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Current Cardiovascular Risk Reports
Erschienen in: Current Cardiovascular Risk Reports 4/2015

01.04.2015 | Obesity + Diet (G Rao, Section Editor)

Recent Updates on the Efficacy of Group-Based Treatments for Pediatric Obesity

verfasst von: Jacqueline F. Hayes, Myra Altman, Jackson H. Coppock, Denise E. Wilfley, Andrea B. Goldschmidt

Erschienen in: Current Cardiovascular Risk Reports | Ausgabe 4/2015

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Abstract

There is limited research on optimal treatment formats for childhood obesity. Group-based interventions are popular, but it is unclear whether outcomes can be obtained without an additional individual component. The aim of the study was to examine statistically and clinically significant outcomes of recent group-based and mixed-format (group + individual) pediatric obesity interventions. Effect sizes and magnitudes of weight change were calculated for studies published between January 2013 and September 2014. Approximately half of the group-based studies reviewed produced significant results compared to control, and effect sizes were small. Mixed-format studies were less likely to include a control group, but those that did evidenced medium to large effects. Magnitudes of weight change post-intervention were generally greater in mixed-format studies than group-only studies. Recent studies in pediatric obesity interventions suggest including an individual component in a group-based intervention produces optimal outcomes. Future research should directly compare group-only and mixed formats to confirm this observation.
Fußnoten
1
Medians reported due to small sample size; therefore, effect size was not calculated.
 
2
Post-intervention average SDs not available to calculate effect size
 
Literatur
1.
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA. 2014;311(8):806–14.CrossRefPubMed
2.
Dabelea D, Bell RA, D’Agostino Jr RB, Imperatore G, Johansen JM, Linder B, et al. Incidence of diabetes in youth in the United States. JAMA J Am Med Assoc. 2007;297(24):2716–24.CrossRef
3.
Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics. 2001;108(3):712–8.CrossRefPubMed
4.
Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med. 2010;362(6):485–93.CrossRefPubMedCentralPubMed
5.
Baker JL, Olsen LW, Sørensen TI. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med. 2007;357(23):2329–37.CrossRefPubMedCentralPubMed
6.
7.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337(13):869–73.CrossRefPubMed
8.
Singh AS, Mulder C, Twisk JW, Van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9(5):474–88.CrossRefPubMed
9.
Gordon-Larsen P, The NS, Adair LS. Longitudinal trends in obesity in the United States from adolescence to the third decade of life. Obesity. 2010;18(9):1801–4.CrossRefPubMedCentralPubMed
10.
Force UPST. Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. Pediatrics. 2010;125(2):361–7.CrossRef
11.
Wilfley DE, Buren DJ, Theim KR, Stein RI, Saelens BE, Ezzet F, et al. The use of biosimulation in the design of a novel multilevel weight loss maintenance program for overweight children. Obesity. 2010;18(S1):S91–8.CrossRefPubMedCentralPubMed
12.
Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychol. 1994;13(5):373.CrossRefPubMed
13.
Coppock JH, Ridolfi DR, Hayes JF, St. Paul M, Wilfley DE. Current approaches to the management of pediatric overweight and obesity. Curr Treat Options Cardiovasc Med. 2014.;16(11):343.
14.
Epstein LH, Myers MD, Raynor HA, Saelens BE. Treatment of pediatric obesity. Pediatrics. 1998;101(Supplement 2):554–70.PubMed
15.
Goldfield G, Epstein L, Kilanowski C, Paluch R, Kogut-Bossler B. Cost-effectiveness of group and mixed family-based treatment for childhood obesity. Int J Obes. 2001;25(12):1843–1849
16.
Yalom ID. The theory and practice of group psychotherapy. 3rd ed. New York: Basic Books, Inc.; 1985.
17.
Salvy S-J, Bowker JW, Roemmich JN, Romero N, Kieffer E, Paluch R, et al. Peer influence on children’s physical activity: an experience sampling study. J Pediatr Psychol. 2008;33(1):39–49.CrossRefPubMedCentralPubMed
18.
Salvy S-J, Coelho JS, Kieffer E, Epstein LH. Effects of social contexts on overweight and normal-weight children’s food intake. Physiol Behav. 2007;92(5):840–6.CrossRefPubMedCentralPubMed
19.
Salvy S-J, Kieffer E, Epstein LH. Effects of social context on overweight and normal-weight children’s food selection. Eat Behav. 2008;9(2):190–6.CrossRefPubMedCentralPubMed
20.
Barkley JE, Salvy S-J, Roemmich JN. The effect of simulated ostracism on physical activity behavior in children. Pediatrics. 2012;129(3):e659–66.CrossRefPubMed
21.
Jelalian E, Sato A, Hart CN. The effect of group-based weight-control intervention on adolescent psychosocial outcomes: Perceived peer rejection, social anxiety, and self-concept. Child Health Care. 2011;40(3):197–211.CrossRefPubMedCentralPubMed
22.
Wilfley DE, Stein RI, Saelens BE, Mockus DS, Matt GE, Hayden-Wade HA, et al. Efficacy of maintenance treatment approaches for childhood overweight: a randomized controlled trial. JAMA. 2007;298(14):1661–73.CrossRefPubMed
23.
Brownell KD, Kelman JH, Stunkard AJ. Treatment of obese children with and without their mothers: changes in weight and blood pressure. Pediatrics. 1983;71(4):515–23.PubMed
24.
Saelens BE, Lozano P, Scholz K. A randomized clinical trial comparing delivery of behavioral pediatric obesity treatment using standard and enhanced motivational approaches. J Pediatr Psychol. 2013;38(9):954–964.
25.
Berry D, Schwartz T, McMurray R, Skelly A, Neal M, Hall E, et al. The family partners for health study: a cluster randomized controlled trial for child and parent weight management. Nutr Diabetes. 2014;4(1):e101.CrossRefPubMedCentralPubMed
26.
Bloom T, Sharpe L, Mullan B, Zucker N. A pilot evaluation of appetite-awareness training in the treatment of childhood overweight and obesity: a preliminary investigation. Int J Eat Disord. 2013;46(1):47–51.CrossRefPubMed
27.
Bocca G, Corpeleijn E, van den Heuvel ER, Stolk RP, Sauer PJ. Three-year follow-up of 3-year-old to 5-year-old children after participation in a multidisciplinary or a usual-care obesity treatment program. Clin Nutr. 2013.
28.
Boutelle KN, Zucker N, Peterson CB, Rydell S, Carlson J, Harnack LJ. An intervention based on Schachter’s externality theory for overweight children: The regulation of cues pilot. J Pediatr Psychol. 2014:jst142.
29.
Davis AM, Sampilo M, Gallagher KS, Landrum Y, Malone B. Treating rural pediatric obesity through telemedicine: Outcomes from a small randomized controlled trial. J Pediatr Psychol. 2013:jst005.
30.
Esfarjani F, Khalafi M, Mohammadi F, Mansour A, Roustaee R, Zamani-Nour N, et al. Family-based intervention for controlling childhood obesity: an experience among Iranian children. Int J Prev Med. 2013;4(3):358.PubMedCentralPubMed
31.
Hofsteenge G, Chinapaw M, Delemarre-van de Waal H, Weijs P. Long-term effect of the Go4it group treatment for obese adolescents: a randomised controlled trial. Clin Nutr. 2014;33(3):385–91.CrossRefPubMed
33.•
Lochrie AS, Wysocki T, Hossain J, Milkes A, Antal H, Buckloh L, et al. The effects of a family-based intervention (FBI) for overweight/obese children on health and psychological functioning. Clin Pract Pediatr Psychol. 2013;1(2):159. Saelens et al. (2013) produced the largest weight changes in the middle childhood population with both a standard intervention that utilized uniform behavioral skills and interventionist goal assignment and a similar intervention with an adjunct motivational and autonomy-enhancing intervention. Both groups lost more than 0.3 zBMI points and within-group intervention effects were large (0.8 and 0.83), suggesting the efficacy of both intervention designs.CrossRef
33.
Martínez-Andrade GO, Cespedes EM, Rifas-Shiman SL, Romero-Quechol G, González-Unzaga MA, Benítez-Trejo MA, et al. Feasibility and impact of Creciendo Sanos, a clinic-based pilot intervention to prevent obesity among preschool children in Mexico City. BMC Pediatr. 2014;14(1):77.CrossRefPubMedCentralPubMed
34.
Mazzeo SE, Kelly NR, Stern M, Gow RW, Cotter EW, Thornton LM, et al. Parent skills training to enhance weight loss in overweight children: evaluation of NOURISH. Eat Behav. 2014;15(2):225–9.CrossRefPubMed
35.
Morgan PJ, Collins CE, Plotnikoff RC, Callister R, Burrows T, Fletcher R, et al. The ‘Healthy Dads, Healthy Kids’ community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children. Prev Med. 2014;61:90–9.CrossRefPubMed
36.
Kalarchian MA, Levine MD, Marcus MD. Structured dietary interventions in the treatment of severe pediatric obesity: a pilot study. Bariatr Surg Pract Patient Care. 2013;8(2):58–60.PubMedCentralPubMed
37.
Trost SG, Sundal D, Foster GD, Lent MR, Vojta D. Effects of a pediatric weight management program with and without active video games: a randomized trial. JAMA Pediatr. 2014.
38.
Patrick K, Norman GJ, Davila EP, Calfas KJ, Raab F, Gottschalk M, et al. Outcomes of a 12-month technology-based intervention to promote weight loss in adolescents at risk for type 2 diabetes. J Diabetes Sci Technol. 2013;7(3):759–70.CrossRefPubMedCentralPubMed
39.
Quattrin T, Roemmich JN, Paluch R, Yu J, Epstein LH, Ecker MA. Treatment outcomes of overweight children and parents in the medical home. Pediatrics. 2014;134(2):290–7.CrossRefPubMed
40.
Stark LJ, Clifford LM, Towner EK, Filigno SS, Zion C, Bolling C, et al. A pilot randomized controlled trial of a behavioral family-based intervention with and without home visits to decrease obesity in preschoolers. J Pediatr Psychol. 2014;39(9):1001–12.CrossRefPubMed
41.
Berkowitz RI, Rukstalis MR, Bishop-Gilyard CT, Moore RH, Gehrman CA, Xanthopoulos MS, et al. Treatment of adolescent obesity comparing self-guided and group lifestyle modification programs: a potential model for primary care. J Pediatr Psychol. 2013;38(9):978–86.CrossRefPubMedCentralPubMed
43.•
Hystad HT, Steinsbekk S, Ødegård R, Wichstrøm L, Gudbrandsen OA. A randomised study on the effectiveness of therapist-led v. self-help parental intervention for treating childhood obesity. Br J Nutr. 2013;110(06):1143–50. Quattrin et al. (2014) assesses two relatively recent areas of interest in the treatment of childhood obesity, specifically treatment within a primary care setting and treatment of young children. Intensive treatment over 12 months demonstrated significant reductions in zBMI and percent overBMI that were maintained at a 24 month follow-up, thus intensive early intervention within a primary care setting may be beneficial for the treatment of childhood obesity.CrossRefPubMed
43.
Kokkvoll A, Grimsgaard S, Ødegaard R, Flægstad T, Njølstad I. Single versus multiple-family intervention in childhood overweight—Finnmark Activity School: a randomised trial. Arch Dis Child. 2013:archdischild-2012-303571.
44.
Mirza NM, Palmer MG, Sinclair KB, McCarter R, He J, Ebbeling CB, et al. Effects of a low glycemic load or a low-fat dietary intervention on body weight in obese Hispanic American children and adolescents: a randomized controlled trial. Am J Clin Nutr. 2013;97(2):276–85.CrossRefPubMedCentralPubMed
45.
Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4:863.CrossRefPubMedCentralPubMed
46.
Wilfley DE, Tibbs TL, Van Buren D, Reach KP, Walker MS, Epstein LH. Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials. Health Psychol. 2007;26(5):521.CrossRefPubMedCentralPubMed
47.
48.
Ford AL, Hunt LP, Cooper A, Shield JP. What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health? Arch Dis Child. 2010;95(4):256–61.CrossRefPubMed
49.
Kolsgaard ML, Joner G, Brunborg C, Anderssen SA, Tonstad S, Andersen LF. Reduction in BMI z-score and improvement in cardiometabolic risk factors in obese children and adolescents. The Oslo Adiposity Intervention Study-a hospital/public health nurse combined treatment. BMC Pediatr. 2011;11(1):47.CrossRefPubMedCentralPubMed
50.
51.
Reinehr T, Kiess W, Kapellen T, Andler W. Insulin sensitivity among obese children and adolescents, according to degree of weight loss. Pediatrics. 2004;114(6):1569–73.CrossRefPubMed
52.
Marcus MD, Kalarchian MA. Binge eating in children and adolescents. Int J Eat Disord. 2003;34(S1):S47–57.CrossRefPubMed
53.
Boutelle KN, Zucker NL, Peterson CB, Rydell SA, Cafri G, Harnack L. Two novel treatments to reduce overeating in overweight children: a randomized controlled trial. J Consult Clin Psychol. 2011;79(6):759.CrossRefPubMedCentralPubMed
54.
Danielsson P, Kowalski J, Ekblom Ö, Marcus C. Response of severely obese children and adolescents to behavioral treatment. Arch Pediatr Adolesc Med. 2012;166(12):1103–8.CrossRefPubMed
55.
Staiano AE, Abraham AA, Calvert SL. Adolescent exergame play for weight loss and psychosocial improvement: a controlled physical activity intervention. Obesity. 2013;21(3):598–601.CrossRefPubMed
56.
Epstein LH, Paluch RA, Roemmich JN, Beecher MD. Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment. Health Psychol. 2007;26(4):381.CrossRefPubMedCentralPubMed
57.
Caprio S. Treating child obesity and associated medical conditions. Futur Child. 2006;16(1):209–24.CrossRef
58.
Altman MW, Wilfley DE. Evidence update on the treatment of overweight and obesity in children and adolescents. J Clin Child Adolesc Psychol. 2014;12:1–17
59.
Goldschmidt AB, Best JR, Stein RI, Saelens BE, Epstein LH, Wilfley DE. Predictors of child weight loss and maintenance among family-based treatment completers. 2014;82(6):1140
60.
Nguyen B, Kornman K, Baur L. A review of electronic interventions for prevention and treatment of overweight and obesity in young people. Obes Rev. 2011;12(5):e298–314.CrossRefPubMed
61.
An J-Y, Hayman LL, Park Y-S, Dusaj TK, Ayres CG. Web‐based weight management programs for children and adolescents: a systematic review of randomized controlled trial studies. Adv Nurs Sci. 2009;32(3):222–40.CrossRef
62.
Turner-McGrievy GM, Tate DF. Weight loss social support in 140 characters or less: use of an online social network in a remotely delivered weight loss intervention. Transl Behav Med. 2013;3(3):287–94.CrossRefPubMedCentralPubMed
63.
Kulik NL, Fisher EB, Ward DS, Ennett ST, Bowling JM, Tate DF. Peer support enhanced social support in adolescent females during weight loss. Am J Health Behav. 2014;38(5):789–800.CrossRefPubMed
64.
Wilfley D, Frank M, Welch R, Spurrell E, Rounsaville B. Adapting interpersonal psychotherapy to a group format (IPT-G) for binge eating disorder: toward a model for adapting empirically supported treatments. Psychother Res. 1998;8(4):379–91.CrossRef
Metadaten
Titel
Recent Updates on the Efficacy of Group-Based Treatments for Pediatric Obesity
verfasst von
Jacqueline F. Hayes
Myra Altman
Jackson H. Coppock
Denise E. Wilfley
Andrea B. Goldschmidt
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Current Cardiovascular Risk Reports / Ausgabe 4/2015
Print ISSN: 1932-9520
Elektronische ISSN: 1932-9563
DOI
https://doi.org/10.1007/s12170-015-0443-8

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