BSPED2024 Poster Presentations Obesity 2 (7 abstracts)
Ethnicity, deprivation and bmi outcomes: experience from a paediatric complications of excess weight service (CEW) in the UK
Theodora Papanikolaou 1 , Juliana Oyeniyi 1 , Shien Chen. Lee 1 , Sarah Say 1 , Kiran Duggal 1 , Tracie Davies 1 , Safia Ravat 1 , Natalie Jones 1 , Suma Uday 1,2 , Jan Idkowiak 1,2 & Renuka Dias 1,3
1Department of Paediatric Endocrinology, Birmingham Children’s Hospital, Birmingham, United Kingdom; 2Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom; 3Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
Introduction: Since launching our West Midlands CEW service, we have been supporting children and young people (CYP) and their families with a diverse ethnic background who live in the most deprived areas in the country. The association of obesity and socio-economic deprivation is well reported with its prevalence over twice as high in the most deprived areas and pathways to ethnic differences in obesity have been previously explored. What is less well documented is the interaction between deprivation or ethnicity and outcomes in CYP living with obesity.
Aim: To investigate the outcomes in terms of change in BMI SDS related to deprivation (Index of Mean Deprivation -IMD) and ethnicity.
Methods: Retrospective review of patients first seen in CEW service between 2022 and 2023. Change in BMI SDS analysed with 2 tailed t-test.
Results: Sixty-seven patients were analysed, 34 males and 33 females. 31(46.3%) were White British and 30 (44.8%) from a Black, Asian and Minority Ethnic (BAME) background. Most patients were living in the most deprived areas, with 42 (62.7%) in Deciles 1 and 2, in contrast to only 12 (12.9%) in Deciles 5 and above. Whilst receiving support from the CEW service, CYP from BAME background reduced their BMI z score only by 0.01 in 12 months compared to White British who showed reduction in the same time by 0.3 (P = 0.39). Independent of ethnic background, CYP living in the most deprived areas (decile 1+2) reduced their BMI z score by 0.1 vs 0.2 for those living in higher deciles (P = 0.34). When comparing CYP living in similar areas of deprivation (decile 1+2), those of White British background showed better outcomes in comparison to those of BAME (0.2 vs 0.05 BMI z score reduction, P = 0.26).
Conclusion: Our experience, so far, demonstrates that even whilst receiving holistic support from the same multi-disciplinary team, the outcomes appear different, with CYP from BAME background living in the most deprived areas showing less reduction in BMI although this did not reach statistical significance. Further research is needed in larger cohorts and longer-term to identify and remove barriers to achieve equality in better outcomes.
Volume 103
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Endocrine Abstracts
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