Chronic care treatment of obese children and adolescents

TY - JOUR

T1 - Chronic care treatment of obese children and adolescents

AU - Holm, Jens-Christian

AU - Gamborg, Michael

AU - Bille, Dorthe S

AU - Gr Nb K, Helle N

AU - Ward, Leigh C

AU - Faerk, Jan

PY - 2011/8

Y1 - 2011/8

N2 - Objectives. Clinically-relevant protocols for the treatment of childhood obesity are lacking. This study report results for a clinic-based structured treatment program for chronic childhood obesity. Methods. Patients were measured at baseline and for up to 24 months; there were no prior eligibility criteria. At baseline, height, weight, Tanner stages, testicular size, time of menarche, and social class of the parents were registered. A structured, tailored treatment plan including best-practice-based interventions was initiated. Height, weight, and pubertal development were measured at subsequent visits. Results. A total of 617 children or youths were included; 325 were girls and 292 were boys. At entry, the mean age was 11.6 years and the mean body mass index (BMI) standard deviation score (SDS) was 3.0. Seventy stopped treatment, 547 were in treatment, 125 had 1 examination, and 492 had two or more examinations, with a mean visit interval of six weeks. After 12 months, the mean BMI SDS decreased by 0.23 (P < 0.0001) in girls and by 0.32 (P < 0.0001) in boys. After one year, the retention rate was 90.2%, and 68.7% had reduced BMI SDS. After two years, the retention rate was 75.0%, of which 62.5% had reduced BMI SDS. The reductions in BMI SDS were independent of baseline adiposity, age (in boys), puberty stage, and social class, but were dependent on sex, age (girls), and place of referral. Conclusions. This clinical obesity treatment was safe and effective in reducing BMI SDS independent of baseline adiposity, age (boys), or social class in these young people.

AB - Objectives. Clinically-relevant protocols for the treatment of childhood obesity are lacking. This study report results for a clinic-based structured treatment program for chronic childhood obesity. Methods. Patients were measured at baseline and for up to 24 months; there were no prior eligibility criteria. At baseline, height, weight, Tanner stages, testicular size, time of menarche, and social class of the parents were registered. A structured, tailored treatment plan including best-practice-based interventions was initiated. Height, weight, and pubertal development were measured at subsequent visits. Results. A total of 617 children or youths were included; 325 were girls and 292 were boys. At entry, the mean age was 11.6 years and the mean body mass index (BMI) standard deviation score (SDS) was 3.0. Seventy stopped treatment, 547 were in treatment, 125 had 1 examination, and 492 had two or more examinations, with a mean visit interval of six weeks. After 12 months, the mean BMI SDS decreased by 0.23 (P < 0.0001) in girls and by 0.32 (P < 0.0001) in boys. After one year, the retention rate was 90.2%, and 68.7% had reduced BMI SDS. After two years, the retention rate was 75.0%, of which 62.5% had reduced BMI SDS. The reductions in BMI SDS were independent of baseline adiposity, age (in boys), puberty stage, and social class, but were dependent on sex, age (girls), and place of referral. Conclusions. This clinical obesity treatment was safe and effective in reducing BMI SDS independent of baseline adiposity, age (boys), or social class in these young people.

KW - Adolescent

KW - Adolescent Health Services

KW - Body Mass Index

KW - Child

KW - Child Health Services

KW - Child, Preschool

KW - Chronic Disease

KW - Clinical Protocols

KW - Denmark

KW - Female

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Obesity

KW - Overweight

KW - Program Evaluation

KW - Time Factors

KW - Treatment Outcome

KW - Weight Loss

KW - Young Adult

U2 - 10.3109/17477166.2011.575157

DO - 10.3109/17477166.2011.575157

M3 - Journal article

C2 - 21529264

SN - 2047-6302

VL - 6

SP - 188

EP - 196

JO - Pediatric obesity

JF - Pediatric obesity

IS - 3-4

ER -