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Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program.
J Nutr Educ Behav 2008 Nov-Dec; 40(6):369-73JN

Abstract

OBJECTIVE

The authors performed a group-based program for obese children and adolescents in Bavaria, Germany to enable them to establish a health-oriented lifestyle and to reduce overweight. The authors compared this program with a control approach based on the patients' own initiative.

DESIGN

This is a controlled clinical trial.

SETTING

A nutrition program for outpatients in a German university hospital.

PARTICIPANTS

Seventy-three obese patients aged 7 to 15 years (mean 11.2 years) were recruited by pediatricians and local newspaper reports and randomized into intervention and control groups. Children and adolescents in each group were divided into 3 groups according to age--7-8 years, 9-10 years, and 11-13 years. Children were classified overweight (defined as body mass index (BMI) > 90th percentile for age and gender), obese (BMI > 97th percentile), and extremely obese (BMI > 99.5th percentile), according to the European Childhood Obesity Group and the German Working Group on Pediatric Obesity, congruent with adult standards used to assess overweight and obesity.

INTERVENTION

Thirty-seven patients (age 7-13 years, mean 10.9 years) for the 1-year intervention. This intervention consisted of modules for physical activity, nutritional education, and coping strategies. The program was performed twice each week and incorporated parental participation and medical supervision, including laboratory tests. The obese controls (n = 36, age 8-15 years, mean 11.6 years) received written therapeutic advice during a visit at 0 and 6 months in the outpatient clinic.

MAIN OUTCOME MEASURE

The primary outcome variable was the body mass index (BMI) z score.

ANALYSIS

Analysis of variance and t test were used, and a P value < .05 was considered significant.

RESULTS

There was a reduction of BMI z score in the active treatment group (P < .05), but not for controls. Moreover, the active group showed beneficial effects for body mass index (BMI), fat mass, and systolic blood pressure 12 months after beginning the intervention.

CONCLUSIONS AND IMPLICATIONS

Group-based programs for young, obese patients can be effective tools for establishing a health-oriented lifestyle and reducing the burden of obesity.

Authors+Show Affiliations

Children's and Adolescents' Hospital, University of Erlangen-Nuremberg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18984493

Citation

Weigel, Corina, et al. "Childhood Obesity: Concept, Feasibility, and Interim Results of a Local Group-based, Long-term Treatment Program." Journal of Nutrition Education and Behavior, vol. 40, no. 6, 2008, pp. 369-73.
Weigel C, Kokocinski K, Lederer P, et al. Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program. J Nutr Educ Behav. 2008;40(6):369-73.
Weigel, C., Kokocinski, K., Lederer, P., Dötsch, J., Rascher, W., & Knerr, I. (2008). Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program. Journal of Nutrition Education and Behavior, 40(6), pp. 369-73. doi:10.1016/j.jneb.2007.07.009.
Weigel C, et al. Childhood Obesity: Concept, Feasibility, and Interim Results of a Local Group-based, Long-term Treatment Program. J Nutr Educ Behav. 2008;40(6):369-73. PubMed PMID: 18984493.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program. AU - Weigel,Corina, AU - Kokocinski,Kathrin, AU - Lederer,Peter, AU - Dötsch,Jorg, AU - Rascher,Wolfgang, AU - Knerr,Ina, PY - 2007/02/22/received PY - 2007/07/24/revised PY - 2007/07/26/accepted PY - 2008/11/6/pubmed PY - 2009/2/14/medline PY - 2008/11/6/entrez SP - 369 EP - 73 JF - Journal of nutrition education and behavior JO - J Nutr Educ Behav VL - 40 IS - 6 N2 - OBJECTIVE: The authors performed a group-based program for obese children and adolescents in Bavaria, Germany to enable them to establish a health-oriented lifestyle and to reduce overweight. The authors compared this program with a control approach based on the patients' own initiative. DESIGN: This is a controlled clinical trial. SETTING: A nutrition program for outpatients in a German university hospital. PARTICIPANTS: Seventy-three obese patients aged 7 to 15 years (mean 11.2 years) were recruited by pediatricians and local newspaper reports and randomized into intervention and control groups. Children and adolescents in each group were divided into 3 groups according to age--7-8 years, 9-10 years, and 11-13 years. Children were classified overweight (defined as body mass index (BMI) > 90th percentile for age and gender), obese (BMI > 97th percentile), and extremely obese (BMI > 99.5th percentile), according to the European Childhood Obesity Group and the German Working Group on Pediatric Obesity, congruent with adult standards used to assess overweight and obesity. INTERVENTION: Thirty-seven patients (age 7-13 years, mean 10.9 years) for the 1-year intervention. This intervention consisted of modules for physical activity, nutritional education, and coping strategies. The program was performed twice each week and incorporated parental participation and medical supervision, including laboratory tests. The obese controls (n = 36, age 8-15 years, mean 11.6 years) received written therapeutic advice during a visit at 0 and 6 months in the outpatient clinic. MAIN OUTCOME MEASURE: The primary outcome variable was the body mass index (BMI) z score. ANALYSIS: Analysis of variance and t test were used, and a P value < .05 was considered significant. RESULTS: There was a reduction of BMI z score in the active treatment group (P < .05), but not for controls. Moreover, the active group showed beneficial effects for body mass index (BMI), fat mass, and systolic blood pressure 12 months after beginning the intervention. CONCLUSIONS AND IMPLICATIONS: Group-based programs for young, obese patients can be effective tools for establishing a health-oriented lifestyle and reducing the burden of obesity. SN - 1878-2620 UR - https://www.unboundmedicine.com/medline/citation/18984493/Childhood_obesity:_concept_feasibility_and_interim_results_of_a_local_group_based_long_term_treatment_program_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1499-4046(07)00918-9 DB - PRIME DP - Unbound Medicine ER -