CHPCCChildren's Hospital Primary Care Center (Boston, MA)
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The study population comprised overweight (BMI [greater than or equal to] 85th and <95th sex- and age-specific percentile based on Centers for Disease Prevention and Control 2000 Growth Charts) or obese (>95th percentile) children aged 2-18 years who were referred from the CHPCC to the OSA program between 2003 and 2009.
CHPCC well care visit content is based on the Bright-Futures Guidelines for Health Supervision [7], but no practice-wide standards existed at the time of this study for obesity assessment, education or follow-up intervals.
Interestingly, BMI z-scores for the comparison group also decreased following the initial rise, although being at a lesser rate than for the intervention group, suggesting that the Stage 1 strategy by primary care providers in our CHPCC is also somewhat effective.