Obesity, adiposity Obesiteit, zwaarlijvigheid
Conditions
Interventions
Control group (current protocol): there will be an exercise program for three days per week (30-60 minutes each, mean duration of exercise sessions 43 minutes) and nutrition education/behavior modific
less intensive and less costly): The treatment here is identical to the control group except for the first six months. Instead of six months hospitalization this group will be hospitalized for two mon
Sponsors
Type organisation: Universiteiten
Name organisation: Vrije Universiteit
Address De Boelelaan 1085
Postal code and place: 1081 HV Amsterdam
Country: The Nederlands
Telephone nr: 020-5986995
Fax 020-5986940
Email: jaap.seidell@falw.vu.nl
Eligibility
Inclusion criteria
Inclusion criteria: Children and adolescents (8-19 years) with a SDS-BMI ≥ 3.0 (99.9th age- and sex-specific percentile of BMI in the fourth Dutch nationwide growth study of 1997), or a SDS-BMI ≥ 2.3 (99th age- and sex-specific percentile of BMI in the fourth Dutch nationwide growth study of 1997) in combination with obesity-related comorbidity. All participants were referred by their local pediatrician after insufficient response to ambulatory treatment to reduce weight.
Exclusion criteria
Exclusion criteria: 1. Syndromal/chromosomal determined obesity; 2. Obesity cause by endocrine disorders (e.g. hypothyroidism, Cushing syndrome, primary hyperinsulinemia, pseudohypoparathyroidism, acquired (structural) hypothalamic damage) or use of medication (e.g. antiepileptic drugs, antidepressants); 3. Psychiatric disorders (e.g. severe depression, schizophrenia) that may obstruct adequate treatment; 4. Presence of eating disorders (e.g. binge eating disorder, bulimia nervosa) to such a degree that specific therapeutic attention is needed before starting the intervention; 5. Children/adolescents or parents that can or will not give `informed consent`, parents that can or will not participate in the treatment; 6. Children/adolescents with an IQ below 75 or attending a school for intellectually challenged children.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Psychological and psychosocial data on issues such as motivation, competence, self-esteem, anxiety, mental stress; 2. Cardiovascular risk factors (blood pressure, serum lipids, liver function tests, glucose and insulin); 3. Waist circumference; 4. Dietary behavior by Food Frequency Questionnaire; 5. Questionnaires on eating behavior, physical activity (sedentary behavior); 6. Quality of life (generic, weigh-specific and health-related quality of life). | — |
Primary
| Measure | Time frame |
|---|---|
| SDS-BMI (costs of treatment per change in relative BMI). | — |
Contacts
Public ContactJ.C. Seidell
VU University Medical Center, Afdeling Voeding en Gezondheid/ Instituut Gezondheidswetenschappen, Faculteit Aard en Levenswetenschappen, De Boelelaan 1085
Outcome results
None listed