Healthy Me: A retrospective review of a pediatric resident run clinic for children and with overweight or obesity

Abstract

Objective: Using motivational interview techniques, we aimed to encourage families to make healthy lifestyle choices with the goal of a decreased child’s body mass index percentile for age over time. Methods: We designated one afternoon each week to a special clinic focused on healthy lifestyle habits. Parents were referred to our clinic from private pediatricians in the area. During the initial visit which included the parent, the child and the resident, plus or minus a nutritionist or a family and marriage therapist, we focused discussion on assessment of current lifestyle habits and then on goal setting regarding lifestyle, exercise and diet. Patients and their families were seen every 1-3 months. During subsequent visits we focused discussion on reassessment of previously stated goals. Results: Over one half of our patients achieved a lower or steady body mass index percentile for age compared to their starting percentile. Conclusions: Simple and effective techniques can be incorporated into every pediatric visit to help educate and encourage families with a child with overweight or obesity.