title: [Physical activity, nutritional counseling and psychological guidance in treatment of obese children. A controlled follow-up study over six months].
abstract: BACKGROUND
  Only multi-faceted treatment programs may influence childhood obesity.
  
  
  METHODS
  Thus our program consists of physical exercise, dietary counseling (but no caloric reduction) and psychological support. 17 obese children, aged 7 to 12 years, participated in this combined out-patient therapy program. The children were compared to a control group of 17 obese children who only received an initial dietary instruction.
  
  
  RESULTS
  After 6 months program children showed a very significant decrease of percentage overweight (-11.5%), whereas control children showed an increase of +2.8%. In contrast to control children program children improved their physical performance rather significantly. Both groups improved in body-esteem, whereas only program children showed a better self-esteem. Positive trends in lipid metabolism did not reach level of significance.
  
  
  CONCLUSIONS
  We conclude that a combined program of exercise and diet improves short-term results in the treatment of childhood obesity, even without insisting on caloric reduction.
authors.affiliation: Kinderklinik und, Universität Innsbruck.
authors.forename: M
authors.initials: M
authors.lastname: Föger
authors.forename: G
authors.initials: G
authors.lastname: Bart
authors.forename: G
authors.initials: G
authors.lastname: Rathner
authors.forename: B
authors.initials: B
authors.lastname: Jäger
authors.forename: H
authors.initials: H
authors.lastname: Fischer
authors.forename: D
authors.initials: D
authors.lastname: Zollner-Neussl
mesh_terms: D001521:Behavior Therapy; D001835:Body Weight; D002648:Child; D003131:Combined Modality Therapy; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D052756:Nutritional Sciences / Q000193:education*; D009765:Obesity / Q000209:etiology / Q000628:therapy*; D010353:Patient Education as Topic; D014040:Token Economy
vernacular_title: Körperliche Aktivität, Ernährungsberatung und psychologische Führung in der Behandlung adipöser Kinder. Eine kontrollierte Verlaufsstudie über sechs Monate.