Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

Sepúlveda, Ana R.; Solano, Santos; Blanco, Miriam; Lacruz, Tatiana; Veiga, Óscar L.

doi:10.1002/erv.2702

Cited by 18 publications

(39 citation statements)

References 51 publications

(97 reference statements)

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“…Accordingly, a higher prevalence of ADHD symptoms in EDs has been reported in many studies, in comparison with the general population [ 4 , 5 , 6 , 7 , 8 , 9 , 10 ]. Likewise, ADHD has been related with increased risk of disordered eating in childhood and adulthood [ 11 , 12 , 13 , 14 ], obesity [ 15 ] and behavioral addictions [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study

Testa

Baenas

Vintró-Alcáraz

et al. 2020

JCM

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Attention-deficit/hyperactivity disorder (ADHD) and its symptoms have been shown to be present in patients with eating disorders (EDs) and are associated with increased psychopathology and more dysfunctional personality traits. This study aimed to assess if the presence of ADHD symptoms in patients with EDs affects their short and long-term therapy outcome. A total of 136 consecutively treated ED patients were considered in this study. Baseline pre-treatment evaluation included the Adult ADHD Self-Report Scale (ASRS v1.1) for ADHD symptoms and the assessment of eating symptomatology using the Eating Disorders Inventory (EDI-2). Treatment outcome was evaluated in terms of ED symptoms after cognitive behavioral therapy (CBT) and dropout rate during treatment. Furthermore, we evaluated ED symptoms in treatment completers after a follow-up of 8 years on average. Path analyses assessed the potential mediational role of the EDI-2 total score in the relationship between ADHD and treatment outcome. Results showed that baseline symptoms of ADHD indirectly affected treatment outcome after CBT; the ASRS positive screening was related to higher eating symptomatology (standardized coefficient B = 0.41, p = 0.001, 95% CI: 0.26 to 0.55), and the presence of high ED levels contributed to the increase of dropout (B = 0.15, p = 0.041, 95% CI: 0.03 to 0.33) and a worse treatment outcome (B = 0.18, p = 0.041, 95% CI: 0.01 to 0.35). No direct effect was found between the ASRS positive screening with the risk of dropout (B = −0.08, p = 0.375) and worse treatment outcome (B = −0.07, p = 0.414). These results suggest the relevance of identifying specific treatment approaches for patients with ADHD symptoms and severe eating symptomatology.

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Section: Introductionmentioning

confidence: 99%

Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study

Testa

Baenas

Vintró-Alcáraz

et al. 2020

JCM

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“…Two hundred and nineteen of the 263 included articles were clinical trials [ 84 – 94 , 95 – 302 ] as summarised in Table 2 and S5 Table . Clinical trial articles were published between 1970 to 2020 and included from three to 17066 participants aged two to 19 years.…”

Section: Resultsmentioning

confidence: 99%

“…1 Sedentary behaviour "Switch Off-Get Active", health education intervention aimed to increase physical activity at the expense of screen time [ 180,182,[187][188][189][190]192,195,207,211,216,217,219,221,225,227,[231][232][233]237,241,243,245,247,248,[252][253][254][255][258][259][260][261][262]266,270,278,282,283,289,291,296,299,301,302]. Studies that were applicable to multiple themes were replicated within appropriate categories and account for the overlap in the total number of clinical trials.…”

Section: Clinical Trialsmentioning

confidence: 99%

Physiotherapy and related management for childhood obesity: A systematic scoping review

et al. 2021

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Introduction Despite targeted efforts globally to address childhood overweight/obesity, it remains poorly understood and challenging to manage. Physiotherapists have the potential to manage children with obesity as they are experts in movement and physical activity. However, their role remains unclear due to a lack of physiotherapy-specific guidelines. This scoping review aims to explore existing literature, critically appraising and synthesising findings to guide physiotherapists in the evidence-based management of childhood overweight/obesity. Method A scoping review was conducted, including literature up to May 2020. A review protocol exists on Open Science Framework at https://osf.io/fap8g/. Four databases were accessed including PubMed, Embase, CINAHL, Medline via OVID, with grey literature searched through google via “file:pdf”. A descriptive synthesis was undertaken to explore the impact of existing interventions and their efficacy. Results From the initial capture of 1871 articles, 263 intervention-based articles were included. Interventions included qualitative focused physical activity, quantitative focused physical activity and multicomponent interventions. Various outcome measures were utilised including health-, performance- and behaviour-related outcomes. The general trend for physiotherapy involvement with children who are obese appears to favour: 1) multicomponent interventions, implementing more than one component with environmental modification and parental involvement and 2) quantitative physical activity interventions, focusing on the quantity of bodily movement. These approaches most consistently demonstrated desirable changes across behavioural and health-related outcome measures for multicomponent and quantitative physical activity interventions respectively. Conclusion When managing children with obesity, physiotherapists should consider multicomponent approaches and increasing the quantity of physical activity, given consistent improvements in various obesity-related outcomes. Such approaches are well suited to the scope of physiotherapists and their expertise in physical activity prescription for the management of childhood obesity. Future research should examine the effect of motor skill interventions and consider the role of environmental modification/parental involvement as factors contributing to intervention success.

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“…The interest of the scientific community, especially in areas dedicated to health research, has recently focused its efforts on a greater understanding of childhood obesity (Sepúlveda, Solano, Blanco, La Cruz, & Veiga, 2019;Kim et al, 2020). Obesity rates in children and adolescents have increased from less than 1% in 1975 to almost 6% in girls and 8% in boys in 2016 (Reilly, Hamdouchi, Diouf, Monyeki, & Somda, 2018).…”

Section: Introductionmentioning

confidence: 99%

Acordo entre o peso corporal, percepção materna e estado de peso em crianças

Fürstenau¹,

Carvalho

et al. 2020

RSD

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Antecedentes: As taxas de obesidade continuam aumentando, principalmente entre as crianças. Estudos apontam a subestimação do peso corporal como principal fator para a não adesão aos comportamentos de perda de peso e, em crianças, bem como a subestimação do tamanho do corpo, a percepção percebida pelos pais sobre o peso de seus próprios filhos. é crucial para a manutenção principal do sobrepeso e obesidade. Assim, enfatiza-se que a percepção acurada da imagem corporal de crianças e pais é essencial para combater a alta prevalência de sobrepeso e obesidade na população infantil. Objetivo: Avaliar a concordância entre a autopercepção e a percepção materna do peso corporal das crianças e seu status de peso corporal. Métodos: Foram avaliadas 935 crianças de 6 a 10 anos e 922 mães. O status do peso corporal foi avaliado por meio de medidas de peso e altura e a percepção da imagem corporal por meio de software para Avaliação da Percepção Corporal Infantil. Resultados: Crianças classificadas como "baixo peso" ou "peso normal" demonstraram maior acurácia em suas percepções e tendência à superestimação em meninas cujo status de peso é "normal", enquanto crianças obesas ou com excesso de peso tendem a superestimar seu status de peso. As mães, por outro lado, subestimaram o status de peso dos filhos, independentemente do sexo do filho. Conclusão: As crianças apresentaram percepções mais precisas do que as mães em relação ao peso / tamanho corporal.

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Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

Cited by 18 publications

References 51 publications

Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study

Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study

Physiotherapy and related management for childhood obesity: A systematic scoping review

Acordo entre o peso corporal, percepção materna e estado de peso em crianças

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