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| Name | Class |
|---|---|
| William H. Hurt Foundation | UNKNOWN |
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This project aims to move what is currently a specialty-care model for the management of obesity of children and adolescents into the primary care setting.
The goal of this project is to create a sustainable clinical model in the primary care setting that improves nutritional health, lessens obesity, and addresses weight-related complications of children and adolescents to reduce risk for metabolic disease in later life. The primary objectives include tracking changes in BMI (both absolute and percentile) and levels of hemoglobin A1c, liver enzymes (AST, ALT levels), and lipids in patients seen in a primary care setting by a general pediatrician board-certified in obesity medicine. Secondary objectives include tracking patient adherence, follow-up, and retention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Pediatric patients with obesity or in need of weight management for unwanted weight gain. |
| |
| Controls | Historic controls matched to the Intervention group on age, sex, and BMI percentile. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical obesity management. | Other | Dietician visits, education, anti-obesity medications, and/or referral for metabolic-bariatric surgery as indicated by American Academy of Pediatrics guidelines for obesity management. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body weight | Body weight in kg | Baseline to follow-up (1-3 years) |
| Change in body height | Body height in meters | Baseline to follow-up (1-3 years) |
| Change in BMI | BMI will be calculated using the formula: kg weight / m2 height. Will be in both absolute and percentile for age | Baseline to follow-up (1-3 years) |
| Impact on glucose control | Hemoglobin A1c levels | Baseline to follow-up (1-3 years) |
| Impact on fatty liver | Levels of liver enzymes ALT, AST | Baseline to follow-up (1-3 years) |
| Impact on lipid levels | Levels of total, LDL, HDL, and non-HDL cholesterol. Triglycerides. | Baseline to follow-up (1-3 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient follow-up metrics | Patient clinical follow-up rate, medication adherence, and retention | Baseline to follow-up (1-3 years) |
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Inclusion Criteria:
Children with obesity (BMI > 30 kg/m2 or > 95th percentile) or in need of weight management of unwanted weight gain.
Exclusion Criteria:
None.
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Patients in a general pediatrician's office internally in Portland, Oregon.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jonathan Q Purnell, MD | Contact | 503-494-1056 | purnellj@ohsu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Children's Clinic | Recruiting | Portland | Oregon | 97225 | United States |
This study uses anonymized data. No IPD will be generated.
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| Oregon Health & Science University | Active, not recruiting | Portland | Oregon | 97239 | United States |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |