Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment

Abstract

Objective: Aim of this study is to examine the 5-year follow-up results of MI PIACE PIACERMI (I like to like and please myself), a cognitive-behavioural programme intended to obtain a weight growth regulation over an extended period. Design: Longitudinal observational clinical study. Setting: Hospital-based programme, through outpatient activities. Subjects: Thirty-one simple obese children, 13 boys and 18 girls, 6-12 years of age on admission. Intervention: The intervention was carried out by a multidisciplinary team (paediatrician, cognitive-behavioural psychologist, physical therapist). It employed cognitive-behavioural techniques, nutrition education, promotion of physical activity, setting a high value on free play in motion. The programme actively involves parents. The following measurements were taken on admission and at 5-year follow-up: height, weight, waist circumference, body mass index (BMI), BMI standardized (BMI-SDS), and adjusted BMI (a-BMI) as actual BMI/BMI (50th percentile) * 100. Dietary habits were investigated by interview and 24-h recall. Parents completed the Family Habit Inventory and the Child Behaviour Checklist (CBCL). Motor skills were assessed by using Frostig's test. Results: The dropout rate was 35.5 %. In subjects who completed the 5-year follow-up, the mean and s.d. of BMI-SDS and a-BMI were, respectively, 4.2370.71 and 54.7%79.0 at baseline and 2.7470.85 and 43.2%717.3 at the last visit. Waist circumference decreased. Family habits improved significantly. Total energy intake was significantly reduced. Emotional and social aspects of obesity-related behaviours showed positive changes. Motor skills globally improved. Conclusions: The study provides further evidence that positive persistent results may be obtained in obese children with treatment programmes combining a lifestyle centred approach, parental involvement, nutrition education and cognitivebehavioural strategies.

The role of emotion regulation in childhood obesity: implications for prevention and treatment

“…Another interventional study conducted in thirty-one children aged 6-12 years and their parents showed positive persistent results since anthropometric parameters and energy intake were reduced and family habits and emotional and social problems were improved at 5 years follow-up (152) . Although these studies did not include a control group, their results are promising.…”

“…In childhood obesity treatment, successful intervention studies have applied cognitive-behavioural therapy to encourage the development of effective ER (151)(152)(153)(154)(155)(156)(157) . One pilot interventional study applied a cognitive-behavioural skills-building programme in primary care services.…”

Consejería en Vida Sana Y Cambio De Conductas en Escolares Obesos: Intervención Controlada en Madres/Cuidadoras

“…Si bien se pueden encontrar en la literatura estudios con tamaños muestrales similares al nuestro (31,32), existen dificultades con el manejo estadístico de los datos, especialmente cuando se analizan categorías y no datos a escala continua. Otro aspecto que pudiera afectar la interpretación de los resultados es el auto reporte de los datos, lo cual puede estar sujeto a sesgos o errores.…”

Three-year follow-up of 3-year-old to 5-year-old children after participation in a multidisciplinary or a usual-care obesity treatment program

“…11 A 5-year follow-up study in 31 obese children with a mean age of 8.4 years, in which eight follow-up visits were included, showed a persistent decrease in BMI-SDS and WC, together with improved family habits towards a healthy lifestyle and decreased total energy intake. 12 Little is known about the long-term outcome of obesity intervention programs in preschool-aged children. The aim of this study was to evaluate the long-term effects of a multidisciplinary intervention program in overweight or obese children aged 3e5 years and in children receiving usual-care.…”