Poster Presentation Australian & New Zealand Obesity Society 2014 Annual Scientific Meeting

Whanau Pakari: a multidisciplinary intervention programme for child and adolescent obesity in Taranaki - results of the baseline assessments. (#217)

Lisa Wynter 1 , Michelle S Butler 1 , Tami L Cave 1 2 , Kris R Moller 3 , Katharine F Treves 1 , Cervantee E.K Wild 2 , Cameron C Grant 4 , Paul L Hofman 2 , Yvonne C Anderson 1 2
  1. Taranaki District Health Board, New Plymouth, NZ, New Zealand
  2. Liggins Institute, The University of Auckland, Auckland, New Zealand
  3. Whanau Pakari, Sport Taranaki, New Plymouth, New Zealand
  4. Department of Paediatrics , The University of Auckland, Auckland, New Zealand

Whanau Pakari is a unique multidisciplinary programme launched in January 2012 for obese children and adolescents.

Aim: To review baseline assessments, weight-related comorbidities and cardio-metabolic profile of Whanau Pakari participants.

Method: Baseline assessments from January 2012 to August 2014 were reviewed. Referral criteria were BMI>98th centile, or >91st centile with significant weight-related co-morbidities, age 5-16years. The assessments included health and lifestyle parameters.

Results: 240 assessments were reviewed. Average age was 10 years, with 53% female (n=126). Primary ethnicity was identified as Maori in 45% of patients, New Zealand European (45%), Pacific (3%), Asian (3%) and Other (4%).

Weight had a been a concern for an average of 3.7 years (n=207). Average BMI percentile was 99.6 (range 94-100), with an average BMI standard deviation score (SDS) of 3.1 (range 1.5-5.4). Average BMI of the accompanying adult was 33.6 (range 19.3-62.6). Acanthosis nigricans was present in 98 (41%) of the children.

Of the 224 mothers who responded, 89 (40%) smoked during pregnancy. Average birthweight was 3.45 kilograms.

A family history of weight problems was reported for 189 (79%) and of Type 2 Diabetes for 143 (60%) of the children.

Of the 238 children for whom casual blood pressure recordings were available, 45 (19%) had pre-hypertension, and 12 (5%) had hypertension (n=12). Pauses in breathing were reported by 48 (20%).

A baseline blood sample was obtained on 176 (73%) of the children. Average fasting serum insulin was 149pmol/L (range 12-1185). Insulin resistance (fasting insulin>80pmol/L) was present in 125 (71%). Average HbA1c was 34mmol/mol (range 25-94), including 1 Type 1 Diabetes patient and 2 with Type 2 Diabetes, and an average fasting glucose 5.2mmol/L (range 3.3-16.4).

Conclusion: Whanau Pakari has demonstrated concerning levels of weight-related comorbidities across all ethnicities with hypertension, likely obstructive sleep apnoea and insulin resistance of particular concern.