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  • Pediatric Original Article
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Long-term efficacy of group-based treatment for childhood obesity compared with routinely given individual counselling

Abstract

Objective:

We investigated the long-term efficacy of two childhood obesity treatment programs, routine counselling (two appointments for children) and group treatment (15 sessions separately for children and parents) in a randomised controlled trial. As published earlier, group treatment was more effective than routine counselling in the treatment of 7–9 year-old obese children in the short term.

Design:

The children's heights and weights were measured 2 and 3 years after the beginning of the intervention and changes in weight for height, body mass index (BMI) and BMI standard deviation scores were used as outcome measures.

Results:

There were no significant differences between the treatment arms in the changes of outcome measures from baseline to 2- or 3-years follow-up visits.

Conclusion:

In conclusion, novel efforts are needed for the improvement of the long-term results of childhood obesity treatment programs.

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References

  1. Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP et al. Interventions for treating obesity in children. Cochrane Database Syst Rev 2009; (1): CD001872.

  2. Wilfley DE, Tibbs TL, Van Buren DJ, Reach KP, Walker MS, Epstein LH . Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials. Health Psychol 2007; 26: 521–532.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kalavainen MP, Korppi MO, Nuutinen OM . Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling. Int J Obes (Lond) 2007; 31: 1500–1508.

    Article  CAS  Google Scholar 

  4. Sorva R, Lankinen S, Tolppanen EM, Perheentupa J . Variation of growth in height and weight of children. II. After infancy. Acta Paediatr Scand 1990; 79: 498–506.

    Article  CAS  PubMed  Google Scholar 

  5. Pere A . Comparison of two methods for transforming height and weight to normality. Ann Hum Biol 2000; 27: 35–45.

    Article  CAS  PubMed  Google Scholar 

  6. Cole TJ, Freeman JV, Preece MA . Body mass index reference curves for the UK, 1990. Arch Dis Child 1995; 73: 25–29.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Freeman JV, Cole TJ, Chinn S, Jones PR, White EM, Preece MA . Cross sectional stature and weight reference curves for the UK, 1990. Arch Dis Child 1995; 73: 17–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Kalarchian MA, Levine MD, Arslanian SA, Ewing LJ, Houck PR, Cheng Y et al. Family-based treatment of severe pediatric obesity: randomized, controlled trial. Pediatrics 2009; 124: 1060–1068.

    Article  PubMed  Google Scholar 

  9. Epstein LH, Valoski A, Wing RR, McCurley J . Ten-year follow-up of behavioral, family-based treatment for obese children. JAMA 1990; 264: 2519–2523.

    Article  CAS  PubMed  Google Scholar 

  10. Golan M, Crow S . Targeting parents exclusively in the treatment of childhood obesity: long-term results. Obes Res 2004; 12: 357–361.

    Article  PubMed  Google Scholar 

  11. Reinehr T, Temmesfeld M, Kersting M, de Sousa G, Toschke AM . Four-year follow-up of children and adolescents participating in an obesity intervention program. Int J Obes (Lond) 2007; 31: 1074–1077.

    Article  CAS  Google Scholar 

  12. Reinehr T, Kleber M, Lass N, Toschke AM . Body mass index patterns over 5 y in obese children motivated to participate in a 1-y lifestyle intervention: age as a predictor of long-term success. Am J Clin Nutr 2010; 91: 1165–1171.

    Article  CAS  PubMed  Google Scholar 

  13. Wilfley DE, Stein RI, Saelens BE, Mockus DS, Matt GE, Hayden-Wade HA et al. Efficacy of maintenance treatment approaches for childhood overweight: a randomized controlled trial. JAMA 2007; 298: 1661–1673.

    Article  CAS  PubMed  Google Scholar 

  14. Wilfley DE, Van Buren DJ, Theim KR, Stein RI, Saelens BE, Ezzet F et al. The use of biosimulation in the design of a novel multilevel weight loss maintenance program for overweight children. Obesity (Silver Spring) 2010; 18 (Suppl 1): S91–S98.

    Article  Google Scholar 

  15. Fuentes RM, Notkola IL, Shemeikka S, Tuomilehto J, Nissinen A . Tracking of body mass index during childhood: a 15-year prospective population-based family study in Eastern Finland. Int J Obes Relat Metab Disord 2003; 27: 716–721.

    Article  CAS  PubMed  Google Scholar 

  16. Wardle J, Brodersen NH, Cole TJ, Jarvis MJ, Boniface DR . Development of adiposity in adolescence: five year longitudinal study of an ethnically and socioeconomically diverse sample of young people in Britain. BMJ 2006; 332: 1130–1135.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Laitinen J, Power C, Jarvelin MR . Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity. Am J Clin Nutr 2001; 74: 287–294.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This research was supported by grants from Kuopio University Hospital, the Scientific Foundation of Finnish Association of Academic Agronomists, Finnish Cultural Foundation of Northern Savo, Juho Vainio Foundation, Ministry of Social Affairs and Health, Social Insurance Institution and the Finnish Cultural Foundation.

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Correspondence to M Kalavainen.

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Kalavainen, M., Korppi, M. & Nuutinen, O. Long-term efficacy of group-based treatment for childhood obesity compared with routinely given individual counselling. Int J Obes 35, 530–533 (2011). https://doi.org/10.1038/ijo.2011.1

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  • DOI: https://doi.org/10.1038/ijo.2011.1

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