Abstract
INTRODUCTION: A proportion of obese children who are treated with a multidisciplinary approach with behavior modification and parental involvement show no response to the consolidation phase of treatment. OBJECTIVE: Our goal was to identify possible risk factors that led to failure of obesity management in children who were attending an equipped, busy, specialized outpatient clinic. METHODS: We performed a case-control study in which cases were those whose conditions failed to respond to current multidisciplinary management as judged by no decrease in BMI z score. Controls were those who responded to treatment (lower subsequent BMI z scores). RESULTS: Of the 519 children, 416 (80.2%) had BMI z scores of >3. Management was successful in 85% of the patients. In bivariate analysis, risk factors were age of <4 years (odds ratio [OR]: 4.00 [95% confidence interval (CI): 1.08–14.70]), previous obesity …