Psychiatric diagnoses and medication treatment among patients presenting for paediatric weight management: associations with adiposity, aerobic fitness and cardiometabolic health.
We compared anthropometry, cardiometabolic risk and aerobic fitness among obese youth in weight management who were diagnosed with one or more psychiatric disorders (PD), with (PD+M) or without (PD-M) a prescribed psychotropic medication with those with no PD (NPD). Physical measures were evaluated at baseline, and psychiatric diagnoses and related medications were identified from medical records. Of 99 patients 64 (65%) had a diagnosed PD, and of those, 23 (36%) had a related medication (PD+M). Compared to NPD, PD-M had a higher body mass index (BMI) (P = 0.003), BMI z-score (P = 0.015), percent body fat (P = 0.005) and waist circumference (P < 0.001), after adjusting for age, but PD+M did not. Cardiometabolic risk did not differ between groups, but aerobic fitness was lower among PD-M (P = 0.001) and PD+M (P = 0.008) compared to NPD. Obese youth in weight management exhibit high rates of psychiatric diagnoses that are associated with lower fitness and higher adiposity and may impact treatment efficacy.
Healthy Weight Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.|Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.
J M
http://orcid.org/0000-0003-2345-9343
JM
Tucker
Healthy Weight Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.|Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.
A
A
Cadieux
Healthy Weight Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
K
K
Culver
Healthy Weight Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
L
L
Smith
Healthy Weight Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.|Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.
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W
Stratbucker
D050154:Adiposity; D000293:Adolescent; D000886:Anthropometry; D015992:Body Mass Index; D002648:Child; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology / Q000523:psychology; D009765:Obesity / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D010809:Physical Fitness; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055105:Waist Circumference
D011619:Psychotropic Drugs
Cardiovascular risk; obesity; psychiatric disorder; psychopathology