An effective lifestyle intervention in overweight children: Findings from a randomized controlled trial on “Obeldicks light”

Reinehr, Thomas; Schaefer, Anke; Winkel, Katrin; Finne, Emily; Toschke, André Michael; Kolip, Petra

doi:10.1016/j.clnu.2009.12.010

Cited by 91 publications

(116 citation statements)

References 27 publications

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“…In the remaining five trials, the multicomponent intervention was not different from control conditions (Arauz Boudreau, Kurowski, Gonzalez, Dimond, & Oreskovic, 2013;McCallum et al, 2007;Wake et al, 2009), a standard care condition (Hughes et al, 2008), and child-only treatment (Bathrellou et al, 2010). In addition, BWL treatments have been tested in an additional 11 studies of children and adolescents (ages 6-18), with nine of those trials demonstrating the efficacy of the BWL treatment compared to control conditions (Coppins et al, 2011;Jiang, Xia, Greiner, Lian, & Rosenqvist, 2005;Mellin, Slinkard, & Irwin, 1987;Nemet et al, 2005;Nowicka, Hoglund, Pietrobelli, Lissau, & Flodmark, 2008;Reinehr et al, 2010), selfhelp conditions , written dietary advice (Weigel et al, 2008), standard care (Sabet Sarvestani, Jamalfard, Kargar, Kaveh, & Tabatabaee, 2009), and dietary advice usual care (Diaz, EsparzaRomero, Moya-Camarena, Robles-Sardin, & Valencia, 2010) conditions. In this age group, a BWL intervention with family involvement was found to be no different from a combined dietary and physical activity condition or waitlist control condition (Kitzman-Ulrich et al, 2009), and a brief family intervention (Steele et al, 2012).…”

Section: Behavioral Weight Loss Treatment With Family Involvementmentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

138

149

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Childhood obesity is associated with increased medical and psychosocial consequences and mortality and effective interventions are urgently needed. Effective interventions are urgently needed. This article reviews the evidence for psychological treatments of overweight and obesity in child and adolescent populations. Studies were identified through searches of online databases and reference sections of relevant review articles and metaanalyses. Treatment efficacy was assessed using established criteria, and treatments were categorized as well-established, probably efficacious, possibly efficacious, experimental, or of questionable efficacy. Well-established treatments included family-based behavioral treatment (FBT) and Parent-Only Behavioral Treatment for children. Possibly efficacious treatments include Parent-Only Behavioral Treatment for adolescents, FBT-Guided SelfHelp for children, and Behavioral Weight Loss treatment with family involvement for toddlers, children, and adolescents. Appetite awareness training and regulation of cues treatments are considered experimental. No treatments are considered probably efficacious, or of questionable efficacy. All treatments considered efficacious are multicomponent interventions that include dietary and physical activity modifications and utilize behavioral strategies. Treatment is optimized if family members are specifically targeted in treatment. Research supports the use of multicomponent lifestyle interventions, with FBT and Parent-Only Behavioral Treatment being the most widely supported treatment types. Additional research is needed to test a stepped care model for treatment and to establish the ideal dosage (i.e., number and length of sessions), duration, and intensity of treatments for long-term sustainability of healthy weight management. To improve access to care, the optimal methods to enhance the scalability and implementability of treatments into community and clinical settings need to be established.

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Section: Behavioral Weight Loss Treatment With Family Involvementmentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

138

149

View full text Add to dashboard Cite

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“…4 Typically, obesity interventions in children include treatment-seeking families or recruit via advertisement or referrals. [11][12][13][14][15] The widespread inability of both parents 16 and health professionals 17 to correctly identify children as overweight limits intervention to the very overweight. This seems sensible given that obese children have greater health risks and are more likely to be obese adults than mildly overweight children.…”

Section: What This Study Addsmentioning

confidence: 99%

A Tailored Family-Based Obesity Intervention: A Randomized Trial

Taylor¹,

et al. 2015

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OBJECTIVE: To determine whether a 2-year family-based intervention using frequent contact and limited expert involvement was effective in reducing excessive weight compared with usual care.METHODS: Two hundred and six overweight and obese (BMI $85th percentile) children aged 4 to 8 years were randomized to usual care (UC) or tailored package (TP) sessions at university research rooms. UC families received personalized feedback and generalized advice regarding healthy lifestyles at baseline and 6 months. TP families attended a single multidisciplinary session to develop specific goals suitable for each family, then met with a mentor each month for 12 months, and every third month for another 12 months to discuss progress and provide support. Outcome measurements (anthropometry, questionnaires, dietary intake, accelerometry) were obtained at 0, 12, and 24 months.RESULTS: BMI at 24 months was significantly lower in TP compared with UC children (difference, 95% confidence interval: -0.34, -0.65 to -0.02), as was BMI z score (-0.12, -0.20 to -0.04) and waist circumference (-1.5, -2.5 to -0.5 cm). TP children consumed more fruit and vegetables (P = .038) and fewer noncore foods (P = .020) than UC children, and fewer noncore foods were available in the home (P = .002). TP children were also more physically active (P = .035). No differences in parental feeding practices, parenting, quality of life, child sleep, or behavior were observed.CONCLUSIONS: Frequent, low-dose support was effective for reducing excessive weight in predominantly mild to moderately overweight children over a 2-year period. Such initiatives could feasibly be incorporated into primary care.

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“…Twelve studies did not follow the participants after the intervention program ended. [22][23][24]26,28,29,31,32,36,63,64,68 For the comparison of lifestyle intervention with usual care (n = 11), the intervention lengths varied from 3 months to 1 year, and 6 studies conducted subsequent follow-up, [41][42][43]45,65,69 ranging from 2 months to 4 years from the end of the active intervention component. Among the 5 written information studies, 1 had a varied intervention length, 2 had an intervention length of 6 months, 48,49 and another 2 were 1-year 50,51 intervention programs with the outcome evaluation at the end of the intervention.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…30,37,39,47,67,69 Thirteen studies were conducted in children, 25,30,[33][34][35]37,[40][41][42]44,47,50,66 7 in adolescents, [22][23][24]28,29,31,36 and others enrolled both children and adolescents. 26,27,32,38,39,43,45,46,48,49,51 Only 1 study included children aged ,5 years. 35 Four adolescent studies specifically targeted girls.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…23 Eighteen studies targeted obese children exclusively, 22,23,26,28,29,31,34,38,[40][41][42]44,46,51,[64][65][66]71 whereas the others targeted both overweight and obese children. Most studies (n = 14) were conducted in a hospital environment, 22,25,29,32,36,38,[40][41][43][44]46,63,65,68 followed by the community (n = 6), 23,27,[33][34][35]51 school (n = 6), 26,42,[48][49][50]64 and primary care setting (n = 6). 30,37,39,47,67,…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Effectiveness of Lifestyle Interventions in Child Obesity: Systematic Review With Meta-analysis

et al. 2012

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BACKGROUND AND OBJECTIVES:The effects of lifestyle interventions on cardio-metabolic outcomes in overweight children have not been reviewed systematically. The objective of the study was to examine the impact of lifestyle interventions incorporating a dietary component on both weight change and cardio-metabolic risks in overweight/obese children.METHODS: English-language articles from 1975 to 2010, available from 7 databases, were used as data sources. Two independent reviewers assessed articles against the following eligibility criteria: randomized controlled trial, participants overweight/obese and #18 years, comparing lifestyle interventions to no treatment/wait-list control, usual care, or written education materials. Study quality was critically appraised by 2 reviewers using established criteria; Review Manager 5.1 was used for meta-analyses. RESULTS:

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An effective lifestyle intervention in overweight children: Findings from a randomized controlled trial on “Obeldicks light”

Cited by 91 publications

References 27 publications

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

A Tailored Family-Based Obesity Intervention: A Randomized Trial

Effectiveness of Lifestyle Interventions in Child Obesity: Systematic Review With Meta-analysis

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