title: Multidisciplinary care management has a positive effect on paediatric obesity and social and individual factors are associated with better outcomes.
abstract: OBJECTIVE
  The RePPOP Aquitaine network, which was established in south-west France to prevent and treat paediatric obesity, has developed a multidisciplinary approach based on multicomponent lifestyle interventions and family-based actions. This study assessed the impact of its care management programme and investigated the factors associated with better outcomes.
  
  
  METHODS
  The impact of the RePPOP care management programme was assessed by changes in the body mass index (BMI) Z score, between baseline and the end-of-care management. We focused on 982 overweight or obese children (59.9% girls) with a mean age of 10.64 years and a range of 2.4-17.9 years. A multivariate analysis examined the independent factors associated with better outcomes.
  
  
  RESULTS
  At the end-of-care management programme, 75.5% of children had decreased their BMI Z score. Initial characteristics significantly associated with better outcomes were as follows: the age at baseline between five years and 15 years of age, playing sport at a club, being followed up by RePPOP for longer than 10 months, no parental obesity and no academic difficulties.
  
  
  CONCLUSIONS
  This study confirmed that multidisciplinary treatment had a significant positive effect on paediatric obesity and that social and individual factors affected the efficiency of the care management.
authors: Université Bordeaux, Bordeaux, France.|INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, Bordeaux, France.|RePPOP of Aquitaine, Bordeaux, France.
authors: C
authors: C
authors: Carriere
authors: RePPOP of Aquitaine, Bordeaux, France.|CHU de Bordeaux, Unité d'endocrinologie et de diabétologie pédiatrique, Hôpital des Enfants, Bordeaux, France.
authors: C
authors: C
authors: Cabaussel
authors: Université Bordeaux, Bordeaux, France.
authors: C
authors: C
authors: Bader
authors: Université Bordeaux, Bordeaux, France.|INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, Bordeaux, France.
authors: P
authors: P
authors: Barberger-Gateau
authors: Université Bordeaux, Bordeaux, France.|RePPOP of Aquitaine, Bordeaux, France.|CHU de Bordeaux, Unité d'endocrinologie et de diabétologie pédiatrique, Hôpital des Enfants, Bordeaux, France.
authors: P
authors: P
authors: Barat
authors: Université Bordeaux, Bordeaux, France. helene.thibault@orange.fr.|INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, Bordeaux, France. helene.thibault@orange.fr.|RePPOP of Aquitaine, Bordeaux, France. helene.thibault@orange.fr.|CHU de Bordeaux, Unité d'endocrinologie et de diabétologie pédiatrique, Hôpital des Enfants, Bordeaux, France. helene.thibault@orange.fr.
authors: H
authors: H
authors: Thibault
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004522:Educational Status; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D010290:Parents; D010346:Patient Care Management / Q000379:methods / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D063766:Pediatric Obesity / Q000628:therapy*; D017678:Sex Distribution; D012923:Social Class; D013177:Sports / Q000706:statistics & numerical data; D013997:Time Factors
keywords: Body mass index; Family-based action; Multicomponent lifestyle intervention; Paediatric obesity; Social factors