{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:11:33Z","timestamp":1762899093154,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,10,21]],"date-time":"2014-10-21T00:00:00Z","timestamp":1413849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,10,21]],"date-time":"2014-10-21T00:00:00Z","timestamp":1413849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Despite the well\u2010documented need for multidisciplinary pediatric obesity treatment programs, few programs exist and best practices are not clearly defined. We describe the design and initial quality\u2010related outcomes of the Strong4Life multidisciplinary pediatric obesity treatment program along with some challenges and solutions implemented over the first 2 years. The purpose of this report is to inform others interested in designing similar programs. <jats:italic>Program Description<\/jats:italic>: The Strong4Life Clinic obesity program was designed to provide children with the medical care, as well as the behavior change guidance and support needed to reverse their obesity and\/or minimize the related health risks. This low\u2010intensity program is designed to provide approximately 6 hours of care over 12 months from a medical provider, psychologist, registered dietitian nutritionist, exercise physiologist, and nurse. <jats:italic>Results<\/jats:italic>: Between August 2011 and February 2014, the Strong4Life clinic served 781 high\u2010risk (mean sex\u2010 and age\u2010adjusted body mass index [BMI] percentile 98.8) and racially\/ethnically diverse (45% non\u2010Hispanic black and 24% Hispanic) patients. Of the 781 patients seen, 66% returned for at least 1 visit. Nearly all returning Strong4Life patients stabilized or improved their BMI (90% of those who participated &lt;6 months, 97% of those who participated 6 to &lt;12 months, and 92% of those who participated \u226512 months). <jats:italic>Conclusions<\/jats:italic>: This report describes a low\u2010intensity multidisciplinary weight management program that is feasible. Initial assessment of the program suggests benefit in most patients who participate &gt;6 months, but longer follow\u2010up and assessment of comorbidities are needed.<\/jats:p>","DOI":"10.1177\/0884533614551839","type":"journal-article","created":{"date-parts":[[2014,10,22]],"date-time":"2014-10-22T01:05:15Z","timestamp":1413939915000},"page":"780-785","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Challenges and Successes of a Multidisciplinary Pediatric Obesity Treatment Program"],"prefix":"10.1002","volume":"29","author":[{"given":"Stephanie M.","family":"Walsh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean A.","family":"Welsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam B.","family":"Vos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.08.043"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2006.09.039"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012578"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-012-1865-7"},{"journal-title":"Clin Nutr","article-title":"Three\u2010year follow\u2010up of 3\u2010year\u2010old to 5\u2010year\u2010old children after participation in a multidisciplinary or a usual\u2010care obesity treatment program","author":"Bocca G","key":"e_1_2_9_7_1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e318290d138"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2014.03.130243"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpem-2013-0349"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000348732"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2013.02.076"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12006"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3928\/00904481-20100223-06"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.5.495"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14622200500266080"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198606000-00018"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e31818ec87b"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-159"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.38"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.07.018"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2037"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329F"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0480E"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2012.05.001"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0884533614551839","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0884533614551839","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533614551839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:19:28Z","timestamp":1760966368000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533614551839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,21]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1177\/0884533614551839"],"URL":"https:\/\/doi.org\/10.1177\/0884533614551839","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"type":"print","value":"0884-5336"},{"type":"electronic","value":"1941-2452"}],"subject":[],"published":{"date-parts":[[2014,10,21]]}}}