Childhood obesity Nutritional, Metabolic, Endocrine Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 8-17 years (at baseline) 2. Obesity based on BMI values defined by Cole et al. 3. Children/ adolescents presented to the paediatrician 4. Written informed consent from parents and children
Exclusion criteria
Exclusion criteria: 1. Insufficient knowledge/understanding of the Dutch language 2. Children/adolescents following special education 3. Serious co-morbidity 4. Obesity caused by a syndrome (like Prader Willi, Laurence-Moon-Biedl) 5. Endocrine cause of obesity (like hypothyreoidy, Cushing) 6. Obesity caused by medication (like high dose of glucocorticoids) 7. Parents and children/adolescents not willing to invest 40 hours in the treatment 8. Children/adolescents with diabetes mellitus 9. Children/adolescents who already followed a multidisciplinary treatment, including psychological treatment and intensive parent involvement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Do children (8-17 yr.) with obesity show a significant decrease (> 0.5 BMI-SDS) in BMI (as defined by Cole et al.[2]) after 3 months of intensive treatment compared to children who were given advice on increased physical activity and dietary changes? | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Do children with obesity have a significantly more beneficial effect of 3 months intensive treatment compared to standard care on changes in waist circumference, insulin sensitivity, secretion of gastrointestinal hormones, cardiovascular fitness and quality of life? 2. Will the hypothesized beneficial effects of 3 months intensive treatment in children with obesity persist after 12 and 24 months of follow-up? 3. Are the genetic background of the children, the level of parental education, the social economic status or the ethnicity predictive variables for the degree of obesity in these children, and for the success of treatment? | — |
Countries
Netherlands