E66
Conditions
Interventions
Group 1: Obesity aftercare program „FAT ambulant: multimodal weight reduction program with the following components: physical activity
diet/nutrition
psychology/behavioral therapy (monthly aftercare consultations in the rehabilitation center over a course of 2 years)
Group 2: Standard aftercare program (semi-annual consultations at the rehabilitati
Sponsors
Abteilung für Medizinische Psychologie und Psychotherapie, Medizinische Soziologie und Rehabilitationswissenschaften Universität Würzburg
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: a. diagnosis: morbid obesity (BMI = 40) (adipositas per magna; ICD-10 code: E 66) b. age: 20-65 years c. residence within a radius of 70 minutes driving time to the rehabilitation center d. motivation to participate in the aftercare program “FAT ambulant)
Exclusion criteria
Exclusion criteria: a. desire for bariatric surgery b. severe restrictions of mobility c. eating disorder d. malignant tumor with a disease-free period of <5 years e. Prader-Willi syndrome f. non-compensable hearing impairment/ametropia g. insufficient german language skills h. severe comorbid psychiatric disorder (e.g. depression, schizophrenia, addiction)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of weight reduction referring to initial weight after 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. body fat percentage, abdominal girth (after 6 and 12 months, respectively) 2. dietary behavior (after 6 and 12 months, resp.): Freiburg Nutrition Protocol (Freiburger Ernährungsprotokoll; Kluthe) 3. physical activity (after 6 and 12 months, resp.): Godin Scale (Godin, 1985; German version: Lippke & Vögele, 2006); average number of daily steps as measured by a pedometer over a period of 1 week 4. laboratory parameters (after 6 and 12 months, resp.): liver (ASAT; ALAT; GGT; bilirubin); lipometabolism (total cholesterol; HDL; LDL; triglycerides); sugar metabolism (serum glucose; HbA1c) 5. quality of life (after 6 and 12 months, resp.): SF-12 (German version: Bullinger & Kirchberger, 1998) 6. depressive symptoms, anxiety symptoms (after 6 and 12 months, resp.): PHQ-4 (German version: Löwe et al., 2010) 7. self-efficacy regarding physical activity and dietary behavior (after 6 and 12 months, resp.): items based on Krämer & Fuchs (2010), Schlatterer (2013) 8. work ability, number of days of work inability (after 6 and 12 months, resp.) 9. subjective prognosis of work ability: SPE Scale (Mittag & Raspe, 2003) (after 6 and 12 months, resp.) 10. satisfaction with the program/program acceptance (self-developed; after 6 and 12 months, resp.) | — |
Countries
Germany
Contacts
Public ContactJutta Ahnert
Abteilung für Medizinische Psychologie und Psychotherapie, Medizinische Soziologie und Rehabilitationswissenschaften Universität Würzburg
Outcome results
None listed