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Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care.
Breinker, Julius Lars; Kaspar, Anika; Sergeyev, Elena; Körner, Antje; Kiess, Wieland; Hilbert, Anja.
  • Breinker JL; Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, 04103 Leipzig, Germany.
  • Kaspar A; Center for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, Germany.
  • Sergeyev E; Center for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, Germany.
  • Körner A; Center for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, Germany.
  • Kiess W; LIFE Research Center for Civilization Diseases, University of Leipzig Medical Center, 04103 Leipzig, Germany.
  • Hilbert A; Center for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Nutrients ; 15(1)2022 Dec 28.
Статья в английский | MEDLINE | ID: covidwho-2239355
ABSTRACT
Multimodal obesity treatments for children and adolescents generally showed only small to modest treatment effects and high dropout rates. Potential variations by patients' clinical and sociodemographic factors remain, however, largely unclear. For this reason, our study analyzed psychological, physical, and sociodemographic predictors of treatment success and adherence in a multimodal obesity treatment over 12 months. The intent-to-treat sample included n = 361 children and adolescents (ages 3-17 years), of which n = 214 or 59.28% of patients completed treatment. A younger age and, in the sensitivity analysis, additionally a greater eating disorder psychopathology and treatment initiation before COVID-19 pandemic predicted greater BMI-SDS reductions (Body Mass Index-Standard Deviation Score). In contrast, predictors of treatment adherence were not found. The results underline the importance of early treatment of juvenile obesity. Additionally, eating disorder psychopathology includes restrained eating, which implies the ability to self-regulate eating behavior and therefore may have a positive effect on the treatment goal of controlled food intake. Challenges from altered treatment procedures due to the COVID-19 pandemic nonetheless remain.
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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Pediatric Obesity / COVID-19 Тип исследования: Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование / Качественное исследование Пределы темы: Подростки / Дети / Детский дошкольный / Люди Язык: английский Год: 2022 Тип: Статья Аффилированная страна: Nu15010136

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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Pediatric Obesity / COVID-19 Тип исследования: Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование / Качественное исследование Пределы темы: Подростки / Дети / Детский дошкольный / Люди Язык: английский Год: 2022 Тип: Статья Аффилированная страна: Nu15010136