EHR-enabled tool to address child obesity can help children achieve positive BMI


An digital well being report (EHR) program to assist main care medical doctors deal with baby weight problems is an efficient instrument to advertise constructive physique mass index (BMI) developments, particularly amongst younger kids with weight problems, in keeping with a brand new College of Missouri Faculty of Drugs examine that examined the effectiveness of the FitTastic instrument over a median follow-up interval of almost three years.

FitTastic was developed in 2011 to assist well being care groups in speaking with households about 5 way of life behaviors: aiming for no less than one hour per day of bodily exercise, limiting display time to 2 hours per day or much less, consuming three servings a day of low-fat milk or calcium, consuming no less than 4 servings per day of water as a substitute of sugary drinks and consuming no less than 5 servings per day of fruit and veggies.

The FitTastic intervention features a affected person conduct evaluation, an EHR interface that helps suppliers with the conduct information to be used in objective setting with the household, dialogue of the FitTastic targets, and a handout and participation incentives to encourage households to attain the objective equivalent to a frisbee or water bottle.

Childhood weight problems is a rising downside in Missouri and throughout the nation which has been exacerbated by the COVID 19 pandemic. Over 30% of youngsters on this nation meet standards for weight problems or being overweight. Major care suppliers have a chance to play a pivotal function in offering screening and counseling for weight problems, and we needed to check the long-term effectiveness of FitTastic as a instrument to assist on this effort.”

Amy Braddock, MD, Principal Investigator, Affiliate Professor of Medical Household and Neighborhood Drugs

Braddock’s group carried out a multi-year examine to find out if obese or overweight kids originally of the examine exhibited a extra favorable physique mass index (BMI) trajectory in clinics that used the FitTastic instrument over a interval of years, in comparison with kids seen at clinics with out the instrument.

“We discovered an almost 20% extra favorable BMI sample within the FitTastic group in comparison with the management group when wanting particularly at kids who had been both obese or overweight,” Braddock mentioned. “The info was particularly favorable for youthful kids, between the ages of two and five-years-old.”

Braddock’s group found parental instructional stage was a danger issue for baby weight problems originally of the examine, however the outcomes confirmed no affect of parental schooling on the BMI sample of FitTastic versus management individuals, suggesting that FitTastic could be equally efficient in kids with mother and father of various instructional ranges.

“The wedding of clinic-based interventions and EHR information evaluation gives the chance for vital innovation and could be helpful for partnering well being care groups and households within the necessary duties of setting constructive, family-centered wholesome way of life targets,” Braddock mentioned. “FitTastic is the primary of hopefully many new and thrilling applied sciences to assist physicians working with households to advertise constructive well being behaviors. Solely by growing inventive new approaches that enhance the environments that our youngsters reside in can we count on to curb the kid weight problems epidemic.”

Braddock’s MU co-authors included Richelle Koopman, MD, the Jack M. and Winifred S. Colwill Endowered Professorship in Household and Neighborhood Drugs; Jamie Smith, analysis analyst; medical college students Andy Lee and Natalie Miller; Samuel Holt McNair, MD, resident physicians; Nuha Wareg, analysis specialist; and Megan Clary, MD, assistant professor of medical baby well being.

“A Longitudinal Effectiveness Research of a Youngster Weight problems Digital Well being Document Software,” was lately revealed by the Journal of the American Board of Household Drugs. Funding was offered by the American Academy of Household Physicians Basis Joint Grant Award Program. The findings and conclusions on this article are these of the authors and don’t essentially characterize the official positions of the American Academy of Household Physicians.


Journal reference:

Braddock, A., et al. (2022) A Longitudinal Effectiveness Research of a Youngster Weight problems Digital Well being Document Software. Journal of the American Board of Household Drugs.

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