Development Of A Hospital-Based Exercise Prescription Clinic For Obese Children
Bibliographic record
Abstract
BACKGROUND: Pediatric obesity has become a major public health issue. Numerous approaches have been suggested to treat obesity, with evidence indicating that comprehensive family-based behavioral programs are most effective. An optimal exercise intervention strategy has not been established. In addition, many studies have used structured exercise programs to help reduce weight; however, it is unclear how these programs affect lifestyle changes. The ideal approach may be to teach both children and parents how to make these changes. PURPOSE: To develop an Exercise Prescription Clinic (EPC) for a cohort of obese children. METHODS: Children were referred to the Children's Heart Centre from the Centre for Healthy Weights Program at B.C. Children's Hospital and were cleared to exercise by a pediatric cardiologist. An ACSM Clinical Exercise Specialist performed a baseline assessment of the child's current exercise regimen, habitual activity and screen time, and constructed a daily activity timeline. Perceived barriers to exercise and goals were also reviewed. Exercise prescription was child-specific and followed the FITT principle. Children were asked to record their daily physical activity for 1 month to allow for modifications to the initial exercise prescription. Families were to return to the clinic on a monthly basis for continuous monitoring of the child's activity levels. Program length was individualized with a minimum of 6 months intervention. RESULTS: Thirty-three children were enrolled between January and October 2007. Six children (18%) quit the program, citing their lack of commitment as their reason for leaving. Of the children being followed, 44% met their initial exercise goals, 31% increased their activity but did not meet their goals, and 25% had made no immediate change, but had a defined plan. CONCLUSION: Treatment of pediatric obesity is a complicated process requiring the commitment of both the parents and child. Individualized programs that incorporate the child's interests are necessary to ensure exercise compliance and facilitate the adoption of a healthy lifestyle. An EPC is an important component of family-based behavioral programs directed at reducing pediatric obesity.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.011 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".