Successful telehealth transformation of a pediatric outpatient obesity teaching program due to the COVID-19 pandemic – the “Video KiCK” program
Author:
Reschke Felix1ORCID, Galuschka Laura1, Landsberg Sarah1, Weiner Chantal1, Guntermann Cathrin1, Sadeghian Evelin1, Lange Karin2ORCID, Danne Thomas1ORCID
Affiliation:
1. KiCK – Initiative, Center for Diabetology and Endocrinology for Children and Adolescents , Children`s Hospital Auf Der Bult , Hannover , Germany 2. Medical Psychology , Hannover Medical School , Hannover , Germany
Abstract
Abstract
Objectives
To investigate if digital approaches can ameliorate the known consequences of social-distancing restrictions in the context of the global COVID-19 pandemic for adolescent participants originally registered for a face-to-face outpatient weight regulation program and whether video-based multiprofessional outpatient obesity therapy is successful for a group of adolescents with preexisting obesity.
Methods
The certified KiCK outpatient training program for children and adolescents with overweight and obesity was remodeled as a consequence of the lockdown traditional face-to-face program to a completely digital and video-based format on short notice. The virtual approach was compared with the results of the conventional program regarding metabolic parameters, body mass index standard deviation score (BMI SDS), well-being, and physical fitness.
Results
Sixty-nine of 77 enrolled participants for KiCK (age 8 to 17 years, BMI z score >2.0) were able and willing to participate virtually. After the first lockdown significant improvements of BMI SDS (mean 0.18; p=0.02), homeostasis model assessment (HOMA) index (mean 1.4; p=0.016), triglycerides (mean 0.18 mmol/dL; p=0.021), 6 minute-walk-test (mean 97.0 m; p=0.030, and well-being according to the World Health Organization 5 (WHO-5) questionnaire (mean 2.5; p=0.002) were found after the virtual intervention, which was comparable to the results observed previously in matched pairs data from the program during the pre-COVID period. After the end of the second lockdown weight SDS, BMI SDS, HOMA INDEX, and cholesterol were also measured reduced compared to baseline parameters measured before program initiation. Walking distance in the 6 MWT and improvement in general well-being in the WHO-5 questionnaire also persisted.
Conclusions
These results indicate good acceptance and efficacy of the video-intervention for youth with overweight and obesity during the lockdown, supporting the use of virtual modules in future programs after the pandemic.
Funder
#wekickcorona Dr August and Erika Appenrodt Stiftung, Hanover
Publisher
Walter de Gruyter GmbH
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health
Reference49 articles.
1. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet 2017;390:2627–42. https://doi.org/10.1016/S0140-6736(17)32129-3. 2. Cardel, MI, Atkinson, MA, Taveras, EM, Holm, JC, Kelly, AS. Obesity treatment among adolescents: a review of current evidence and future directions. JAMA Pediatr 2020;174:609–17. https://doi.org/10.1001/jamapediatrics.2020.0085. 3. Antwi, F, Fazylova, N, Garcon, MC, Lopez, L, Rubiano, R, Slyer, JT. The effectiveness of web-based programs on the reduction of childhood obesity in school-aged children: a systematic review. JBI Libr Syst Rev 2012;10:1–14. https://doi.org/10.11124/jbisrir-2012-248. 4. Cook, S, Kavey, RE. Dyslipidemia and pediatric obesity. Pediatr Clin 2011;58:1363–73. https://doi.org/10.1016/j.pcl.2011.09.003. 5. Rankin, J, Matthews, L, Cobley, S, Han, A, Sanders, R, Wiltshire, HD, et al.. Psychological consequences of childhood obesity: psychiatric comorbidity and prevention. Adolesc Health Med Therapeut 2016;7:125–46. https://doi.org/10.2147/AHMT.S101631.
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