[Overweight and obesity in childhood and adolescence. Evaluation of inpatient and outpatient care in Germany: the EvAKuJ study].
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[Overweight and obesity in childhood and adolescence. Evaluation of inpatient and outpatient care in Germany: the EvAKuJ study]. / Hoffmeister, U; Bullinger, Monika; van Egmond-Fröhlich, A; Goldapp, C; Mann, R; Ravens-Sieberer, Ulrike; Reinehr, T; Westenhöfer, J; Wille, Nora; Holl, R W.
In: BUNDESGESUNDHEITSBLA, Vol. 54, No. 1, 1, 2011, p. 128-135.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Overweight and obesity in childhood and adolescence. Evaluation of inpatient and outpatient care in Germany: the EvAKuJ study].
AU - Hoffmeister, U
AU - Bullinger, Monika
AU - van Egmond-Fröhlich, A
AU - Goldapp, C
AU - Mann, R
AU - Ravens-Sieberer, Ulrike
AU - Reinehr, T
AU - Westenhöfer, J
AU - Wille, Nora
AU - Holl, R W
PY - 2011
Y1 - 2011
N2 - Numerous forms of therapy exist for the increasing number of obese children and adolescents in Germany, but these are heterogeneous and have not been evaluated. Access to health care, long- and short-term treatment outcome, as well as factors determining success of therapy were examined for the first time using standardized instruments to measure somatic and psychosocial variables. A total of 1,916 children aged 8-16 years from 48 (5 rehabilitation, 43 outpatient) institutions were examined. Data were collected for height, weight, blood pressure, and lipid status before treatment started (t0), at the end of treatment (t1), and 1 year after completion of treatment (t2). Furthermore, psychosocial variables were documented using questionnaires for parents and children. The mean BMI-SDS (body mass index standard deviation score) reduction at t1 was -0.27 and 1 year later at t2 was -0.23 (per protocol analysis; intention to treat: t1=-0.24; t2=-0.06). Psychological health and quality of life, which were markedly impaired at the beginning, improved. However, physical activity, media consumption, and nutrition remained basically unchanged. A reduction in weight is associated with an improvement in cardiovascular risk profiles, and long-term behavior changes are possible. However, the institutions differed considerably in the percentage of follow-up examinations and in the weight reduction accomplished.
AB - Numerous forms of therapy exist for the increasing number of obese children and adolescents in Germany, but these are heterogeneous and have not been evaluated. Access to health care, long- and short-term treatment outcome, as well as factors determining success of therapy were examined for the first time using standardized instruments to measure somatic and psychosocial variables. A total of 1,916 children aged 8-16 years from 48 (5 rehabilitation, 43 outpatient) institutions were examined. Data were collected for height, weight, blood pressure, and lipid status before treatment started (t0), at the end of treatment (t1), and 1 year after completion of treatment (t2). Furthermore, psychosocial variables were documented using questionnaires for parents and children. The mean BMI-SDS (body mass index standard deviation score) reduction at t1 was -0.27 and 1 year later at t2 was -0.23 (per protocol analysis; intention to treat: t1=-0.24; t2=-0.06). Psychological health and quality of life, which were markedly impaired at the beginning, improved. However, physical activity, media consumption, and nutrition remained basically unchanged. A reduction in weight is associated with an improvement in cardiovascular risk profiles, and long-term behavior changes are possible. However, the institutions differed considerably in the percentage of follow-up examinations and in the weight reduction accomplished.
KW - Humans
KW - Male
KW - Female
KW - Risk Factors
KW - Adolescent
KW - Child
KW - Risk Assessment
KW - Prevalence
KW - Age Distribution
KW - Sex Distribution
KW - Germany/epidemiology
KW - Ambulatory Care/utilization
KW - Hospitalization/statistics & numerical data
KW - Overweight/diagnosis/epidemiology/therapy
KW - Psychology
KW - Humans
KW - Male
KW - Female
KW - Risk Factors
KW - Adolescent
KW - Child
KW - Risk Assessment
KW - Prevalence
KW - Age Distribution
KW - Sex Distribution
KW - Germany/epidemiology
KW - Ambulatory Care/utilization
KW - Hospitalization/statistics & numerical data
KW - Overweight/diagnosis/epidemiology/therapy
KW - Psychology
M3 - SCORING: Zeitschriftenaufsatz
VL - 54
SP - 128
EP - 135
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 1
M1 - 1
ER -
