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Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic

Received: 10 November 2020     Accepted: 21 November 2020     Published: 16 December 2020
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Abstract

Background: Childhood obesity has become a global epidemic, with approximately 34% of American children affected. This study describes outcomes seen in patients of a Multidisciplinary Pediatric Obesity Clinic (MPOC) who are compliant with individualized exercise regimens conducted by a Clinical Exercise Physiologist (CEP). The goal of this study is to track body composition, physical fitness measures, laboratory results, dietary and behavioral changes over the course of the program. Methods: Prospective cohort study design was implemented. There were 8-week exercise sessions conducted. Participants were evaluated by the CEP before, after the 8-week session using a standardized physical fitness evaluation, measurement of body composition and circumferences. Results: Statistical significance was observed with the increase in height (p<0.001), weight (p=0.014), Total Lean Mass (p=0.015). Increase in percent lean mass for all ethnicities in the study group i.e. black (male and female), hispanic (male and female) and white (male). An increase in the number of push-ups (p=0.012) was also observed. Conclusion: We can conclude that the use of an MPOC, CEP, and an exercise program early in childhood can potentially prevent the complications of obesity later in life.

Published in American Journal of Pediatrics (Volume 6, Issue 4)
DOI 10.11648/j.ajp.20200604.27
Page(s) 488-494
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Multidisciplinary, Obesity, Pediatrics, Physical Activity

References
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[6] Smith AW, Borowski LA, Liu B, et al. U.S. primary care physicians' diet-, physical activity-, and weight-related care of adult patients. Am J Prev Med. 2011; 41 (1): 33-42. doi: 10.1016/j.amepre.2011.03.017.
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[15] Barreira, T. V., Broyles, S. T., Gupta, A. K., & Katzmarzyk, P. T. (2014). Relationship of anthropometric indices to abdominal and total body fat in youth: sex and race differences. Obesity, 22 (5), 1345-1350.
[16] Jankowski M, Niedzielska A, Brzezinski M, Drabik J. Cardiorespiratory fitness in children: a simple screening test for population studies. Pediatr Cardiol. 2015; 36 (1): 27–32. doi: 10.1007/s00246-014-0960-0.
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Cite This Article
  • APA Style

    Rebecca Espinosa, Kelly Hearne, Ayoola Adigun, Lisa Farkas, Ryan Cranshaw, et al. (2020). Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic. American Journal of Pediatrics, 6(4), 488-494. https://doi.org/10.11648/j.ajp.20200604.27

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    ACS Style

    Rebecca Espinosa; Kelly Hearne; Ayoola Adigun; Lisa Farkas; Ryan Cranshaw, et al. Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic. Am. J. Pediatr. 2020, 6(4), 488-494. doi: 10.11648/j.ajp.20200604.27

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    AMA Style

    Rebecca Espinosa, Kelly Hearne, Ayoola Adigun, Lisa Farkas, Ryan Cranshaw, et al. Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic. Am J Pediatr. 2020;6(4):488-494. doi: 10.11648/j.ajp.20200604.27

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  • @article{10.11648/j.ajp.20200604.27,
      author = {Rebecca Espinosa and Kelly Hearne and Ayoola Adigun and Lisa Farkas and Ryan Cranshaw and Cara Boyarin and Morgan Sawyer and Debora Duro},
      title = {Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {4},
      pages = {488-494},
      doi = {10.11648/j.ajp.20200604.27},
      url = {https://doi.org/10.11648/j.ajp.20200604.27},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200604.27},
      abstract = {Background: Childhood obesity has become a global epidemic, with approximately 34% of American children affected. This study describes outcomes seen in patients of a Multidisciplinary Pediatric Obesity Clinic (MPOC) who are compliant with individualized exercise regimens conducted by a Clinical Exercise Physiologist (CEP). The goal of this study is to track body composition, physical fitness measures, laboratory results, dietary and behavioral changes over the course of the program. Methods: Prospective cohort study design was implemented. There were 8-week exercise sessions conducted. Participants were evaluated by the CEP before, after the 8-week session using a standardized physical fitness evaluation, measurement of body composition and circumferences. Results: Statistical significance was observed with the increase in height (p<0.001), weight (p=0.014), Total Lean Mass (p=0.015). Increase in percent lean mass for all ethnicities in the study group i.e. black (male and female), hispanic (male and female) and white (male). An increase in the number of push-ups (p=0.012) was also observed. Conclusion: We can conclude that the use of an MPOC, CEP, and an exercise program early in childhood can potentially prevent the complications of obesity later in life.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Influence of Exercise on Body Composition and Patient Outcomes in a Multidisciplinary Pediatric Obesity Clinic
    AU  - Rebecca Espinosa
    AU  - Kelly Hearne
    AU  - Ayoola Adigun
    AU  - Lisa Farkas
    AU  - Ryan Cranshaw
    AU  - Cara Boyarin
    AU  - Morgan Sawyer
    AU  - Debora Duro
    Y1  - 2020/12/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200604.27
    DO  - 10.11648/j.ajp.20200604.27
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 488
    EP  - 494
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200604.27
    AB  - Background: Childhood obesity has become a global epidemic, with approximately 34% of American children affected. This study describes outcomes seen in patients of a Multidisciplinary Pediatric Obesity Clinic (MPOC) who are compliant with individualized exercise regimens conducted by a Clinical Exercise Physiologist (CEP). The goal of this study is to track body composition, physical fitness measures, laboratory results, dietary and behavioral changes over the course of the program. Methods: Prospective cohort study design was implemented. There were 8-week exercise sessions conducted. Participants were evaluated by the CEP before, after the 8-week session using a standardized physical fitness evaluation, measurement of body composition and circumferences. Results: Statistical significance was observed with the increase in height (p<0.001), weight (p=0.014), Total Lean Mass (p=0.015). Increase in percent lean mass for all ethnicities in the study group i.e. black (male and female), hispanic (male and female) and white (male). An increase in the number of push-ups (p=0.012) was also observed. Conclusion: We can conclude that the use of an MPOC, CEP, and an exercise program early in childhood can potentially prevent the complications of obesity later in life.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Department of Graduate Medical Education, Salah Foundation Children’s Hospital, Fort Lauderdale, USA

  • Department of Grants Administration, Broward Health Medical Center, Fort Lauderdale, USA

  • Department of Grants Administration, Broward Health Medical Center, Fort Lauderdale, USA

  • Broward Health Wellness Center, Broward Health Medical Center, Fort Lauderdale, USA

  • Department of Wellness and Cardiopulmonary Rehabilitation, Broward Health Medical Center, Fort Lauderdale, USA

  • Department of Wellness and Cardiopulmonary Rehabilitation, Broward Health Medical Center, Fort Lauderdale, USA

  • Department of Wellness and Cardiopulmonary Rehabilitation, Broward Health Medical Center, Fort Lauderdale, USA

  • Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Florida Intestinal Rehabilitation Support and Treatment (FIRST) at Salah Foundation Children Hospital, Broward Health Medical Center, Fort Lauderdale, USA

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