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A family-based education program for obesity: a three-year study.

Tanas R, Marcolongo R, Pedretti S, Gilli G - BMC Pediatr (2007)

Bottom Line: The program consisted of three clinical and therapeutic education sessions, carried out by a single physician.Weight reduction was good in moderately obese children and in the severely obese.In addition, a smaller proportion of children treated with therapeutic education had negative results (BMI increase of >10%) compared to those treated with dietary approach (11.8% vs. 25.7%); finally, periodic phone calls reduced the drop-out rate in the therapeutic education group.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pediatric Department, Azienda Ospedaliera-Universitaria S, Anna, Ferrara, Italy. tanas.rita@tin.it

ABSTRACT

Background: The epidemic of obesity is increasing in all countries. However, the number of controlled studies focusing on childhood obesity, with a long follow-up is still limited. Even though Behavioral Therapy shows some efficacy, it requires a prolonged teamwork that is not always available in public health settings. In addition, Behavioral Therapy is not always accepted. We describe a new intensive and sustainable family-based, Therapeutic Education program for childhood obesity.

Methods: Controlled clinical study: a family-based Therapeutic Education program without dietetic prescription involving overweight and obese children/adolescents, without evident psychological troubles, and their families. The program consisted of three clinical and therapeutic education sessions, carried out by a single physician. Further sessions were carried out every six months in the first year and then every year.

Study population: 190 overweight children, 85 treated with a therapeutic education program (45 males and 40 females, mean age of 10.43 +/- 3) with an average BMI% of 154.72 +/- 19.6% and 105 matched children, treated with traditional dietary approach.Children's Body Mass Index (BMI) % and BMI Standard Deviation Score measured at baseline and after a three year-follow-up, were compared. Statistical tests: ANOVA-RM (repeated measures) controlled for distribution by Kolmogorov-Smirnov, Bartlett's test or correspondent non-parametric procedures, X2 tests or Fisher's exact test and simple linear regression.

Results: After a follow-up of 2.7 +/- 1.1 years, 72.9% of the children who followed the Therapeutic Education Program obtained a BMI% reduction, compared to 42.8% of children who followed the traditional dietary treatment. Weight reduction was good in moderately obese children and in the severely obese. In addition, a smaller proportion of children treated with therapeutic education had negative results (BMI increase of >10%) compared to those treated with dietary approach (11.8% vs. 25.7%); finally, periodic phone calls reduced the drop-out rate in the therapeutic education group.

Conclusion: These results indicate the efficacy and sustainability of the Therapeutic Education program, that was completely carried out by a single pediatrician; in addition, it met with an elevated participant acceptance, suggesting a convenient therapeutic solution for skilled pediatricians and selected obese children, when Behavioral Therapy is not available or teamwork is poor.

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BMI SDS changes from baseline to follow-up in Negative children, following TEP and DT. TEP: Therapeutic Education Program. DT: Dietetic Therapy. Negative: children with a BMI% increase ≥ 10% from baseline at follow-up. Negative after TEP: number children 10. Negative after DT: number children 27. BMI SDS: BMI Standard Deviation Score.
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Figure 2: BMI SDS changes from baseline to follow-up in Negative children, following TEP and DT. TEP: Therapeutic Education Program. DT: Dietetic Therapy. Negative: children with a BMI% increase ≥ 10% from baseline at follow-up. Negative after TEP: number children 10. Negative after DT: number children 27. BMI SDS: BMI Standard Deviation Score.

Mentions: At follow-up, the BMI % and BMI SDS of negative children showed a lower increase in the study group compared to the DT group, but the difference was not statistically significant (Figure 2).


A family-based education program for obesity: a three-year study.

Tanas R, Marcolongo R, Pedretti S, Gilli G - BMC Pediatr (2007)

BMI SDS changes from baseline to follow-up in Negative children, following TEP and DT. TEP: Therapeutic Education Program. DT: Dietetic Therapy. Negative: children with a BMI% increase ≥ 10% from baseline at follow-up. Negative after TEP: number children 10. Negative after DT: number children 27. BMI SDS: BMI Standard Deviation Score.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2194673&req=5

Figure 2: BMI SDS changes from baseline to follow-up in Negative children, following TEP and DT. TEP: Therapeutic Education Program. DT: Dietetic Therapy. Negative: children with a BMI% increase ≥ 10% from baseline at follow-up. Negative after TEP: number children 10. Negative after DT: number children 27. BMI SDS: BMI Standard Deviation Score.
Mentions: At follow-up, the BMI % and BMI SDS of negative children showed a lower increase in the study group compared to the DT group, but the difference was not statistically significant (Figure 2).

Bottom Line: The program consisted of three clinical and therapeutic education sessions, carried out by a single physician.Weight reduction was good in moderately obese children and in the severely obese.In addition, a smaller proportion of children treated with therapeutic education had negative results (BMI increase of >10%) compared to those treated with dietary approach (11.8% vs. 25.7%); finally, periodic phone calls reduced the drop-out rate in the therapeutic education group.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pediatric Department, Azienda Ospedaliera-Universitaria S, Anna, Ferrara, Italy. tanas.rita@tin.it

ABSTRACT

Background: The epidemic of obesity is increasing in all countries. However, the number of controlled studies focusing on childhood obesity, with a long follow-up is still limited. Even though Behavioral Therapy shows some efficacy, it requires a prolonged teamwork that is not always available in public health settings. In addition, Behavioral Therapy is not always accepted. We describe a new intensive and sustainable family-based, Therapeutic Education program for childhood obesity.

Methods: Controlled clinical study: a family-based Therapeutic Education program without dietetic prescription involving overweight and obese children/adolescents, without evident psychological troubles, and their families. The program consisted of three clinical and therapeutic education sessions, carried out by a single physician. Further sessions were carried out every six months in the first year and then every year.

Study population: 190 overweight children, 85 treated with a therapeutic education program (45 males and 40 females, mean age of 10.43 +/- 3) with an average BMI% of 154.72 +/- 19.6% and 105 matched children, treated with traditional dietary approach.Children's Body Mass Index (BMI) % and BMI Standard Deviation Score measured at baseline and after a three year-follow-up, were compared. Statistical tests: ANOVA-RM (repeated measures) controlled for distribution by Kolmogorov-Smirnov, Bartlett's test or correspondent non-parametric procedures, X2 tests or Fisher's exact test and simple linear regression.

Results: After a follow-up of 2.7 +/- 1.1 years, 72.9% of the children who followed the Therapeutic Education Program obtained a BMI% reduction, compared to 42.8% of children who followed the traditional dietary treatment. Weight reduction was good in moderately obese children and in the severely obese. In addition, a smaller proportion of children treated with therapeutic education had negative results (BMI increase of >10%) compared to those treated with dietary approach (11.8% vs. 25.7%); finally, periodic phone calls reduced the drop-out rate in the therapeutic education group.

Conclusion: These results indicate the efficacy and sustainability of the Therapeutic Education program, that was completely carried out by a single pediatrician; in addition, it met with an elevated participant acceptance, suggesting a convenient therapeutic solution for skilled pediatricians and selected obese children, when Behavioral Therapy is not available or teamwork is poor.

Show MeSH
Related in: MedlinePlus