PMID- 12917715
OWN - NLM
STAT- MEDLINE
DCOM- 20031020
LR  - 20140603
VI  - 27
IP  - 9
DP  - 2003 Sep
TI  - Predictors to success in outpatient training in obese children and adolescents.
PG  - 1087-92
AB  - OBJECTIVE: The treatment of obese children and adolescents is not yet 
      satisfactorily effective. It is not clear which participants can profit by a 
      long-time outpatient therapy. DESIGN: Longitudinal, clinical intervention study 
      based on a 1-y outpatient training programme consisting of physical exercise, 
      nutrition course and behaviour therapy for children and their parents. SUBJECTS: 
      A total of 75 obese children (age 7-15 y; standard duration scores of body mass 
      index(SDS-BMI)+1.9-+3.8). MEASUREMENTS: We characterised the participants as to 
      their willingness to change their behaviour (changes in weight status, number of 
      attempts at therapy, participation in exercise groups), somatic characteristics 
      (BMI of children and family members, gender, age), socioeconomic status (level of 
      education of the children and their parents, working mother), exercise and 
      dietary habits, dietary intake as well as the quality of dietary records. These 
      factors were related to the success of the treatment using a multiple logistic 
      regression. RESULTS: A total of 27 (37%) of the children were unsuccessful after 
      treatment. For 48 (63%) of the children, there was a median weight loss of about 
      0.4 SDS-BMI (range -0.2 to -1.1). The only significant difference (P<0.0001) 
      between these successful children and the unsuccessful ones was that they had 
      taken part in the exercise groups before training began. CONCLUSION: A training 
      for the obese children and their parents enables the majority of the participants 
      to reduce weight. Previous participation in exercise groups can be considered as 
      a predictor to success of the treatment.
FAU - Reinehr, T
AU  - Reinehr T
AD  - Vestische Kinderklinik Datteln, University of Witten-Herdecke, Datteln, Germany. 
      T.Reinehr@kinderklinik-datteln.de
FAU - Brylak, K
AU  - Brylak K
FAU - Alexy, U
AU  - Alexy U
FAU - Kersting, M
AU  - Kersting M
FAU - Andler, W
AU  - Andler W
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Obes Relat Metab Disord
JT  - International journal of obesity and related metabolic disorders : journal of the 
      International Association for the Study of Obesity
JID - 9313169
SB  - IM
MH  - Adolescent
MH  - Ambulatory Care/*methods
MH  - Behavior Therapy/*methods
MH  - Body Mass Index
MH  - Child
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Mothers
MH  - Obesity/diet therapy/physiopathology/*therapy
MH  - Patient Acceptance of Health Care
MH  - Single-Parent Family
MH  - Treatment Outcome
MH  - Weight Loss/physiology
EDAT- 2003/08/15 05:00
MHDA- 2003/10/21 05:00
CRDT- 2003/08/15 05:00
PHST- 2003/08/15 05:00 [pubmed]
PHST- 2003/10/21 05:00 [medline]
PHST- 2003/08/15 05:00 [entrez]
AID - 0802368 [pii]
AID - 10.1038/sj.ijo.0802368 [doi]
PST - ppublish
SO  - Int J Obes Relat Metab Disord. 2003 Sep;27(9):1087-92. doi: 
      10.1038/sj.ijo.0802368.