Weight Loss Programs fail in obese children with Blount's and SCFE

• Main Authors: Gregory I Pace (Author), William L Hennrikus (Author)
• Format: Book
• Published: Annals of Musculoskeletal Medicine - Peertechz Publications, 2017-06-27.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p><strong>Introduction:</strong> Slipped capital femoral epiphysis (SCFE) and Blount's disease in children are associated with obesity. The purpose of this study is to evaluate the effectiveness of pediatric weight management programs in achieving weight loss in overweight children with SCFE and Blount's disease.</p><p><strong>Methods: </strong>A retrospective review of medical records was performed on children treated surgically for SCFE and Blount's Disease between 2008 and 2013 by the senior author (WH). All patients in the study were overweight or obese.</p><p><strong>Results:</strong> Sixteen females and 17 males with a mean age of 12.7 years were identified. All patients were offered a referral for weight loss management. 17 (52%) patients accepted the offer for a weight loss consultation and 12 (36%) actually attended the pediatric weight loss center. Patients who attended the pediatric weight loss center experienced a larger increase in BMI during follow-up compared to patients who did not attend the weight loss center.</p><p><strong>Conclusions:</strong> Adolescents with SCFE or Blount's disease showed poor compliance in attending a weight management center. Furthermore, patients who attended the weight loss clinic failed to decrease their BMI.</p>