{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:06:51Z","timestamp":1788869211133,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"First Steps Kent"},{"name":"Spectrum Health Healthier Communities"},{"name":"Helen DeVos Children\u2019s Hospital"},{"name":"Kent County Medical Foundation"},{"name":"Forest Hills Pediatrics"},{"name":"Founders Bank and Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2014]]},"abstract":"\n This paper describes FitKids360, a stage 2 pediatric weight management program. FitKids360 is a physician-referred, multicomponent, low-cost healthy lifestyle program for overweight and obese youth 5\u201316 years of age and their families. FitKids360 provides an evidence-based approach to the treatment of pediatric overweight by targeting patients\u2019 physical activity, screen time, and dietary behaviors using a family-centered approach. The intervention begins with a two-hour orientation and assessment period followed by six weekly sessions. Assessments include lifestyle behaviors, anthropometry, and the Family Nutrition and Physical Activity (FNPA) survey, which screens for obesogenic risk factors in the home environment. Outcomes are presented from 258 patients who completed one of 33 FitKids360 classes. After completing FitKids360, patients increased moderate to vigorous physical activity by 14 minutes (\n \n P<\/mml:mi>\n =<\/mml:mo>\n 0.019<\/mml:mn>\n <\/mml:math>\n ), reduced screen time by 44 minutes (\n \n P<\/mml:mi>\n <<\/mml:mo>\n 0.001<\/mml:mn>\n <\/mml:math>\n ), and improved key dietary behaviors. Overall, FNPA scores increased by 9% (\n \n P<\/mml:mi>\n <<\/mml:mo>\n 0.001<\/mml:mn>\n <\/mml:math>\n ) and 69% of patients with \u201chigh risk\u201d FNPA scores at baseline dropped below the \u201chigh risk\u201d range by followup. Patients also lowered BMIs (\n \n P<\/mml:mi>\n =<\/mml:mo>\n 0.011<\/mml:mn>\n <\/mml:math>\n ) and age- and sex-adjusted BMI\n \n \n z<\/mml:mi>\n <\/mml:mrow>\n <\/mml:math>\n -scores (\n \n P<\/mml:mi>\n <<\/mml:mo>\n 0.001<\/mml:mn>\n <\/mml:math>\n ) after completing the 7-week program. We hope this report will be useful to medical and public health professionals seeking to develop stage 2 pediatric obesity programs.\n <\/jats:p>","DOI":"10.1155\/2014\/370403","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T17:20:02Z","timestamp":1408555202000},"page":"1-9","source":"Crossref","is-referenced-by-count":16,"title":["FitKids360: Design, Conduct, and Outcomes of a Stage 2 Pediatric Obesity Program"],"prefix":"10.1155","volume":"2014","author":[{"given":"Jared M.","family":"Tucker","sequence":"first","affiliation":[{"name":"Helen DeVos Children\u2019s Hospital, Grand Rapids, MI 49503, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joey C.","family":"Eisenmann","sequence":"additional","affiliation":[{"name":"Division of Sports & Cardiovascular Nutrition, Michigan State University, East Lansing, MI 48824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Howard","sequence":"additional","affiliation":[{"name":"Forest Hill Pediatrics, Grand Rapids, MI 49546, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily H.","family":"Guseman","sequence":"additional","affiliation":[{"name":"Division of Kinesiology & Health, University of Wyoming, Laramie, WY 82071, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimbo E.","family":"Yee","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, MI 48824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"DeLaFuente","sequence":"additional","affiliation":[{"name":"Spectrum Health Healthier Communities, Grand Rapids, MI 49504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Graybill","sequence":"additional","affiliation":[{"name":"Spectrum Health Healthier Communities, Grand Rapids, MI 49504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meggie","family":"Roberts","sequence":"additional","affiliation":[{"name":"College of Human Medicine, Michigan State University, East Lansing, MI 48825, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Murphy","sequence":"additional","affiliation":[{"name":"Grand Valley State University, Allendale, MI 49401, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Saturley","sequence":"additional","affiliation":[{"name":"Health Net of West Michigan, Grand Rapids, MI 49503, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Peterson","sequence":"additional","affiliation":[{"name":"Sisters of Charity of Leavenworth Health System, Denver, CO 80021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0800879"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1955"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2005.02.017"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1301\/nr.2004.jan.39?50"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.101.3.331"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.1.45"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.38"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2010.00803.x"},{"key":"10","first-page":"41","volume":"23","year":"1989","journal-title":"Canadian Journal of 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