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[First favourable results of the group education programme Go4it for overweight and obese adolescents]. / Eerste gunstige bevindingen van het groepseducatieprogramma Go4it voor adolescenten met overgewicht of obesitas.
Hofsteenge, G H; Weijs, P J M; Chin A Paw, M J M; Delemarre-van de Waal, H A.
Afiliação
  • Hofsteenge GH; VU Medisch Centrum, dienst Diëtetiek en Voedingswetenschappen, Postbus 7057, 1007 MB Amsterdam. a.hofsteenge@vumc.nl
Ned Tijdschr Geneeskd ; 152(29): 1628-33, 2008 Jul 19.
Article em Nl | MEDLINE | ID: mdl-18998271
OBJECTIVE: To evaluate the effect of Go4it, a multidisciplinary group education programme for adolescents with overweight or obesity. DESIGN: Uncontrolled intervention study. METHOD: At the obesity outpatient clinic of the Transmural Research and Treatment Centre for Overweight and Obese Children of the VU University Medical Center, Amsterdam, The Netherlands, a group education programme was developed for adolescents (age 12-18 year) who are overweight or obese. Obese adolescents who were referred to the obesity outpatient clinic were asked to participate. During 7 sessions (one session every two weeks) the adolescents were educated on the health consequences of obesity, diet, physical activity, energy balance, improving self-esteem and how to handle bullying and other difficult situations. All sessions were held in groups of 8-10 adolescents. In addition, two sessions were organised for the parents concerning the health consequences of obesity, diet, and physical activity. Body weight and height, glucose tolerance (by an oral glucose tolerance test; OGTT), and insulin resistance were measured at enrolment into the Go4it programme and 6 months later. RESULTS: In total, 93 adolescents (39 boys, 54 girls) were included with a mean age of 3.9 (SD: 1.7) years. Of those, 69 adolescents (74%) attended at least 6 out of 7 sessions of the education programme. Stabilisation or reduction in obesity levels following completion of Go4it was achieved in 51 (74%) of these participants. 50 adolescents had a second OGTT. The BMI standard deviation score (BMI-sds) decreased by 4.3% for boys (p = 0.020) and 3.3% for girls (p = 0.017). Among girls, fasting blood glucose levels decreased by an average of 0.37 mmol/l (95% CI: 0.14-0.60) and insulin concentrations decreased by an average of 299 pmol/l (95% CI: 71-528). CONCLUSION: Participation in the Go4it education programme is accompanied by a stabilisation or reduction in the level of obesity and has favourable effects on glucose and insulin metabolism.
Assuntos
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Base de dados: MEDLINE Assunto principal: Exercício Físico / Educação em Saúde / Dieta Redutora / Sobrepeso / Promoção da Saúde Limite: Adolescent / Female / Humans / Male Idioma: Nl Ano de publicação: 2008 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Exercício Físico / Educação em Saúde / Dieta Redutora / Sobrepeso / Promoção da Saúde Limite: Adolescent / Female / Humans / Male Idioma: Nl Ano de publicação: 2008 Tipo de documento: Article