title: FitKids360: design, conduct, and outcomes of a stage 2 pediatric obesity program.
abstract: 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 5-16 years of age and their families. FitKids360 provides an evidence-based approach to the treatment of pediatric overweight by targeting patients' 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 (P = 0.019), reduced screen time by 44 minutes (P < 0.001), and improved key dietary behaviors. Overall, FNPA scores increased by 9% (P < 0.001) and 69% of patients with "high risk" FNPA scores at baseline dropped below the "high risk" range by followup. Patients also lowered BMIs (P = 0.011) and age- and sex-adjusted BMI z-scores (P < 0.001) 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.
authors.affiliation: Helen DeVos Children's Hospital, Grand Rapids, MI 49503, USA.
authors.forename: Jared M
authors.initials: JM
authors.lastname: Tucker
authors.affiliation: Division of Sports & Cardiovascular Nutrition, Michigan State University, East Lansing, MI 48824, USA.
authors.forename: Joey C
authors.initials: JC
authors.lastname: Eisenmann
authors.affiliation: Forest Hill Pediatrics, Grand Rapids, MI 49546, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Howard
authors.affiliation: Division of Kinesiology & Health, University of Wyoming, Laramie, WY 82071, USA.
authors.forename: Emily H
authors.initials: EH
authors.lastname: Guseman
authors.affiliation: Department of Kinesiology, Michigan State University, East Lansing, MI 48824, USA.
authors.forename: Kimbo E
authors.initials: KE
authors.lastname: Yee
authors.affiliation: Spectrum Health Healthier Communities, Grand Rapids, MI 49504, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: DeLaFuente
authors.affiliation: Spectrum Health Healthier Communities, Grand Rapids, MI 49504, USA.
authors.forename: Jill
authors.initials: J
authors.lastname: Graybill
authors.affiliation: College of Human Medicine, Michigan State University, East Lansing, MI 48825, USA.
authors.forename: Meggie
authors.initials: M
authors.lastname: Roberts
authors.affiliation: Grand Valley State University, Allendale, MI 49401, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Murphy
authors.affiliation: Health Net of West Michigan, Grand Rapids, MI 49503, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Saturley
authors.affiliation: Sisters of Charity of Leavenworth Health System, Denver, CO 80021, USA.
authors.forename: Tom
authors.initials: T
authors.lastname: Peterson
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004038:Diet, Reducing / Q000523:psychology; D055317:Evidence-Based Practice; D015444:Exercise / Q000523:psychology; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D009042:Motivation; D016487:Parenting; D010290:Parents / Q000523:psychology; D010349:Patient Compliance; D063766:Pediatric Obesity / Q000517:prevention & control* / Q000523:psychology; D010806:Physical Education and Training; D016730:Program Development; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D012919:Social Behavior; D015431:Weight Loss