| Medical nutrition therapy for overweight youth in their medical home: the KIDPOWER experience. | |
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MedLine Citation:
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PMID: 20006457 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. METHODS: A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2-20 years) in 9 primary care practices in a rural community. A medical record review yielded height, weight and selected patient/parent reported eating and TV behaviors from each MNT visit. Mean values were compared by paired samples t-tests. Changes in behaviors and BMI z score were compared using repeated measures ANOVA. RESULTS: For patients with at least three MNT visits (n=109) significant improvements in eating and TV viewing habits were seen by the third visit. Weight status, as determined by a significant decline in mean BMI z score, was improved. CONCLUSION: The KIDPOWER protocol delivered by a RD in the pediatric medical home aided overweight youth in making behavior changes that positively impacted their weight status. PRACTICE IMPLICATIONS: Reimbursement to RDs for treating childhood obesity is improving and KIDPOWER provides a model and tools for community practice. |
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Authors:
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Sarah T Henes; David N Collier; Susan L Morrissey; Doyle M Cummings; Kathryn M Kolasa |
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Publication Detail:
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Type: Journal Article Date: 2009-12-16 |
Journal Detail:
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Title: Patient education and counseling Volume: 81 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-08-24 Completed Date: 2010-12-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 43-6 Citation Subset: N |
Copyright Information:
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(c) 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Brody School of Medicine at East Carolina University, Pediatric Healthy Weight Research and Treatment Center, Department of Pediatrics, Greenville, NC 27834, USA. heness@ecu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Clinical Protocols Diet, Reducing* Feasibility Studies Female Humans Male North Carolina Overweight / diet therapy* Patient Education as Topic* Primary Health Care Retrospective Studies Young Adult |
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