The key role of psychosocial risk on therapeutic outcome in obese children and adolescents. Results from a longitudinal multicenter study

Autor: Martin de Souza, Ralf Schiel, Ines Gellhaus, Karl Zwiauer, M. Röbl, Susanna Wiegand, Reinhard W. Holl
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Gerontology
Male
Parents
Pediatric Obesity
Health (social science)
Health Behavior
Social Environment
Body Mass Index
0302 clinical medicine
Weight loss
Risk Factors
Psychosocial risk factors
Medicine
030212 general & internal medicine
Childhood obesity
Longitudinal Studies
Child
lcsh:RC620-627
Emigration and Immigration
3. Good health
Weight Reduction Programs
lcsh:Nutritional diseases. Deficiency diseases
Treatment Outcome
Pediatric cohort
Cohort
Educational Status
Original Article
Female
medicine.symptom
Psychosocial
lcsh:Nutrition. Foods and food supply
Therapeutic outcome
Gender
Education
Employment
medicine.medical_specialty
Adolescent
Emigrants and Immigrants
030209 endocrinology & metabolism
lcsh:TX341-641
03 medical and health sciences
Physiology (medical)
Weight Loss
Humans
Socioeconomic status
Life Style
business.industry
Public health
medicine.disease
Obesity
Physical therapy
business
Body mass index
Follow-Up Studies
Zdroj: Obesity Facts, Vol 6, Iss 3, Pp 297-305 (2013)
Obesity Facts
Popis: Objective: Childhood obesity is high on the global public health agenda. Although risk factors are well known, the influence of social risk on the therapeutic outcome of lifestyle intervention is poorly examined. This study aims to investigate the influence of migration background, low education, and parental unemployment. Methods: 62,147 patients participated in multidimensional lifestyle intervention programs in 179 pediatric obesity centers. Data were collected using standardized software for longitudinal multicenter documentation. 12,305 (19.8%) attended care for 6-24 months, undergoing an intensive therapy period and subsequent follow-ups for up to 3 years. A cumulative social risk score was calculated based on different risk indicators. Results: Migration background, low education, and parental employment significantly influenced the outcome of lifestyle intervention. The observed BMI-SDS reduction was significantly higher in the subgroup with low social risks factors (Δ BMI-SDS -0.19) compared to those presenting moderate (Δ BMI-SDS -0.14) and high social risk (Δ BMI-SDS -0.11). Conclusion: Our data underline the effect of children's social setting on the outcome of multidimensional lifestyle intervention. The presence of a high social risk burden is a negative predictor for successful weight loss. Specific therapeutic programs need to be developed for disadvantaged children and adolescents.
Databáze: OpenAIRE
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