| Autor: |
De Beaufort, C, Samouda, H, Jacobs, J, Vervier, J F, Bocquet, V, Schierloh, U, Gilson, G |
| Zdroj: |
Pediatric Research; November 2010, Vol. 68 Issue: 1, Number 1 Supplement 1 p87-87, 1p |
| Abstrakt: |
Objectives: Compare the characteristics of children, who were compliant or non-compliant in two different therapeutic programs coping with overweight/obesityMethodology: Self-referred overweight and obese children/adolescents, were invited to participate and were randomised to group or individual therapy for a period of 4 months. Group therapy (GT) was a multidisciplinary, intensive therapy, including sport, healthy food intake and psychological counselling. Individual treatment (IT) was made to measure and consisted of counselling of the child and its family on healthy lifestyle.(Dietary advice and psychological support was available). At onset Family Affluence Scale (FAS), anthropometric parameters, glucose and fat metabolism were investigated. The study was approved by the National Medical Ethical Committee (CNER).Results: In total, 192 children and adolescents participated with personal and parental informed consent (age range 7-17 years; F: 53.6%). Within the first 4 months, 14.5% dropped out of therapy in both groups (n=70) with no difference between the two treatment groups. No difference in FAS score was observed between the two groups. Drop outs had a significantly higher BMI Z-score at onset, compared to those who continued (p = 0.001; 2.85 ± 0.45 vs 2.48 ± 0.58).They had as well higher insulin and HOMA levels (4.37 vs 3.04), higher triglycerides and higher fibrinogen.Discussion: Children dropping out of specially developed ambulatory outpatient programs are more obese and present higher risk factors for insulin resistance and cardiovascular pathology. Alternative programs may be needed to reach this group. |
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