Eficacia clínica y metabólica de una nueva terapia motivacional (OBEMAT) para el tratamiento de la obesidad en la adolescencia

Rovira, Albert Feliu; Miró, Neus París; Zaragoza‐Jordana, Marta; Ferré, Natàlia; Segura, Mariano; Sabench, Fàtima; Escribano, Joaquín

doi:10.1016/j.anpedi.2012.06.006

Cited by 13 publications

(10 citation statements)

References 38 publications

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“…These are encouraging results because this represents a beneficial change in paediatric health. Small reductions in BMIsd have been related with metabolic improvements and lower insulin resistance [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial

et al. 2015

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IntroductionTreatment of childhood obesity is a complex challenge for primary health care professionals.ObjectivesTo evaluate the effectiveness of the Nereu Program in improving anthropometric parameters, physical activity and sedentary behaviours, and dietary intake.MethodsRandomized, controlled, multicentre clinical trial comparing Nereu Program and usual counselling group interventions in primary care settings. The 8-month study recruited 113 children aged 6 to 12 years with overweight/obesity. Before recruitment, eligible participants were randomly allocated to an intensive, family-based multi-component behavioural intervention (Nereu Program group) or usual advice from their paediatrician on healthy eating and physical activity. Anthropometric parameters, objectively measured sedentary and physical activity behaviours, and dietary intake were evaluated pre- and post-intervention.ResultsAt the end of the study period, both groups achieved a similar decrease in body mass index (BMIsd) compared to baseline. Nereu Program participants (n = 54) showed greater increases in moderate-intense physical activity (+6.27% vs. -0.61%, p<0.001) and daily fruit servings (+0.62 vs. +0.13, p<0.026), and decreased daily soft drinks consumption (-0.26 vs. -0.02, p<0.047), respectively, compared to the counselling group (n = 59).ConclusionsAt the end of the 8-month intervention, participants in the Nereu Program group showed improvement in physical activity and dietary behaviours, compared to the counselling group.Trial RegistrationClinicalTrials.gov NCT01878994

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial

et al. 2015

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“…Because 80% of obese adolescents will become obese adults,6 with increased susceptibility to type 2 diabetes mellitus and cardiovascular disease,7–9 management of obesity in adolescents is critical. Many intervention studies have been conducted to address this epidemic health concern 10–12. As technology has become such an important part of daily life, especially among adolescents, technology-based interventions, including Internet-based weight management tools, social media, apps for smartphones, and active video games, have been developed as methods to prevent obesity in this age group 13–15…”

Section: Introductionmentioning

confidence: 99%

Efficacy of technology-based interventions for obesity prevention in adolescents: a systematic review

Chen

Wilkosz²

2014

AHMT

101

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About one third of adolescents in the USA are overweight and/or obese. Obesity during the adolescent years is associated with many adverse health consequences, including type 2 diabetes, hypertension, hyperlipidemia, and psychosocial problems. Because of substantial advances in technologies and wide acceptance by adolescents, it is now possible to use technology for healthy weight management and prevention of obesity. This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and aimed to evaluate the existing literature reported on the effectiveness of technology-based intervention (web-based, e-learning, and active video games) in preventing obesity in adolescents. The primary aim of this review was to explore if components of specific interventions were associated with a reduction in body mass index. Research articles obtained from CINAHL, Embase, PubMed, PsycInfo, and the Cochrane database from1990 to 2014 were reviewed. A total of 131 published articles were identified, and 14 met the inclusion criteria of a randomized or nonrandomized clinical study with body mass index as primary outcome and/or secondary outcomes of diet/physical activity and/or psychosocial function, tested lifestyle interventions to prevent obesity, used technology, and studied adolescents (aged 12–18 years). The results indicated that six of 14 studies found body mass index and/or body fat decreased at short-term (less than 12 months) follow-up. Six of eleven studies that examined physical activity or physical activity-related outcomes found an improved physical activity outcome (time playing active video games and increase in physical activity time), while five of seven studies which assessed dietary outcomes indicated improvement in dietary behaviors. Five of seven studies suggested an improvement in psychosocial function (reduced depression, improved self-esteem and efficacy, improvement on Behavior Assessment Scale) in adolescents involved in the technology-based intervention. All effective interventions utilized dietary and physical activity strategies as part of intervention components. Because of the variation in duration of intervention (range 10 weeks to 2 years), it is not clear what length of intervention is most effective. Future research should assess the long-term impact of technology-based interventions and evaluate mediators and moderators for weight change in adolescents.

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“…Another relevant strength of the Obemat2.0 study is that the protocol was designed based on positive results obtained in a prior observational study using a similar intervention structure [ 11 ]. Furthermore, the homogeneity of the intervention was facilitated by providing printed educational materials to be given to families, specific for each visit (something that has previously been reported by pediatricians to be needed to overcome barriers in the treatment of childhood obesity [ 53 ]).…”

Section: Limitations and Strengthsmentioning

confidence: 99%

“…Motivation was defined as “brain processes that energize and direct behaviour” [ 9 , 10 ]. In an observational prospective study published by Feliu et al in 2013 [ 11 ], a motivational therapy was highly effective in treating adolescent obesity, achieving a BMI z score reduction of 0.5 standard deviations [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The Obemat2.0 Study: A Clinical Trial of a Motivational Intervention for Childhood Obesity Treatment

et al. 2019

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The primary aim of the Obemat2.0 trial was to evaluate the efficacy of a multicomponent motivational program for the treatment of childhood obesity, coordinated between primary care and hospital specialized services, compared to the usual intervention performed in primary care. This was a cluster randomized clinical trial conducted in Spain, with two intervention arms: motivational intervention group vs. usual care group (as control), including 167 participants in each. The motivational intervention consisted of motivational interviewing, educational materials, use of an eHealth physical activity monitor and three group-based sessions. The primary outcome was body mass index (BMI) z score increments before and after the 12 (+3) months of intervention. Secondary outcomes (pre-post intervention) were: adherence to treatment, waist circumference (cm), fat mass index (z score), fat free mass index (z score), total body water (kg), bone mineral density (z score), blood lipids profile, glucose metabolism, and psychosocial problems. Other assessments (pre and post-intervention) were: sociodemographic information, physical activity, sedentary activity, neuropsychological testing, perception of body image, quality of the diet, food frequency consumption and foods available at home. The results of this clinical trial could open a window of opportunity to support professionals at the primary care to treat childhood obesity. The clinicaltrials.gov identifier was NCT02889406.

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Eficacia clínica y metabólica de una nueva terapia motivacional (OBEMAT) para el tratamiento de la obesidad en la adolescencia

Cited by 13 publications

References 38 publications

Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial

Effectiveness of a Multi-Component Intervention for Overweight and Obese Children (Nereu Program): A Randomized Controlled Trial

Efficacy of technology-based interventions for obesity prevention in adolescents: a systematic review

The Obemat2.0 Study: A Clinical Trial of a Motivational Intervention for Childhood Obesity Treatment

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