title: Outcomes of a weight management clinic for children with special needs.
abstract: OBJECTIVE
  Rates of obesity are elevated among children with special needs (e.g., autism spectrum disorder, Down syndrome, or developmental disabilities). The objective of this study was to evaluate the effectiveness of a multidisciplinary tailored intervention to treat obesity among youth with special needs.
  
  
  METHODS
  Seventy-six children aged 2 to 19 years participated in a multidisciplinary weight management clinic adapted for children with special needs. A description of the patients presenting for specialized clinical services is provided, and the impact of the intervention on child body mass index (BMI) and food variety was examined for a subset (n = 30) of children. Descriptive statistics of the patient population at baseline were calculated and a series of t tests, correlations, and analysis of variance models examined change in BMI z-scores (BMIz) and diet variety. Factors related to treatment outcomes were also explored.
  
  
  RESULTS
  BMIz decreased significantly by the 6-month follow-up (M = 2.43 to M = 2.36, p < .01). There were significant increases in the variety of fruits, vegetables, and grains that children ate (t(16) = 3.18, p < .01; t(16) = 2.63, p = .02; t(16) = 2.37, p = .03, respectively).
  
  
  CONCLUSIONS
  A multidisciplinary clinic-based intervention was effective in reducing BMIz over a 6-month period and increasing the variety of foods that children were eating. These results have implications for providing tailored weight management interventions for youth with obesity and special needs.
authors.affiliation: *Children's Mercy Hospital, Department of Pediatrics, Developmental and Behavioral Sciences, Kansas City, MO; †Children's Mercy Hospital, Department of Pediatrics, Weight Management, Kansas City, MO; ‡Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO; §Clinical Child Psychology Program, University of Kansas, Lawrence, KS; ‖Department of Counseling and Educational Psychology, University of Missouri-Kansas City, Kansas City, MO; ¶Children's Mercy Hospital, Department of Allied Health Professions, Physical and Occupational Therapy, Kansas City, MO.
authors.forename: Meredith L Dreyer
authors.initials: ML
authors.lastname: Gillette
authors.forename: Cathleen Odar
authors.initials: CO
authors.lastname: Stough
authors.forename: Amy R
authors.initials: AR
authors.lastname: Beck
authors.forename: Genevieve
authors.initials: G
authors.lastname: Maliszewski
authors.forename: Cora M
authors.initials: CM
authors.lastname: Best
authors.forename: Janelle K
authors.initials: JK
authors.lastname: Gerling
authors.forename: Shelly
authors.initials: S
authors.lastname: Summar
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D050177:Overweight / Q000628:therapy*; D016896:Treatment Outcome; D061217:Weight Reduction Programs / Q000379:methods*; D055815:Young Adult