Multidisciplinary residential treatment can improve perceptual‐motor function in obese children

Gentier, Ilse; D’Hondt, Eva; Augustijn, Mireille; Tanghe, Ann; Bourdeaudhuij, Ilse De; Deforche, Bénédicte; Lenoir, Matthieu

doi:10.1111/apa.12899

Cited by 4 publications

(9 citation statements)

References 24 publications

(32 reference statements)

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“…In line with previous research (D'Hondt et al, 2011;Gentier et al, 2015), children with OB significantly improved their motor competence, their balance skills in particular, after following the program, while no such changes were observed in the HW controls over the duration of the study. Consistent with previous studies examining the efficacy of this existing program on weight loss, our results clearly demonstrated that the children with OB lost a considerable amount of their weight.…”

Section: Discussionsupporting

confidence: 91%

“…Although weight loss and changes in eating and exercise behavior are the main targets of the program, other factors, such as motor competence and EF, have to be considered to maintain these behavioral changes on the long term. In line with previous research (D'Hondt et al, 2011;Gentier et al, 2015), children with OB significantly improved their motor competence, their balance skills in particular, after following the program, while no such changes were observed in the HW controls over the duration of the study. Contrary, no transfer effects of the program were observed for EF.…”

Section: Discussionsupporting

confidence: 91%

“…Previous studies have demonstrated the efficacy of this multidisciplinary treatment program on weight loss (Δ17.9-21.7%; D'Hondt et al, 2011;Gentier et al, 2015). Previous studies have demonstrated the efficacy of this multidisciplinary treatment program on weight loss (Δ17.9-21.7%; D'Hondt et al, 2011;Gentier et al, 2015).…”

mentioning

confidence: 93%

“…D’Hondt et al (), for example, showed that a 4‐month multidisciplinary treatment program consisting of diet restriction, regular physical activity, and cognitive behavioral therapy significantly improved gross motor performance in children with overweight or OB (7–13 years, N = 36). Additionally, Gentier et al () demonstrated that the same program for children with OB (aged 10.1 ± 1.4 years old, N = 26) resulted in a significant enhancement in perceptual‐motor function. In the study of Kulendran et al (), adolescents with OB (10–17 years, N = 53) significantly improved EF performance after a short‐term (2–8 weeks) multidisciplinary treatment program, which focused on core skills of behavioral change (e.g., goal setting and planning) and physical activity.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have demonstrated the efficacy of this multidisciplinary treatment program on weight loss (Δ17. 9-21.7%;D'Hondt et al, 2011;Gentier et al, 2015). Our hypotheses were as follows: First, we expected that deficits in motor competence and EF at baseline would improve in children with OB after the treatment program.…”

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confidence: 99%

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Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Augustijn

D’Hondt

Leemans

et al. 2018

Human Brain Mapping

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This study evaluated the effect of a multidisciplinary treatment program for children with obesity (OB) on motor competence, executive functioning (EF), and brain structure. Nineteen children with OB (7-11 years), who attended a multidisciplinary treatment program consisting of diet restriction, cognitive behavioral therapy, and physical activity, were compared with an age-matched control group of 24 children with a healthy weight (HW), who did not follow any treatment. For both groups, anthropometric measurements and tests of motor competence and EF were administered twice, with 5 months between pretest and posttest. Additionally, children's brain structure was assessed by performing a magnetic resonance imaging (MRI) scan at the pretest and posttest, which included a T1 anatomical scan, diffusion MRI scan, and magnetization transfer imaging scan. Compared to HW controls, children with OB lost a considerable amount of their body mass (p ≤ .001) and significantly improved their balance skills (p ≤ .001), while no transfer effects of the program were observed for EF. Furthermore, the program resulted in a significant increase in total (p ≤ .001) and cerebellar (p ≤ .001) gray matter volume in children with OB, while no change was observed in the HW controls. Finally, only weak to moderate (nonsignificant) correlations could be observed between structural brain alterations, weight-related changes, and behavioral improvements. Altogether, this is the first longitudinal study showing behavioral and structural brain alterations in response to a multidisciplinary weight loss program for children with OB. Our findings support the need for multidimensional intervention (and prevention) measures for children with OB to deal with this multifactorial health problem.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Augustijn

D’Hondt

Leemans

et al. 2018

Human Brain Mapping

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Structural connectivity and weight loss in children with obesity: a study of the “connectobese”

et al. 2019

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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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Multidisciplinary residential treatment can improve perceptual‐motor function in obese children

Abstract: Taking part in a multidisciplinary residential treatment programme improved the perceptual-motor function of obese children.

Cited by 4 publications

References 24 publications

Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Structural connectivity and weight loss in children with obesity: a study of the “connectobese”

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

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