Outcome of a hospital based multidisciplinary weight loss program in obese Filipino children

Nutrition. 2011 Jan;27(1):50-54. doi: 10.1016/j.nut.2009.11.028. Epub 2010 Apr 3.


Background: Childhood obesity is becoming a problem for Filipino children with an increasing national prevalence of pediatric overweight and obesity. A multidisciplinary approach combining behavioral therapy with diet and exercise is often advocated as having the greatest impact in pediatric weight management.

Objective: To determine the effects of a weight loss program, which is a staged 3-mo, multidisciplinary intervention consisting of combined dietary, exercise, and behavioral methods in obese children.

Research methods and procedures: Prospective study done in a hospital-based weight management center; duration of study: 15 mo (November 2005 to January 2008); participants: 44 obese children (aged 5-17 y; body mass index [BMI] 85th-99th percentile); outcome measures: change in weight, BMI, BMI z-score (SD score); secondary measures included changes in waist circumference, blood pressure, and body fat. Statistical tests: paired t tests, χ² test, Wilcoxon ranked sum test, regression analysis, and ANOVA.

Results: At the end of the program, the patients demonstrated a decrease in weight, BMI, BMI z-score, body fat, systolic blood pressure, and waist circumference. Mean weight loss is 4.2 kg (P < 0.01) with an average of 5.3% weight loss; BMI decreased by 1.5 units (P < 0.01), BMI z-score by 0.15 (P < 0.004), body fat by 14% (P < 0.01), systolic blood pressure by 7.25 mm Hg (P < 0.05), and waist circumference by 5.4 cm (P < 0.05). Decrease in weight, BMI, and body fat were significantly correlated with number of sessions attended.

Conclusion: The use of a multidisciplinary 3-mo staged program resulted in an effective weight loss in obese Filipino children, which was directly related to the frequency of sessions attended.

Publication types

  • Clinical Trial

MeSH terms

  • Adipose Tissue
  • Adolescent
  • Analysis of Variance
  • Behavior Therapy*
  • Blood Pressure
  • Body Mass Index
  • Child
  • Child, Preschool
  • Diet*
  • Exercise*
  • Female
  • Humans
  • Male
  • Obesity / therapy*
  • Outpatient Clinics, Hospital
  • Philippines
  • Prospective Studies
  • Treatment Outcome
  • Waist Circumference
  • Weight Loss*