Brannan, Lauren

Brown, Kimberly C., MD

Lenhart, Clare M, PhD MPH

Walker, Amanda, RN LDN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationObesity Prevention: Focus on the First Two YearsLauren BrannanFairleigh Dickinson UniversityKimberly C. Brown MDLehigh Valley Health Network, Kimberly.Brown@lvhn.orgClare M. Lenhart PhD MPHLehigh Valley Health NetworkAmanda Walker RN LDNLehigh Valley Health NetworkFollow this and additional works at: http://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtBrannan, L., Brown, K., Lenhart, C., Walker, A., (2017, July, 31) Obesity Prevention: Focus on the First Two Years. Poster presented atLVHN Research Scholar Program Poster Session, Lehigh Valley Health Network, Allentown, PA.© 2017 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaObesity Prevention: Focus on the First Two Years•In 2012 over 1/3 of children were considered overweight or obese with a body mass index ≥ 85thpercentile for their respective age and gender.1•This trend is established early in life and often continues into adulthood leading to greater risk of chronic disease such as diabetes, hypertension, and obstructive sleep apnea.2•Research shows that obesity rates in the United States amongst children are higher in Black non-Hispanic and Hispanic populations.3•Obesity rates are also found to be at the highest in low-income populations independent of race.3•To combat this alarming epidemic, this pilot study aims to target youth as early on in life as possible through the use of nutrition counseling at each well visit (newborn, 2-4wks, 2m, 4m, 6m, 9m, 12m, 15m, 18m, 24m) to demonstrate a decrease rate of obesity.REFERENCES1. Kerrilynn G. Rice, Riana B. Jumamil, Sarah M. Jabour, Jennifer K. Cheng; Role of Health Coaches in Pediatric Weight Management: Patient and Parent Perspectives. Clinical Pediatrics 2017; 56 (2): 162-170. doi: 10.1177/00099228166455152. Priscilla L. Lunn, Sanae Roberts, Alison Spence, Kylie D. Hesketh, Karen J. Campbell; Mothers' perceptions of Melbourne InFANT Program: informing future practice. Health Promot Int 2016; 31 (3): 614-622. doi: 10.1093/heapro/dav0043. Ogden, C.L., Carroll, M.D., Kit, B.K., & Flegal, K.M. (2014). Prevalence of Childhood Obesity in the United States, 2011-2012. JAMA, 311(8), 806-814.Proportion of Patients (≥12m) Who Saw Same PCP out of First 7 Well-Visits7 6 5 4 3 or lessLessons Learned: • Grant writing process– Include NORI staff in discussions about budget• Proposal– Detailed enough to conclude results– Broad enough to account for scheduling difficulties• Continutiy Clinic– Having a single PCP makes patient care more personalized• Patient Population– No shows– Cancellations– Transient patients• Education and Planning– Medical staff– NORI– Office staff• Preliminary data collected will be used for BMI calculations to draw conclusions based incidence of obesity at 18 months between intervention and control babies• This will allow for the institution of better care at LVHN• Future steps would be to repeat the protocol in other pediatric settings with different patient populationsLauren Brannan, Kimberly Brown MD, Clare M. Lenhart PhD MPH, Amanda Walker RD LDNBACKGROUND / INTRODUCTION METHODS OUTCOMESRESULTS CONCLUSIONSClinical medical records (EPIC) will be used for data extraction into REDCap for analysis with respect to weight-for-length and compared to aggregate data from a comparison group (control). Continuity of clinic assessed by PCP of all patientsSurveys will be conducted at baseline visit, 12m, and 18mParticipants see a study physician and registered dietician at each well visit in accordance with AAP guidelines.  Diet history, growth, and weight gain will be collected for all participantsBabies from birth to 2 months targeted for study inclusion (400 total)Key and ancillary personnel trained to properly schedule and track participantsResearch TeamPI Kimberly Brown MDClare M. Lenhart PhD MPHAmanda Walker RD LDNNORI Team

Obesity Prevention: Focus on the First Two Years

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Obesity Prevention: Focus on the First Two Years

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