extreme overweight obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * age 8-17 years (at beginning) * Obesity BMI values difined by Cole et al. * Childeren/adolescents presented to the paediatrician
Exclusion criteria
Exclusion criteria: * Insufficient knowledge/understanding of the Dutch language; * Children/adolescents following special education; * Serious co-morbidity * Obesity caused by a syndrome (like Prader Willi, Laurence-Moon-Biedl); * Endocrine cause of obesity (like hypothyreoidy, Cushing); * Obesity caused by medication (like high dose of glucocorticoids); * Parents and children/adolescents not willing to invest 40 hours in the treatment; * Children/adolescents with diabetes mellitus; * Children/adolescents who already followed a multidisciplinary treatment; including psychological treatment and intensive parent involvement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Do children/adolescents with obesity have a significant decrease in BMI (> 0.6 BMI-sds) after 3 months of intensive treatment compared to children/adolescents who received a standard treatment (increased physical activity and nutrition advice) ? | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Do children/adolescents with obesity have a significant beneficial effect after three months intensive treatment compared to children/adolescents who received a standard treatment (increased physical activity and nutrition advice) on sum of skinfolds, insulin sensitivity, metabolic syndrome, gastrointestinal hormones, cardiovascular fitness, and quality of life? 2. Will the effects of three months intensive treatment of children/adolescents with obesity be maintained after 12 and 24 months of follow-up? 3. Are intervention and control group homogeneous with regard to relevant genetic background? 4. Is parent education a predictive variable on the degree of obesity of children/adolescents? | — |
Countries
Netherlands