The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity
Lifestyle interventions are the common treatment for children and adolescents with severe obesity. The efficacy of these interventions across age groups remain unknown. Therefore, this study aimed to compare the effectiveness of a lifestyle intervention on health parameters between children and adol...
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MDPI AG
2022-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/9/1795 |
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| author | Kelly G. H. van de Pas Judith W. Lubrecht Marijn L. Hesselink Bjorn Winkens François M. H. van Dielen Anita C. E. Vreugdenhil |
| author_facet | Kelly G. H. van de Pas Judith W. Lubrecht Marijn L. Hesselink Bjorn Winkens François M. H. van Dielen Anita C. E. Vreugdenhil |
| author_sort | Kelly G. H. van de Pas |
| collection | DOAJ |
| description | Lifestyle interventions are the common treatment for children and adolescents with severe obesity. The efficacy of these interventions across age groups remain unknown. Therefore, this study aimed to compare the effectiveness of a lifestyle intervention on health parameters between children and adolescents with severe obesity. A longitudinal design was carried out at the Centre for Overweight Adolescent and Children’s Healthcare (COACH) between December 2010 and June 2020. Children (2–11 years old, n = 83) and adolescents (12–18 years old, n = 77) with severe obesity received a long-term, tailored, multidisciplinary lifestyle intervention. After 1 year, 24 children (28.9%) and 33 adolescents (42.9%) dropped out of the intervention. The primary outcome was the change in body mass index (BMI) z-score after one and two years of intervention. The decrease in BMI z-score over time was significantly higher in children compared to adolescents, the mean decrease was 0.15 (0.08–0.23) versus 0.03 (−0.05–0.11) after one year and 0.25 (0.15–0.35) versus 0.06 (−0.06–0.17) after two years of intervention; <i>p</i> values for the difference between children and adolescents were 0.035 and 0.012. After two years, multiple improvements in cardio metabolic health parameters were observed, especially in children. In conclusion, during our tailored lifestyle intervention, a positive and maintained effect on health parameters was observed in children with severe obesity. Compared to children, the effect on health parameters was less pronounced in adolescents. |
| first_indexed | 2024-03-10T03:50:39Z |
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| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T03:50:39Z |
| publishDate | 2022-04-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-47e64345b23f4b22ba3cb4f3bd125ee62023-11-23T08:58:34ZengMDPI AGNutrients2072-66432022-04-01149179510.3390/nu14091795The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe ObesityKelly G. H. van de Pas0Judith W. Lubrecht1Marijn L. Hesselink2Bjorn Winkens3François M. H. van Dielen4Anita C. E. Vreugdenhil5Centre for Overweight Adolescent and Children’s Healthcare (COACH), Department of Paediatrics, Maastricht University Medical Centre, 6229 HX Maastricht, The NetherlandsCentre for Overweight Adolescent and Children’s Healthcare (COACH), Department of Paediatrics, Maastricht University Medical Centre, 6229 HX Maastricht, The NetherlandsCentre for Overweight Adolescent and Children’s Healthcare (COACH), Department of Paediatrics, Maastricht University Medical Centre, 6229 HX Maastricht, The NetherlandsDepartment of Methodology and Statistics, Care and Public Health Research Institute (CAPHRI), Maastricht University, 6229 ER Maastricht, The NetherlandsDepartment of Surgery, Máxima Medical Center, 5504 DB Veldhoven, The NetherlandsCentre for Overweight Adolescent and Children’s Healthcare (COACH), Department of Paediatrics, Maastricht University Medical Centre, 6229 HX Maastricht, The NetherlandsLifestyle interventions are the common treatment for children and adolescents with severe obesity. The efficacy of these interventions across age groups remain unknown. Therefore, this study aimed to compare the effectiveness of a lifestyle intervention on health parameters between children and adolescents with severe obesity. A longitudinal design was carried out at the Centre for Overweight Adolescent and Children’s Healthcare (COACH) between December 2010 and June 2020. Children (2–11 years old, n = 83) and adolescents (12–18 years old, n = 77) with severe obesity received a long-term, tailored, multidisciplinary lifestyle intervention. After 1 year, 24 children (28.9%) and 33 adolescents (42.9%) dropped out of the intervention. The primary outcome was the change in body mass index (BMI) z-score after one and two years of intervention. The decrease in BMI z-score over time was significantly higher in children compared to adolescents, the mean decrease was 0.15 (0.08–0.23) versus 0.03 (−0.05–0.11) after one year and 0.25 (0.15–0.35) versus 0.06 (−0.06–0.17) after two years of intervention; <i>p</i> values for the difference between children and adolescents were 0.035 and 0.012. After two years, multiple improvements in cardio metabolic health parameters were observed, especially in children. In conclusion, during our tailored lifestyle intervention, a positive and maintained effect on health parameters was observed in children with severe obesity. Compared to children, the effect on health parameters was less pronounced in adolescents.https://www.mdpi.com/2072-6643/14/9/1795multidisciplinary lifestyle interventionchildrenadolescentssevere obesity |
| spellingShingle | Kelly G. H. van de Pas Judith W. Lubrecht Marijn L. Hesselink Bjorn Winkens François M. H. van Dielen Anita C. E. Vreugdenhil The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity Nutrients multidisciplinary lifestyle intervention children adolescents severe obesity |
| title | The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity |
| title_full | The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity |
| title_fullStr | The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity |
| title_full_unstemmed | The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity |
| title_short | The Effect of a Multidisciplinary Lifestyle Intervention on Health Parameters in Children versus Adolescents with Severe Obesity |
| title_sort | effect of a multidisciplinary lifestyle intervention on health parameters in children versus adolescents with severe obesity |
| topic | multidisciplinary lifestyle intervention children adolescents severe obesity |
| url | https://www.mdpi.com/2072-6643/14/9/1795 |
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