Summary of ‘Interventions for treating obesity in children’

Luttikhuis, Hiltje Oude; Baur, Louise A.; Jansen, Hanneke; Shrewsbury, Vanessa A.; O’Malley, Claire; Stolk, Ronald; Summerbell, Carolyn

doi:10.1002/ebch.427

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Most importantly, in obese children and adolescents, even a small weight reduction is associated with significant decreases in triglycerides TG levels and increases in HDL–C levels [36,37]. A meta-analysis of five studies, including 440 participants between 8 and 16 years old, showed that lifestyle intervention had a significantly greater impact on the total cholesterol improvement compared with usual care both in the short-term (weighted mean difference WMD −0.40 mmol/L, 95% CI: −0.51 to −0.30; the heterogenity I 2 = 0%; study length: four-to-six months) [15].…”

Section: Discussionmentioning

confidence: 99%

“…One systematic review of randomized trials estimating the efficacy of nonsurgical interventions in overweight/obese children showed a small-to-moderate effect of combined lifestyle interventions on body mass index (BMI); the largest effects were observed when lifestyle modifications were implemented with parental involvement [14]. Another systematic review of pediatric trials also stated that, in comparison to standard care or self-help, family-based lifestyle interventions aimed at changing dietary, behavioral and physical activity patterns can lead to a reduction in overweight [15]. The next systematic review found that interventions including diet, physical activity and behavioral change may be beneficial in achieving reductions of BMI and body mass in children from 6 to 11 years of age, and evidence suggests a very low incidence of adverse events [16].…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of the Impact of Two Methods of Nutrition-Behavioral Intervention on Selected Auxological and Biochemical Parameters in Obese Prepubertal Children—Crossover Preliminary Study

Kozioł-Kozakowska

Wójcik

Furtak

et al. 2019

IJERPH

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Obese children are exposed to short and long-term health consequences, such as dyslipidemia, hypertension and diabetes mellitus. For these reasons, the prevention and treatment of obesity in the pediatric population is a challenge for health care professionals. The aim of this study was to evaluate whether an intensive intervention based on diet and physical activity has a better impact on the auxological and biochemical parameters than standard care (intervention). The study included 20 children (six boys, 14 girls), of the mean age 8.9 (SD 1.4) before puberty. The participants were randomly assigned to two groups: Group I (starting treatment with intensive intervention), and II (starting treatment with standard intervention). After three months, the groups were switched. The comparison of the two interventions in the study group indicates a better effectiveness of intensive intervention in the improvement of anthropometric parameters and majority of biochemical ones (except for insulin concentration, HOMA IR index and LDL cholesterol). As the result of intensive intervention, the mean % of weight-to-height excess and hip circumference decreased significantly (p < 0.005). Our results confirm that complex intervention based on systematic control visits, including personalized dietitian counselling and physician care, during the weight reduction process is more effective than a one-off standard visit.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Comparison of the Impact of Two Methods of Nutrition-Behavioral Intervention on Selected Auxological and Biochemical Parameters in Obese Prepubertal Children—Crossover Preliminary Study

Kozioł-Kozakowska

Wójcik

Furtak

et al. 2019

IJERPH

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show abstract

“…Obesity now affects 17% of US children and adolescents. 1 Effective treatment to reduce obesity and reduce or prevent its comorbidities is available through pediatric tertiary care weight management clinics and programs throughout the United States 2 as well as through ongoing clinical trials, 3 though the need outpaces these limited resources. One particularly significant barrier to obesity treatment is attrition of patients and families.…”

Section: Introductionmentioning

confidence: 99%

Parent Perspectives on Attrition From Tertiary Care Pediatric Weight Management Programs

Hampl

Demeule

Eneli

et al. 2013

Clin Pediatr (Phila)

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Psychological Aspects of Obesity in Children and Adolescents

Sagar

Gupta

2017

Indian J Pediatr

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Childhood obesity is multi factorial health condition, so the simple evaluation of body fat will not be sufficed to manage the global epidemic of childhood obesity. Literature consistently provides evidence for physical health risks associated with childhood obesity; however in recent times, mental health of the obese children has also gained attention of the researchers as well as clinicians. Obese children experience number of psycho-social problems that significantly affect their quality of life and wellbeing. Co-morbid psychosocial and emotional problems of obesity generally act as causal or maintaining factors of obesity and thus significantly affect the treatment outcome. Therefore it becomes imperative for the clinicians/pediatricians to broaden their clinical assessment and include screening of important psycho-social factors within the clinical examination of childhood obesity. This article provides an evidence based comprehensive overview about the psychological factors and psychiatric factors (depression, anxiety, eating disorder, stress, body shape concerns, low self esteem) associated with childhood obesity that can further be utilized in the evaluation and management of this epidemic. The article also elaborates the role of current evidence based psychological approaches such as Cognitive Behavior Therapy (CBT) for management of obesity in children and adolescents. CBT techniques combined with lifestyle intervention and involving parents have been recommended by literature repetitively. However, there are a number of environmental, familial and personal barriers that hinder the whole process of weight loss in children. The article also discusses potential strategies to overcome those barriers.

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Summary of ‘Interventions for treating obesity in children’

Cited by 4 publications

References 19 publications

A Comparison of the Impact of Two Methods of Nutrition-Behavioral Intervention on Selected Auxological and Biochemical Parameters in Obese Prepubertal Children—Crossover Preliminary Study

A Comparison of the Impact of Two Methods of Nutrition-Behavioral Intervention on Selected Auxological and Biochemical Parameters in Obese Prepubertal Children—Crossover Preliminary Study

Parent Perspectives on Attrition From Tertiary Care Pediatric Weight Management Programs

Psychological Aspects of Obesity in Children and Adolescents

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