Children With Morbid Obesity Benefit Equally as Children With Overweight and Obesity From an Ongoing Care Program

Abstract

Children with overweight, obesity, and morbid obesity benefit equally from an ongoing, outpatient, tailored lifestyle intervention, and demonstrate significant weight loss and improvement of cardiovascular risk parameters.

Effects of multidisciplinary interventions on weight loss and health outcomes in children and adolescents with morbid obesity

“…The findings from Rijks et al . also suggest a difference in BMI z‐score improvement between children and adolescents. Likewise, Danielsson et al .…”

“…To summarize, existing evidence supports the implementation of family involvement into a multidisciplinary program as this may improve the chances of long‐term weight loss .…”

“… suggest that weight loss can be maintained even after 24 months. The differences between these results can be possibly attributed to a greater program duration, high family retention rates (91% after 12 months and 67% after 24 months), and a tailored ongoing care plan provided for each family in accordance to the chronic care model . Such a care model accentuates treating morbid obesity as a chronic health condition that requires lifelong management.…”

Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools

“…Compared to children with overweight or obesity, lifestyle approaches and standard behavioral interventions have been shown to be less effective; more intensive treatments are recommended to improve both obesity (e.g., BMI percentile) and health metrics (e.g., blood glucose) (Danielsson, Kowalski, Ekblom, & Marcus, 2012; Johnston et al, 2011). Traditionally, interventions for severe obesity have included intensive family-based treatment (sometimes as an inpatient) (Luca et al, 2015; Taylor, Peterson, Garland, & Hastings, 2016; van der Baan-Slootweg, Benninga, Beelen, et al, 2014), bariatric surgery (Nobili et al, 2015; Schmitt et al, 2016; Thakkar & Michalsky, 2015), medication (Boland, Harris, & Harris, 2015), and/or long-term treatment using a chronic care model (Rijks et al, 2015). Therefore, school-based interventions for children with severe obesity must be coupled with more intensive treatment to lead to clinically meaningful decreases in body measures.…”

Childhood Obesity: The Need to Translate Research into Daily Practice: Announcing the Annals of Nutrition and Metabolism as the Official Journal of the European Childhood Obesity Group

“…However, there is a limited understanding of the long-term effects of multidisciplinary treatment programmes. The results of studies that examined an extended follow-up time have shown inconsistent outcomes regarding maintainable lifestyle changes leading to weight loss and health improvement, thus questioning the efficacy of present interventions [5,6]. In addition, evidence suggests rather to focus on health risk assessment, on health improvement, not just reduction in body size (or BMI corrected for age and sex), in particular in vulnerable target groups.…”