, the more likely the BMI loss. The greatest decrease in BMI (\u22120.275; 95% confidence interval, \u22120.381 to \u22120.17) was in 15-year-old obese participants with visit intervals of &lt;1\u00a0week. At the last visit, 84.7% maintained, 12.4% improved and 2.9% worsened in BMI category, respectively. <jats:italic><jats:bold>Conclusion<\/jats:bold>:<\/jats:italic> Participants who attended an exercise program at least weekly demonstrated the best outcomes. Most did not adhere to the recommended frequency and thus had poorer outcomes. We have since made improvements to our program to increase visit frequency.<\/jats:p>","DOI":"10.1123\/pes.2023-0160","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T16:07:34Z","timestamp":1729008454000},"page":"269-277","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Exercise Program for Overweight and Obese Pediatric Participants in a Single Tertiary Center in Singapore"],"prefix":"10.1123","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5535-3928","authenticated-orcid":true,"given":"Kylie","family":"Leong","sequence":"first","affiliation":[{"name":"Department of Pediatrics, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4688-7968","authenticated-orcid":true,"given":"Muhammad Munir","family":"Tohid","sequence":"additional","affiliation":[{"name":"Sport and Exercise Medicine Service, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7057-7548","authenticated-orcid":true,"given":"Bernard Xian Wei","family":"Liew","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9659-3917","authenticated-orcid":true,"given":"Siao Hui","family":"Toh","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-7664","authenticated-orcid":true,"given":"Mohammad Ashik","family":"Zainuddin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0693-4638","authenticated-orcid":true,"given":"Fadzlynn","family":"Fadzully","sequence":"additional","affiliation":[{"name":"Sport and Exercise Medicine Service, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon Guoqiang","family":"Feng","sequence":"additional","affiliation":[{"name":"Sport and Exercise Medicine Service, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8653-9501","authenticated-orcid":true,"given":"Muhammad Alif","family":"Bin Abu Bakar","sequence":"additional","affiliation":[{"name":"Sport and Exercise Medicine Service, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6385-8520","authenticated-orcid":true,"given":"Benny Kai Guo","family":"Loo","sequence":"additional","affiliation":[{"name":"Sport and Exercise Medicine Service, KK Women\u2019s and Children\u2019s Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"4","key":"r1","series-title":"Clinical Pediatrics","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1177\/000992280604500408","article-title":"Parent reasons for nonreturn to a pediatric weight management program","volume":"45","author":"Barlow SE","year":"2006","unstructured":"Barlow SE, Ohlemeyer CL. 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