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International Journal of Pediatrics
Volume 2013, Article ID 856743, 15 pages
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 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.


Aim. “The combined DAK therapy for obesity in children and adolescents” combines a 6-week inpatient with a 10.5-month outpatient treatment. The aim of the study is to evaluate whether the therapeutic achievements are maintained two and four years after intervention. Method. All subjects who had participated in the 12-month program in 2004/2005 were included in the follow-up study. Body weight, height, and physical fitness were assessed through direct measurements, behaviour, and quality of life by self-report questionnaires. Statistical analysis is based on an intention-to-treat analysis. Results. The response rate after three years was 63.4% and 42.2% after five years. Within three years, participants reduced their BMI-SDS significantly by 0.20 (SD 0.49) and by 0.15 (SD 0.51) within five years. Significant positive changes could be observed with respect to the participants eating behaviour. Similarly, the food intake, particularly the consumption of calorie-reduced beverages, increased significantly while that of nonrecommended foods decreased. Improvement was also seen in the subjective quality of life as well as several aspects of self-perception. Conclusion. Compared to baseline data, significant reduction of BMI-SDS and positive changes of health-related behaviours could be observed even three and five years after the start of the initial program.