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International Journal of Pediatrics
Volume 2013 (2013), Article ID 856743, 15 pages
http://dx.doi.org/10.1155/2013/856743
Research Article

Three- and Five-Year Follow-Up of a Combined Inpatient-Outpatient Treatment of Obese Children and Adolescents

1Faculty of Life Sciences, Hamburg University of Applied Sciences, Lohbrügger Kirchstraße 65, 21033 Hamburg, Germany
2HealthBehavior.de GmbH, Lübecker Straße 52, 23611 Bad Schwartau, Germany
3DAK-Gesundheit Unternehmen Leben, Produktmanagement, Vorsorge und Reha-Leistungen, Nagelsweg 27-31, 20097 Hamburg, Germany
4DAK-Gesundheit Unternehmen Leben, Versorgungsmanagement-Leistungen zur Prävention, Nagelsweg 27-31, 20097 Hamburg, Germany

Received 3 August 2012; Revised 23 December 2012; Accepted 27 February 2013

Academic Editor: Anne W. Riley

Copyright © 2013 Sibylle Adam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. B. M. Kurth and A. S. Rosario, “Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland,” Bundesgesundheitsbl—Gesundheitsforsch—Gesundheitsschutz, vol. 50, pp. 736–743, 2007.
  2. L. A. Lytle, “Dealing with the childhood obesity epidemic: a public health approach,” Abdominal Imaging, vol. 37, no. 5, pp. 719–724, 2012. View at Publisher · View at Google Scholar
  3. C. L. Ogden, M. D. Carroll, B. K. Kit, and K. M. Flegal, “Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010,” The Journal of the American Medical Association, vol. 307, no. 5, pp. 483–490, 2012. View at Publisher · View at Google Scholar
  4. R. Jackson-Leach and T. Lobstein, “Estimated burden of paediatric obesity and co-morbidities in Europe—part 1: the increase in the prevalence of child obesity in Europe is itself increasing,” International Journal of Pediatric Obesity, vol. 1, no. 1, pp. 26–32, 2006. View at Publisher · View at Google Scholar · View at Scopus
  5. A. Moss, J. Klenk, K. Simon, H. Thaiss, T. Reinehr, and M. Wabitsch, “Declining prevalence rates for overweight and obesity in German children starting school,” European Journal of Pediatrics, vol. 171, no. 2, pp. 289–299, 2012. View at Publisher · View at Google Scholar · View at Scopus
  6. K. D. Tambalis, D. B. Panagiotakos, S. A. Kavouras et al., “Eleven-year prevalence trends of obesity in greek children: first evidence that prevalence of obesity is leveling off,” Obesity, vol. 18, no. 1, pp. 161–166, 2010. View at Publisher · View at Google Scholar · View at Scopus
  7. J. S. Harrell, A. Jessup, and N. Greene, “Changing our future: obesity and the metabolic syndrome in children and adolescents,” Journal of Cardiovascular Nursing, vol. 21, no. 4, pp. 322–330, 2006. View at Scopus
  8. D. L'Allemand-Jander, “Clinical diagnosis of metabolic and cardiovascular risks in overweight children: early development of chronic diseases in the obese child,” International Journal of Obesity, vol. 34, supplement 2, pp. S32–S36, 2010. View at Publisher · View at Google Scholar · View at Scopus
  9. M. van Vliet, M. W. Heymans, I. A. von Rosenstiel, D. P. Brandjes, J. H. Beijnen, and M. Diamant, “Cardiometabolic risk variables in overweight and obese children: a worldwide comparison,” Cardiovascular Diabetology, vol. 10, article 106, 2011. View at Publisher · View at Google Scholar
  10. Y. P. Li, X. G. Yang, F. Y. Zhai et al., “Disease risks of childhood obesity in China,” Biomedical and Environmental Sciences, vol. 18, no. 6, pp. 401–410, 2005.
  11. H. O. Mossberg, “40-year follow-up of overweight children,” The Lancet, vol. 2, no. 8661, pp. 491–493, 1989. View at Scopus
  12. M. K. Serdula, D. Ivery, R. J. Coates, D. S. Freedman, D. F. Williamson, and T. Byers, “Do obese children become obese adults? A review of the literature,” Preventive Medicine, vol. 22, no. 2, pp. 167–177, 1993. View at Publisher · View at Google Scholar · View at Scopus
  13. N. S. The, C. Suchindran, K. E. North, B. M. Popkin, and P. Gordon-Larsen, “Association of adolescent obesity with risk of severe obesity in adulthood,” The Journal of the American Medical Association, vol. 304, no. 18, pp. 2042–2047, 2010. View at Publisher · View at Google Scholar · View at Scopus
  14. K. Togashi, H. Masuda, T. Rankinen, S. Tanaka, C. Bouchard, and H. Kamiya, “A 12-year follow-up study of treated obese children in Japan,” International Journal of Obesity and Related Metabolic Disorders, vol. 26, no. 6, pp. 770–777, 2002. View at Publisher · View at Google Scholar
  15. Prospective Studies Collaboration, “Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies,” The Lancet, vol. 373, no. 9669, pp. 1083–1096, 2009. View at Publisher · View at Google Scholar · View at Scopus
  16. E. S. Kuhl, J. R. Rausch, J. W. Varni, and L. J. Stark, “Impaired health-related quality of life in preschoolers with obesity,” Journal of Pediatric Psychology, vol. 37, no. 10, pp. 1148–1156, 2012. View at Publisher · View at Google Scholar
  17. A. R. Hughes, K. Farewell, D. Harris, and J. J. Reilly, “Quality of life in a clinical sample of obese children,” International Journal of Obesity, vol. 31, no. 1, pp. 39–44, 2007. View at Publisher · View at Google Scholar
  18. J. Williams, M. Wake, K. Hesketh, E. Maher, and E. Waters, “Health-related quality of life of overweight and obese children,” The Journal of the American Medical Association, vol. 293, no. 1, pp. 70–76, 2005. View at Publisher · View at Google Scholar · View at Scopus
  19. R. M. Puhl and C. A. Heuer, “Obesity stigma: important considerations for public health,” The American Journal of Public Health, vol. 100, no. 6, pp. 1019–1028, 2010. View at Publisher · View at Google Scholar · View at Scopus
  20. R. M. Puhl, “Weight stigmatization toward youth: a significant problem in need of societal solutions,” Childhood Obesity, vol. 7, pp. 359–363, 2011.
  21. R. M. Puhl, J. Luedicke, and C. Heuer, “Weight-based victimization toward overweight adolescents: observations and reactions of peers,” Journal of School Health, vol. 81, no. 11, pp. 696–703, 2011. View at Publisher · View at Google Scholar
  22. M. L. Hatzenbuehler, K. M. Keyes, and D. S. Hasin, “Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population,” Obesity, vol. 17, no. 11, pp. 2033–2039, 2009. View at Publisher · View at Google Scholar · View at Scopus
  23. N. Halfon, K. Larson, and W. Slusser, “Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of us children aged 10 to 17,” Academic Pediatrics, vol. 13, no. 1, pp. 6–13, 2013. View at Publisher · View at Google Scholar
  24. K. R. Sonneville, J. P. Calzo, N. J. Horton, J. Haines, S. B. Austin, and A. E. Field, “Body satisfaction, weight gain and binge eating among overweight adolescent girls,” International Journal of Obesity, vol. 36, no. 7, pp. 944–949, 2012. View at Publisher · View at Google Scholar
  25. Y. S. Danielsen, K. M. Stormark, I. H. Nordhus et al., “Factors associated with low self-esteem in children with overweight,” Obesity Facts, vol. 5, no. 5, pp. 722–733, 2012. View at Publisher · View at Google Scholar
  26. M. J. Müller, Reinehr, and J. Hebebrand, “Prävention und Therapie von Übergewicht im Kindes-und Jugendalter,” Deutsches Ärzteblatt, vol. 103, pp. 334–340, 2006.
  27. D. A. Williamson, P. D. Martin, M. A. White et al., “Efficacy of an internet-based behavioral weight loss program for overweight adolescent African-American girls,” Eating and Weight Disorders, vol. 10, no. 3, pp. 193–203, 2005. View at Scopus
  28. M. Czerwinski-Mast, S. Danielzik, I. Asbeck, et al., “Kieler Adipositaspräventionsstudie (KOPS). Konzept und erste Ergebnisse des Vierjahres-Nachuntersuchungen,” Bundesgesundheitsbl—Gesundheitsforsch—Gesundheitsschutz, vol. 46, pp. 727–731, 2003.
  29. S. Danielzik, S. Pust, and M. J. Müller, “School-based interventions to prevent overweight and obesity in prepubertal children: process and 4-years outcome evaluation of the Kiel obesity prevention study (KOPS),” Acta Paediatrica, vol. 96, no. 454, pp. 19–25, 2007. View at Publisher · View at Google Scholar · View at Scopus
  30. C. Gonzalez-Suarez, A. Worley, K. Grimmer-Somers, and V. Dones, “School-based interventions on childhood obesity. A meta-analysis,” The American Journal of Preventive Medicine, vol. 37, no. 5, pp. 418–427, 2009. View at Publisher · View at Google Scholar · View at Scopus
  31. D. Dreimane, D. Safani, M. MacKenzie et al., “Feasibility of a hospital-based, family-centered intervention to reduce weight gain in overweight children and adolescents,” Diabetes Research and Clinical Practice, vol. 75, no. 2, pp. 159–168, 2007. View at Publisher · View at Google Scholar · View at Scopus
  32. M. Vignolo, F. Rossi, G. Bardazza et al., “Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment,” European Journal of Clinical Nutrition, vol. 62, no. 9, pp. 1047–1057, 2008. View at Publisher · View at Google Scholar · View at Scopus
  33. N. P. Correa, N. G. Murray, C. A. Mei et al., “CAN DO Houston: a community-based approach to preventing childhood obesity,” Preventing Chronic Disease, vol. 7, no. 4, article A88, 2010. View at Scopus
  34. V. Morris, “Community-based programming to treat childhood obesity,” Current Diabetes Reports, vol. 6, no. 5, pp. 395–400, 2006. View at Publisher · View at Google Scholar
  35. P. M. Sacher, M. Kolotourou, P. M. Chadwick et al., “Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity,” Obesity, vol. 18, supplement 1, pp. S62–S68, 2010. View at Publisher · View at Google Scholar · View at Scopus
  36. V. A. Shrewsbury, J. O'Connor, K. S. Steinbeck et al., “A randomised controlled trial of a community-based healthy lifestyle program for overweight and obese adolescents: the Loozit study protocol,” BMC Public Health, vol. 9, article 119, 2009. View at Publisher · View at Google Scholar · View at Scopus
  37. S. Barnow, D. Bernheim, C. Schröder, H. Lauffer, C. Fusch, and H. J. Freyberger, “Obesity in childhood and adolescence—first results of a multimodal intervention study in Mecklenburg-Vorpommern,” Psychotherapie Psychosomatik Medizinische Psychologie, vol. 53, no. 1, pp. 7–14, 2003.
  38. S. Barnow, M. Stopsack, D. Bernheim et al., “Results of an outpatient intervention for obese children and adolescents,” Psychotherapie Psychosomatik Medizinische Psychologie, vol. 57, no. 9-10, pp. 353–358, 2007. View at Publisher · View at Google Scholar · View at Scopus
  39. T. Reinehr, A. Schaefer, K. Winkel, E. Finne, A. M. Toschke, and P. Kolip, “An effective lifestyle intervention in overweight children: findings from a randomized controlled trial on ‘Obeldicks light’,” Clinical Nutrition, vol. 29, no. 3, pp. 331–336, 2010. View at Publisher · View at Google Scholar
  40. C. Weigel, K. Kokocinski, P. Lederer, J. Dötsch, W. Rascher, and I. Knerr, “Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program,” Journal of Nutrition Education and Behavior, vol. 40, no. 6, pp. 369–373, 2008. View at Publisher · View at Google Scholar · View at Scopus
  41. B. H. Knöpfli, T. Radtke, M. Lehmann et al., “Effects of a multidisciplinary inpatient intervention on body composition, aerobic fitness, and quality of life in severely obese girls and boys,” Journal of Adolescent Health, vol. 42, no. 2, pp. 119–127, 2008. View at Publisher · View at Google Scholar · View at Scopus
  42. D. Nemet, S. Barkan, Y. Epstein, O. Friedland, G. Kowen, and A. Eliakim, “Short- and long-term beneficial effects of a combined dietary-behavioral- physical activity intervention for the treatment of childhood obesity,” Pediatrics, vol. 115, no. 4, pp. e443–e449, 2005. View at Publisher · View at Google Scholar · View at Scopus
  43. P. Warschburger, C. Fromme, F. Petermann, N. Wojtalla, and J. Oepen, “Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity,” International Journal of Obesity, vol. 25, supplement 1, pp. S93–S95, 2001. View at Publisher · View at Google Scholar · View at Scopus
  44. U. Korsten-Reck, K. Kromeyer-Hauschild, B. Wolfarth, H. H. Dickhuth, and A. Berg, “Freiburg intervention trial for obese children (FITOC): results of a clinical observation study,” International Journal of Obesity, vol. 29, no. 4, pp. 356–361, 2005. View at Publisher · View at Google Scholar · View at Scopus
  45. A. van Egmond-Fröhlich, W. Bräuer, H. Goldschmidt, H. Hoff-Emden, J. Oepen, and E. Zimmermann, “Effects of a programme for structured outpatient follow-up care after inpatient rehabilitation of obese children and adolescents—a multicentre, randomized study,” Rehabilitation, vol. 45, no. 1, pp. 40–51, 2006. View at Publisher · View at Google Scholar · View at Scopus
  46. S. Plachta-Danielzik, B. Landsberg, D. Lange, J. Seiberl, and M. J. Müller, “Eight-year follow-up of school-based intervention on childhood overweight—the Kiel obesity prevention study,” Obesity Facts, vol. 4, no. 1, pp. 35–43, 2011. View at Publisher · View at Google Scholar · View at Scopus
  47. R. Tanas, R. Marcolongo, S. Pedretti, and G. Gilli, “A family-based education program for obesity: a three-year study,” BMC Pediatrics, vol. 7, article 33, 2007. View at Publisher · View at Google Scholar · View at Scopus
  48. E. Moens, C. Braet, and M. van Winckel Myriam, “An 8-year follow-up of treated obese children: children's, process and parental predictors of successful outcome,” Behaviour Research and Therapy, vol. 48, no. 7, pp. 626–633, 2010. View at Publisher · View at Google Scholar · View at Scopus
  49. U. Hoffmeister, M. Bullinger, A. van Egmond-Fröhlich et al., “Treatment of obesity in pediatric patients in Germany: anthropometry, comorbidity and socioeconomic gradients based on the BZgA observational study,” Klinische Padiatrie, vol. 222, no. 4, pp. 274–278, 2010. View at Publisher · View at Google Scholar · View at Scopus
  50. T. Reinehr, M. Temmesfeld, M. Kersting, G. de Sousa, and A. M. Toschke, “Four-year follow-up of children and adolescents participating in an obesity intervention program,” International Journal of Obesity, vol. 31, no. 7, pp. 1074–1077, 2007. View at Publisher · View at Google Scholar · View at Scopus
  51. S. Adam, J. Westenhöfer, B. Rudolphi, and H. K. Kraaibeek, “The combined DAK therapy of obesity for children and adolescents. Evaluation after 1 year,” MMW Fortschritte der Medizin, vol. 150, supplement 1, pp. 7–15, 2008.
  52. S. Adam, J. Westenhöfer, B. Rudolphi, and H. K. Kraaibeek, “Effects of a combined inpatient-outpatient treatment of obese children and adolescents,” Obesity Facts, vol. 2, no. 5, pp. 286–293, 2009. View at Publisher · View at Google Scholar · View at Scopus
  53. Arbeitsgemeinschaft Adipositas im Kindes-und Jugendalter (AGA), “Leitlinien der Arbeitsgemeinschaft Adipositas im Kindes-und Jugendalter,” 2004, http://www.a-g-a.de/Leitlinie.pdf.
  54. Aid Infodienst, “Deutsche Gesellschaft für Ernährung,” in Trainermanual Leichter, aktiver, gesünder. Interdisziplinäres Konzept für die Schulung übergewichtiger Kinder und Jugendlicher, Aid Infodienst, Bonn, Germany, 2004.
  55. K. Kromeyer-Hauschild, M. Wabitsch, D. Kunze, et al., “Perzentile für den Body-mass-Index für das Kindes-und Jugendalter unter Heranziehung verschiedener deutscher Stichproben,” Monatsschrift für Kinderheilkunde, vol. 149, pp. 807–818, 2001.
  56. Forschungsinstitut für Kinderernährung Dortmund, Empfehlungen für die Ernährung von übergewichtigen Kindern, Forschungsinstitut für kinderernährung Dortmund, Dortmund, Germany, 2004.
  57. Forschungsinstitut für Kinderernährung Dortmund, Empfehlungen für die Ernährung von Kindern und Jugendlichen, Forschungsinstitut für kinderernährung Dortmund, Dortmund, Germany, 2008.
  58. T. Böhler, M. Wabitsch, and U. Winkler, “Konsensuspapier Patientenschulungsprogramme für Kinder und Jugendliche mit Adipositas,” in Bundeszentrale für gesundheitliche Aufklärung (BZGA), Gesundheitsförderung konkret Band 4, pp. 37–55, Bundeszentrale für gesundheitliche Aufklärung (BZGA), Köln, Germany, 2005.
  59. V. Pudel and J. Westenhöfer, Fragebogen zum Essverhalten: Handanweisung, Hogrefe, Göttingen, Germany, 1989.
  60. P. Wünsche and K. A. Schneewind, “Entwicklung eines Fragebogens zur Erfassung von Selbst-und Kompetenzeinschätzung bei Kindern (K-FSK),” Diagnostica, vol. 35, pp. 217–235, 1989.
  61. S. Harter, “The perceived competence scale for children,” Child Development, vol. 53, no. 1, pp. 87–97, 1982. View at Publisher · View at Google Scholar
  62. P. Warschburger, “Konzeption und Analyse eines gewichtsspezifischen Lebensqualitätsfragebogens für übergewichtige Kinder und Jugendliche (GW-LQ-KJ),” Zeitschrift für Klinische Psychologie, Psychiatrie und Psychotherapie, vol. 53, pp. 356–369, 2005.
  63. P. Warschburger, C. Fromme, and F. Petermann, “Gewichtsbezogene Lebensqualität bei Schulkindern: Validität des GW-LQ-KJ,” Zeitschrift für Gesundheitspsychologie, vol. 12, pp. 159–166, 2004.
  64. C. Fromme, Adipositas im Kindes-und Jugendalter: kurz-und längerfristige Wirkungen der Behandlung im stationären Rahmen, Books on Demand, Norderstedt, Germany, 2001.
  65. U. Hoffmeister, M. Bullinger, A. van Egmond-Fröhlich et al., “Overweight and obesity in childhood and adolescence: evaluation of inpatient and outpatient care in Germany: the EvAKuJ study,” Bundesgesundheitsblatt—Gesundheitsforschung—Gesundheitsschutz, vol. 54, no. 1, pp. 128–135, 2011. View at Publisher · View at Google Scholar · View at Scopus
  66. T. Reinehr, S. Wiegand, W. Siegfried et al., “Comorbidities in overweight children and adolescents: do we treat them effectively?” International Journal of Obesity, 2012. View at Publisher · View at Google Scholar
  67. J. L. Baker, L. W. Olsen, and T. I. A. Sørensen, “Childhood body-mass index and the risk of coronary heart disease in adulthood,” The New England Journal of Medicine, vol. 357, pp. 2329–2337, 2007. View at Publisher · View at Google Scholar
  68. T. Reinehr, M. Kersting, U. Alexy, and W. Andler, “Long-term follow-up of overweight children: after training, after a single consultation session, and without treatment,” Journal of Pediatric Gastroenterology and Nutrition, vol. 37, no. 1, pp. 72–74, 2003. View at Publisher · View at Google Scholar · View at Scopus
  69. M. H. Zeller and A. C. Modi, “Predictors of health-related quality of life in obese youth,” Obesity, vol. 14, no. 1, pp. 122–130, 2006. View at Publisher · View at Google Scholar · View at Scopus
  70. L. S. Wieland, L. Falzon, C. N. Sciamanna et al., “Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people,” Cochrane Database of Systematic Reviews, vol. 8, Article ID CD007675, 2012. View at Publisher · View at Google Scholar
  71. M. Ho, S. P. Garnett, L. Baur et al., “Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis,” Pediatrics, vol. 130, no. 6, pp. e1647–e1671, 2012. View at Publisher · View at Google Scholar
  72. P. M. Sacher, M. Kolotourou, P. M. Chadwick et al., “Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity,” Obesity, vol. 18, supplement 1, pp. S62–S68, 2010. View at Publisher · View at Google Scholar · View at Scopus