Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care
Multimodal obesity treatments for children and adolescents generally showed only small to modest treatment effects and high dropout rates. Potential variations by patients’ clinical and sociodemographic factors remain, however, largely unclear. For this reason, our study analyzed psychological, phys...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/1/136 |
| _version_ | 1797406574797389824 |
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| author | Julius Lars Breinker Anika Kaspar Elena Sergeyev Antje Körner Wieland Kiess Anja Hilbert |
| author_facet | Julius Lars Breinker Anika Kaspar Elena Sergeyev Antje Körner Wieland Kiess Anja Hilbert |
| author_sort | Julius Lars Breinker |
| collection | DOAJ |
| description | Multimodal obesity treatments for children and adolescents generally showed only small to modest treatment effects and high dropout rates. Potential variations by patients’ clinical and sociodemographic factors remain, however, largely unclear. For this reason, our study analyzed psychological, physical, and sociodemographic predictors of treatment success and adherence in a multimodal obesity treatment over 12 months. The intent-to-treat sample included <i>n</i> = 361 children and adolescents (ages 3–17 years), of which <i>n</i> = 214 or 59.28% of patients completed treatment. A younger age and, in the sensitivity analysis, additionally a greater eating disorder psychopathology and treatment initiation before COVID-19 pandemic predicted greater BMI-SDS reductions (Body Mass Index-Standard Deviation Score). In contrast, predictors of treatment adherence were not found. The results underline the importance of early treatment of juvenile obesity. Additionally, eating disorder psychopathology includes restrained eating, which implies the ability to self-regulate eating behavior and therefore may have a positive effect on the treatment goal of controlled food intake. Challenges from altered treatment procedures due to the COVID-19 pandemic nonetheless remain. |
| first_indexed | 2024-03-09T03:28:24Z |
| format | Article |
| id | doaj.art-66ad5fa923314c8f8de736b92b5d31d6 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T03:28:24Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-66ad5fa923314c8f8de736b92b5d31d62023-12-03T14:59:39ZengMDPI AGNutrients2072-66432022-12-0115113610.3390/nu15010136Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine CareJulius Lars Breinker0Anika Kaspar1Elena Sergeyev2Antje Körner3Wieland Kiess4Anja Hilbert5Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, 04103 Leipzig, GermanyCenter for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, GermanyCenter for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, GermanyCenter for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, GermanyCenter for Pediatric Research, Department of Pediatrics, University of Leipzig Medical Center, 04103 Leipzig, GermanyIntegrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, 04103 Leipzig, GermanyMultimodal obesity treatments for children and adolescents generally showed only small to modest treatment effects and high dropout rates. Potential variations by patients’ clinical and sociodemographic factors remain, however, largely unclear. For this reason, our study analyzed psychological, physical, and sociodemographic predictors of treatment success and adherence in a multimodal obesity treatment over 12 months. The intent-to-treat sample included <i>n</i> = 361 children and adolescents (ages 3–17 years), of which <i>n</i> = 214 or 59.28% of patients completed treatment. A younger age and, in the sensitivity analysis, additionally a greater eating disorder psychopathology and treatment initiation before COVID-19 pandemic predicted greater BMI-SDS reductions (Body Mass Index-Standard Deviation Score). In contrast, predictors of treatment adherence were not found. The results underline the importance of early treatment of juvenile obesity. Additionally, eating disorder psychopathology includes restrained eating, which implies the ability to self-regulate eating behavior and therefore may have a positive effect on the treatment goal of controlled food intake. Challenges from altered treatment procedures due to the COVID-19 pandemic nonetheless remain.https://www.mdpi.com/2072-6643/15/1/136obesitychildrenadolescentsmultimodaltreatmentpredictors |
| spellingShingle | Julius Lars Breinker Anika Kaspar Elena Sergeyev Antje Körner Wieland Kiess Anja Hilbert Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care Nutrients obesity children adolescents multimodal treatment predictors |
| title | Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care |
| title_full | Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care |
| title_fullStr | Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care |
| title_full_unstemmed | Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care |
| title_short | Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in Routine Care |
| title_sort | predictors of effectiveness and adherence in a multimodal obesity treatment program for children and adolescents in routine care |
| topic | obesity children adolescents multimodal treatment predictors |
| url | https://www.mdpi.com/2072-6643/15/1/136 |
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