PMID- 17471300
OWN - NLM
STAT- MEDLINE
DCOM- 20071219
LR  - 20090915
IS  - 0307-0565 (Print)
IS  - 0307-0565 (Linking)
VI  - 31
IP  - 7
DP  - 2007 Jul
TI  - Four-year follow-up of children and adolescents participating in an obesity 
      intervention program.
PG  - 1074-7
AB  - BACKGROUND: Since obesity affects children's health and social integration, 
      treatment concepts with long-term efficiency are necessary. METHODS: We analyzed 
      changes of standard deviation score of body mass index (SDS-BMI) quarterly in the 
      first year and once a year during the next 3 years in all obese children 
      participating in the 1-year outpatient intervention program 'Obeldicks', which 
      was based on physical exercise, nutrition education and behavior therapy. All 
      analyses were performed on the intention-to-treat approach. RESULTS: One hundred 
      and thirty-one children (77%) of the 170 children (mean age 10.5 years, 51% 
      female, mean BMI 26.9 kg/m(2), mean SDS-BMI 2.54) attending the 'Obeldicks' 
      intervention program reduced their overweight at the end of intervention (mean 
      SDS-BMI reduction 0.41) and 122 (66%) 3 years after end of intervention (mean 
      SDS-BMI reduction 0.48). The reduction of overweight was independent of the 
      child's gender, age and parental age and BMI. Reduction of 0.33 SDS-BMI in the 
      first 3 months was the best predictor for long-term success (95% predictive 
      value). CONCLUSIONS: Participating in the 1-year outpatient obesity intervention 
      program 'Obeldicks' was associated with a decrease of overweight, which was 
      sustained 3 years after the end of intervention. Reduction of overweight in the 
      first 3 months of the intervention was highly predictive for long-term success.
FAU - Reinehr, T
AU  - Reinehr T
AD  - Department of Pediatric Endocrinology, Vestische Kinderklinik Datteln, University 
      of Witten-Herdecke, Witten-Herdecke, Germany. T.Reinehr@kinderklinik-datteln.de
FAU - Temmesfeld, M
AU  - Temmesfeld M
FAU - Kersting, M
AU  - Kersting M
FAU - de Sousa, G
AU  - de Sousa G
FAU - Toschke, A M
AU  - Toschke AM
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20070501
PL  - England
TA  - Int J Obes (Lond)
JT  - International journal of obesity (2005)
JID - 101256108
SB  - IM
MH  - Adolescent
MH  - Ambulatory Care Facilities/*organization & administration
MH  - Behavior Therapy
MH  - Body Mass Index
MH  - Child
MH  - Child Health Services/*organization & administration
MH  - Exercise
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Obesity/*diet therapy/psychology
MH  - Overweight/*diet therapy/psychology
MH  - Patient Education as Topic
MH  - Predictive Value of Tests
MH  - Program Evaluation
MH  - Treatment Outcome
EDAT- 2007/05/02 09:00
MHDA- 2007/12/20 09:00
CRDT- 2007/05/02 09:00
PHST- 2007/05/02 09:00 [pubmed]
PHST- 2007/12/20 09:00 [medline]
PHST- 2007/05/02 09:00 [entrez]
AID - 0803637 [pii]
AID - 10.1038/sj.ijo.0803637 [doi]
PST - ppublish
SO  - Int J Obes (Lond). 2007 Jul;31(7):1074-7. doi: 10.1038/sj.ijo.0803637. Epub 2007 
      May 1.